Social Security Disability Resource Center

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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.








  • What medical conditions will get you approved for disability?

  • What kind of Mental Problems Qualify for Disability?

  • Which conditions will social security recognize as a disability?

  • Tips for getting Social Security Disability or SSI benefits approved







  • SSDRC Homepage:

    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

    Medical exams for disability claims

    Applying for Disability in various states

    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

    Frequently asked questions about getting Denied for Disability Benefits

    FAQ on Disability Claim Representation

    Disability hearings before Judges

    Selecting and hiring Disability Lawyers




    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

    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




    Resources on this site

    Social Security Disability, SSI Terms and Definitions

    Previously answered questions regarding SSD and SSI






    For Individuals living in North Carolina

    Applying for Disability in North Carolina

    North Carolina Disability Lawyer




    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?