Social Security Disability Resource Center
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SSI Benefits | How to Win | Disability Awards
Hearings | Appeals | List of Disabling Conditions
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.
Social Security Disability and SSI Resource Center
The Most Basic questions about Getting Disability Benefits
Social Security Disability SSI and whether or not you can work
Common Mistakes to avoid after being denied for Disability
Social Security Disability SSI Questions and Answers
More Social Security Disability SSI Questions and Answers
Common Questions about Social Security Disability and SSI
Winning Social Security Disability or SSI Benefits
The SSI Disability Benefits Program
Social Security Disability SSI and Doctors - Yours and Theirs
Social Security Disability and SSI Claim Reviews
Social Security Disability SSI System and Benefits for Children
Denials, Appeals, and Getting a Disability Lawyer or Representative
What you should know about Social Security Disability and SSI Denials
Questions about Disability Lawyers and Hiring a Disability Attorney
Various Types of Benefits including SSI, Mental, and Child benefits
Social Security and SSI based on Mental Disability
Social Security Disability or SSI Benefits for Children
Disability Benefits through Social Security
Filing for Social Security Disability or SSI Benefits
Social Security Disability SSI: Medical Evidence and Records
Filing your claim for disability benefits
Eligibility for receiving disability benefits
Resources on this site
Social Security Disability, SSI Terms and Definitions
Previously answered questions regarding SSD and SSI
About the Author of SSDRC, Tim Moore
The SSDRC Disability Blog
For Individuals living in North Carolina
Disability in North Carolina
North Carolina Disability Lawyer
Getting disability in North Carolina
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
Information on the following topics can be found here: Social Security Disability Questions and in these subsections:
Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI
These pages answer some of the most basic questions for individuals who are considering filing a claim.
Tips for Getting Disability Benefits
Do CE exams usually result in denials for disability?
Can you get disability for arthritis of the knee?
Can I qualify for disability if I am working?
What is the Role of a Social Security Disability Attorney?
How to get disability, tip 1
Can you get approved for disability based on Ulcerative Colitis?
Do CE exams usually result in denials for disability?
How long does it take to get approved for disability?
Can it take years to get disability?
When to Appeal a Disability Denial
Can you get temporary Social Security Disability or SSI for an injury?
When does Social Security send you for a neurological exam?
Conditions that get approved for disability
Social Security Disability Exam tips
Chances of winning Social Security Disability
Can you appeal a disability back pay decision?
Who can get SSI disability?
Can medications qualify you for disability?
Can you get disability the first time you apply?
Getting disability if you work
What is considered to be a disability for SSDI or SSI?
What determines your disability benefit amount?
Filling out disability appeal paperwork
How long does it take a disability judge to make a decision?
If you win disability, when do benefits start?