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Why The Social Security Administration Will Deny You Disability Benefits

When you apply for Social Security Disability Insurance (SSDI), there are various reasons why the agency will provide you benefits.

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When you apply for Social Security Disability Insurance (SSDI), there are various reasons why the agency will provide you benefits.

As long as your medical condition lasts for at least a year and you have worked long enough to earn “work credits”, you can be sure that you will be entitled for disability benefits. However, you should know that almost 70 percent of all initial applications submitted to the Social Security Administration (SSA) are denied.

If you are among those who didn’t make the cut, you may ask: What could possibly be wrong with your disability claim for the SSA to deny you?

It would be helpful for you to know that some reasons for your denial are beyond your control. There are some reasons, though, that can be avoided in the first place. It is then important to change your outlook regarding the discussion on application for benefits, and instead focus on the SSA’s reasons for denying your disability claim. Here are the possible reasons why:

•    You may have earned too much income. For SSDI, one reason for denying you of benefits is that your income was found out to be above the limit of substantial gainful activity or SGA. Keep in mind that the SGA limit for non-blind people are $1,010. If you earn more than $1,010 monthly, then you are not considered disabled.

•    Your disability won’t last for at least a year. To become eligible for SSDI, you must have a physical or mental condition that is severe enough to last at least 12 months or result to death.

•    The SSA cannot reach you. The SSA, together with the Disability Determination Service (DDS) – a state-run agency that determines your medical eligibility for benefits – must have constant communication with you regarding your application. If both agencies cannot contact you on important appointments, you could be denied SSDI benefits. Hence, if you plan to move residence while your claim is being reviewed, you must inform the SSA on your new contact details or address.

•    You do not cooperate with the SSA and the DDS. Your medical records are very important for the SSA and the DDS in determining your eligibility for benefits. If you refuse to have your medical records released, your claim can be denied. Likewise, if you refuse to attend a consultative examination (CE) set by the SSA, you claim can also be turned down. You can avoid a denial by complying with the requirements needed from you and by contacting your claims examiner for rescheduling your CE.

Other possible reasons for denial of SSDI benefits are the following:
•    History of drug use or alcoholism as basis of your disability;
•    Crime conviction;
•    Violation of probation of parole; and
•    Fraud

If your claim is denied by the SSA, you can file for an appeal. To help you in the appeals process, you can retain the services of a Social Security disability benefits attorney.

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