Why Do SSD Claims Get Denied And How Can A Lawyer Help?

Navigating the Social Security Disability (SSD) benefits application process can be daunting due to the fear of denial. Claim denials are fairly common and happen due to various reasons such as insufficient medical evidence, failure to adhere to prescribed therapy, exceeding income limits, and having a non-severe or temporary disability. This is why understanding the common grounds for rejection is pivotal for improving your chances for a successful claim. 

Additionally, how do you manage the intricacies of the process to avoid these pitfalls? One paramount step is consulting with an SSD attorney or expert. They can make the filing process smoother, improve your chances of success, and significantly reduce the equally significant risk of denial. In this article, we will delve into why SSD claims get denied and the crucial role an attorney can play in helping you overcome these challenges.

Why Do SSD Claims Get Denied?

There are several angles to this question. Most times, denial of SSD claims stems from insufficient medical evidence. Here are some common reasons why Social Security Disability (SSD) claims tend to get denied:

  • Insufficient Medical Evidence: The leading cause for denied claims is the lack of meticulous medical evidence. The Social Security Administration (SSA) requires robust proof that the claimant’s disability aligns with their criteria, and many applicants fail to provide this, leading to claim refusal.
  • Non-adherence to Prescribed Therapy: Failure to follow doctor-prescribed treatments can also lead to claim denial. SSA argues that your condition’s severity cannot be properly assessed without adherence to the recommended medical advice.
  • Exceeding the Income Limit: The SSA has a predetermined income limit for disability benefits. If your income surpasses this ceiling, your claim will be automatically denied.
  • Non-Severe or Temporary Disability: If your disability isn’t severe enough or expected to last at least a year or result in death, your SSD claim will be turned down. The SSA only awards benefits for long-term, severe disabilities.

Role of Lawyers in SSD Claims

The involvement of lawyers in Social Security Disability (SSD) claims can be instrumental in improving the likelihood of a favorable outcome. Here’s a breakdown of the various roles they perform in SSD claims:

  • Case Assessment: Lawyers assess your case to determine whether you have a plausible SSD claim based on your medical condition and work history. They can offer insightful guidance about eligibility and the likelihood of a successful claim.
  • Application Assistance: The claim application process involves complex paperwork and documentation. Your lawyer will help fill out all necessary forms and ensure your application is accurate and complete.
  • Gathering of Medical Evidence: Lawyers play a crucial role in gathering and organizing your medical records. They know what kind of medical evidence the Social Security Administration (SSA) requires and can assist in obtaining additional medical examinations if necessary.
  • Representation at Hearings: If your initial claim gets rejected and you must appeal, your lawyer will represent you at the hearing. They can question witnesses, present your case, and counter any arguments from the SSA representative.
  • Appeal Process: If your claim is denied, an SSD lawyer has experience navigating the often complex and lengthy appeals process. They can ensure that your appeal is filed correctly and on time, increasing your chances of success.
  • Advice and Guidance: A lawyer can provide valuable advice and guidance throughout the SSD claims process. They can answer questions, clarify complexities, and guide you through each step.
  • Communication with SSA: Lawyers will communicate with the SSA on your behalf, promptly keeping track of your claim’s progress and submitting all necessary documentation.
  • Contingency Fees: Most SSD lawyers operate on a contingency fee basis, meaning you only pay if your claim is successful. This reduces the financial risk associated with seeking legal help.

Diseases Covered by SSD Claim Benefits

The Social Security Disability (SSD) Benefits cover various diseases and medical conditions outlined in their Blue Book. If a condition severely impairs your ability to work, it can qualify for benefits.

Multiple Sclerosis Disability Claim

A prime example is dealing with a Multiple Sclerosis Disability Claim. This is where a Multiple Sclerosis SSI disability attorney can make a significant difference. These specialized attorneys understand the unique challenges of living with MS and can build a strong case around your specific symptoms and limitations.

SSD Lawyers for Widow Benefits

The same applies to applying for SSD Widow Benefits. Engaging SSD and SSI lawyers for widow benefits could be the difference between receiving the benefits you deserve and getting denied. These professionals are intimately familiar with SSA regulations concerning widows and can help streamline the process.

Cancer Disability Claim

In dealing with SSD Claims for cancer, a competent cancer social security disability lawyer can be invaluable. They understand the severity of the disease, necessary treatments, and how these can impact your ability to work. They can build a convincing case that underscores your disability status.


While it is true that SSD claims can sometimes face denials, it’s also true that you can get help. Whether it’s because of insufficient medical evidence, high income, or non-adherence to therapy, a seasoned attorney can help turn the tide. They comprehensively understand the SSA system’s intricacies and ins and outs. So why go alone when you can have a seasoned SSD attorney journey with you? It’s as the saying goes: two heads are indeed better than one, even in SSD claims.

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