How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay
Will Social Security Deny You Disability Without Looking At Your Medical Records?
Social Security can deny your disability without looking at any of your medical records and they can do this for a few reasons. Some reasons apply to both SSI disability and Social Security Disability, while others apply to one disability program or the other.
If you are applying for Social Security Disability or SSI disability, your disability claim can be denied for the performance of SGA-level work activity (SGA is simply an earnings limit for work activity - if you are able to work and earn this amount or more, you will not be considered disabled).
The Social Security definition of disability states you must have been unable to work, or will not be expected to be able to work, for twelve months due to your disabling condition. If you are working and earning over the SGA limit, your disability claim will be denied without any consideration of your medical records no matter what your disabling condition is.
You can also be denied for SSDI or SSI disability if you fail to provide necessary forms or information needed to send your disability claim for a medical determination. This denial is called a failure to cooperate denial. In other words, you failed to cooperate in the development of your disability claim.
These are the two most common reasons that both your SSI disability and Social Security Disability claims can be denied without looking at your medical records. Lets take a look at some reasons that apply to SSDI or SSI disability individually.
Lack of Insurance Eligibility for Social Security Disability
Your Social Security Disability claim can be denied without looking at your medical records if you are not insured for Social Security Disability. Social Security Disability is a disability insurance program based on quarters of coverage (work credits) earned through your work activity. If you do not have enough work credit quarters to be insured for disability benefits, or you have not worked enough in the ten years prior to becoming disabled, your disability claim will be denied for a lack of disability insured status without looking at your medical records.
Non-Medical Denials for SSI Disability
If you are filing for SSI disability, your disability claim can be denied for income or resource limits without a review of your medical records. If you have more income (earnings, pensions, VA benefits, Workman’s compensation, long term or short term disability benefits, etc.) than the SSI income limit, your disability claim will be denied for excess income.
Your SSI disability claim can also be denied for excess resources (land or houses other than the house and land you live on, vehicles (usually your highest valued vehicle is excluded), insurance policies with cash value, inheritance, 401K or stocks, etc. Basically, anything that can be readily converted to cash can be considered a resource for the purposes of the SSI resource limit.
There are other technical denials that might cause your disability claim to be denied without a review of your medical records. However, the vast majority of disability applicants are not denied for both disability programs prior to being sent for a medical determination. Most applicants meet the qualifications for Social Security Disability or SSI disability, and many meet the disability qualifications of both disability programs.
What is the Social Security Disability SSI list of impairments?
Can you work while getting or applying for Disability?
How Often Does Social Security Approve Disability The First Time You Apply?
Tips for getting Social Security Disability or SSI benefits approved
What medical conditions will get you approved for disability?
What kind of Mental Problems Qualify for Disability?
Receiving a Disability Award Letter
Conditions Social Security will recognize as a disability
Previously answered questions regarding SSD and SSI
Applying for disability in your state
Most popular topics on SSDRC.com
Social Security Disability SSI Questions
The listings, list of disabling impairments
Can a mental illness qualify you for disability?
Disability Lawyers prevent unnecessary denials
How much Social Security Disability SSI back pay?
How to apply for disability for a child or children
Filing a Social Security Disability SSI application
Filing for disability - when to file
How to apply for disability - where to apply
Qualifications for disability benefits
How to Prove you are disabled and Win your Disability Benefits
Qualifying for Disability - The Process
How to get disability for depression
Getting disability for fibromyalgia
SSI disability for children with ADHD
What is the Application Process for Social Security Disability and SSI?
Common Mistakes to avoid after being denied for Disability
Social Security Disability SSI Exam tips
More Social Security Disability SSI Questions
Social Security Disability SSI definitions
What makes you eligible for Social Security Disability or SSI?
New and featured pages on SSDRC.com
Who can help me file for disability?
How to Appeal a disability claim denial from Social Security
Common Mistakes after Receiving a Denial of Social Security Disability or SSI Benefits
What is a Social Security Disability Denial based on?
Are there ways to avoid being denied for SSI or Social Security Disability?
What does a Disability Denial Letter from Social Security say?
Reconsideration of a Social Security Disability denial- what does it involve?
What to do if you receive notification of a Social Security Disability or SSI claim denial
If you receive a Social Security Disability Denial quickly does that mean the case is weak?
What happens if my SSI or Social Security Disability Application is denied?
Social Security Disability Denied — The Reasons Why (medical denials)
These pages answer some of the most basic questions for individuals who are considering filing a claim.
Can you get temporary Social Security Disability or SSI benefits?
Permanent Social Security Disability
What is the difference between Social Security Disability and SSI?
Who is eligible for SSI disability?
Can I Be Eligible For SSI And Social Security Disability At The Same Time?
What makes a person eligible to receive disability benefits?
Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?
Applying for Disability in Michigan
Filing a Disability appeal in Michigan
Will I qualify for disability Benefits in Michigan?
What happens if I file a disability application and it is denied by a disability examiner or Judge?
For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.
The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.
To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.