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

Being medically and non-medically denied for SSDI or SSI

When you apply for disability, be it SSDI or SSI benefits, you can only be approved medically. Meaning that your medical records will be evaluated to first determine whether or not you meet a disability listing (listings are contained in the blue book and regard specific approval criteria for specific medical conditions).

If you do not meet a disability listing, your claim will be reviewed to see if you can be approved for disability through the medical vocational allowance process. This essentially means that your medical records will be evaluated to determine how your medical condition limits your ability to do physical and/or mental tasks and these limitations will be used to assess whether or not you can perform work activity.

All disability approvals are medical in this sense. However, disability denials can be made for medical and non-medical reasons.

Non-medical requirements are unique to each disability program.

SSDI non-medical requirements

The non-medical requirement of Social Security Disability is that you have worked enough to be fully insured and disability insured.

The fully insured criterion has a maximum requirement of 40 quarters of coverage, and, depending on your age at the time you became disabled, it could be less.

You also have to be disability insured. This means you must have worked and have worked 20 quarters of the previous 40 quarters prior to becoming disabled. The requirement also varies dependent upon the age you become disabled.

If you meet these requirements, your disability claim may be approved for Social Security Disability and if you do not meet them your disability claim may be denied.

SSI non-medical requirements

If you are applying for SSI, the non-medical requirements involve income and resource limits. SSI is a need-based disability program and, as such, you have to prove need. The resource limit for a single person is $2000.00.

The home you live in and the highest valued vehicle your own are excluded from this limit. Once these are excluded, your bank accounts, 401K, stocks, bonds, additional land or houses, and any other resource that easily converted to cash are counted against this limit. If you are a couple, the resource limit is $3000.00.

If you are over the resource limit your SSI claim will receive a non-medical denial.

Income is another factor that must be considered when applying for SSI. If you or your spouse have pensions, rental income, work income, etc., it will count against the current benefit amount. Sometimes they are able to pay some SSI, but not the total monthly amount, or sometimes your SSI claim will be denied.

The important thing to remember is that non-medical factors can cause your disability claim to be denied prior to being sent for a medical determination for both programs. And if you are applying for SSI disability, your claim could be denied even if you are medically approved if you do not meet the income and resource limits at the end line interview.

Lastly, even if you are medically approved for either program, your disability claim can be non-medically denied should it be shown you are working and earning over the SGA limit.

Essential Questions

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?

Related pages:

If you meet the requirements of a listed impairment, your case will be approved
List of Impairments for Social Security Disability and SSI Benefits
How To Get Disability Through SSDI or SSI Approved
What medical disabilities Qualify for Disability Benefits?
What does Social Security consider a disability?
Getting a Disability Lawyer in New York
If you apply for disability in New York
Will I qualify for disability Benefits in New York

These pages answer some of the most basic questions for individuals who are considering filing a claim.

Do CE exams usually result in denials for disability?
Can I qualify for disability if I am working?
How to get disability, tip 1
Do CE exams usually result in denials for disability?
How long does it take to get approved for disability?
When to Appeal a Disability Denial
When does Social Security send you for a neurological exam?
Chances of winning Social Security Disability
Who can get SSI disability?
Can you get disability the first time you apply?
What is considered to be a disability for SSDI or SSI?
What determines your disability benefit amount?
How long does it take a disability judge to make a decision?

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.