When you apply for Social Security Disability in California, various factors can lead to a denial.
Understanding these reasons can help you manage the process and increase your chances of success.
Inadequate medical evidence
The Social Security Administration requires extensive documentation of your medical condition. Required information includes:
- Diagnoses
- Treatments
- How your condition affects your ability to work
If your medical records are incomplete or lack details about your limitations, it can result in denial.
Failure to follow treatment plans
The SSA expects applicants to pursue all reasonable avenues for improving their health and ability to work. They may deny your application if you do not follow prescribed treatment plans without a valid reason. Some examples of failure to comply with treatment include not taking prescribed medications, skipping therapy sessions or refusing recommended surgeries.
Too much income
Your income must be less than the substantial gainful activity limits set by the SSA. The 2024 SGA for blind individuals is $2,590, and the limit for non-blind individuals is $1,550.
The administration may deny your application if you earn above these limits. You must accurately report all sources of income on your application.
Insufficient cooperation
It is important to provide any requested action, documentation or information promptly. Requirements may include attending scheduled medical exams, responding to inquiries from the SSA and submitting paperwork on time.
Lack of work history
Disability benefits are for individuals with a significant work history who have paid into the Social Security system through payroll taxes. You may receive a denial if you have not worked enough to qualify for benefits or have not worked recently.
Short-term disability
The SSA only provides benefits for disabilities expected to last at least one year or result in death. They may deny your application if your condition will likely improve within a year. Your condition must also meet the criteria for disability. If it is not severe enough to do so, you may not be eligible for benefits.
Understanding the reasons for denial can help you prepare a stronger application. Effectively navigating the disability application process can help you get the desired outcome.
