What to do if you were denied disability

When you’re living with a disability and have been denied benefits, the costs of living and medical care can be overwhelming. At Disability Attorneys of Michigan, we understand the challenges that can come with managing serious health conditions while trying to support yourself and your family. If your initial application is denied, don’t give up. There is still hope, and you don’t have to take on the Social Security Administration on your own. The appeals process can take time, but we’ll be by your side to fight for the benefits you are entitled to.

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Why Was My Social Security Disability Claim Denied?

Navigating the Social Security disability benefits process can be daunting, especially when faced with the possibility of a claim denial. Even if you have a disability that significantly impacts your daily life and ability to work, there are various reasons why your Social Security disability claim may not be approved. Shockingly, between 2010 and 2019, about 67% of all disability claims were denied, highlighting the challenges many face in securing the support they need.

Understanding these factors can help you prepare a more thorough application and increase your chances of approval. If your claim is denied, it’s essential to review the reasons carefully and consider appealing the decision with the assistance of a qualified professional.

Incomplete or Inaccurate Application

One of the most frequent reasons for denial is submitting an application that lacks essential information or contains inaccuracies. It’s crucial to provide detailed and precise documentation regarding your medical history, work history, and how your disability affects your ability to function.

Insufficient Severity of Disability

The Social Security Administration (SSA) has strict criteria for what constitutes a qualifying disability. If your condition is deemed not severe enough to impede your ability to perform any substantial gainful activity, your claim may be denied. The SSA defines disability based upon the impact of your condition on your daily life and work capabilities.

Duration of Disability

The SSA requires that a disability be expected to last at least 12 months or result in death. If your medical condition is anticipated to improve within a shorter timeframe, your claim could be denied.

Exceeding Income Limits

The SSA has specific income thresholds for disability benefits eligibility. Your claim may be denied if you are earning above the substantial gainful activity (SGA) level, which is adjusted annually. It’s essential to understand these limits and assess your income accurately.

Failure to Provide Medical Records

To evaluate your claim thoroughly, the SSA needs access to your medical records. If you do not authorize the release of these records or fail to provide them promptly, your claim may be affected. This documentation is critical in establishing the validity of your disability.

Exaggeration of Disability or Income

Honesty is paramount when applying for Social Security disability benefits. If there is any indication that you have exaggerated your disability symptoms or misrepresented your income, it could result in a denial. The SSA conducts thorough investigations, and discrepancies can lead to serious consequences.

Noncompliance with Requested Examinations

In some cases, the SSA may require you to undergo additional medical examinations to assess the severity of your condition. Not participating in these requested evaluations can lead to a denial, as the SSA may not have sufficient evidence to support your claim.

What Happens if I’ve Been Denied Social Security Disability Benefits?

Receiving a denial for your Social Security disability claim can be a devastating experience, leaving you feeling discouraged and uncertain about your future. However, it’s important to remember that you have rights in this process, including the right to appeal the decision. Understanding these rights and the steps you need to take can empower you to move forward effectively.

    1. Right to Appeal: If your claim has been denied, you can challenge that decision through an appeals process. Appeals must be filed within 60 days from the date you receive the written notice of denial and SSA assumes that you received the notice five days after the date on the denial letter.  Unless your letter tells you otherwise, you must file your appeal within 65 days from the date on the letter. Failing to submit your appeal within this timeframe can result in your request being dismissed unless you can provide a compelling reason for the delay, often referred to as "good cause."
    2. Filing the Appeal: When you initiate the appeals process, it’s essential to carefully follow the instructions provided by the Social Security Administration (SSA). You must complete forms specific to the appeal level you are at and provide additional documentation to support your case.
    3. Expedited Claims: In certain circumstances, your claim may qualify for expedited processing. This may accelerate your case if you can provide evidence of a compassionate allowance, terminal illness, or a significant hardship—such as homelessness or an imminent threat of eviction or utility shut-off. However, even with compelling evidence, the backlog in the courts can still lead to delays, so it’s essential to stay in touch with your attorney and monitor the status of your case.
    4. Reconsideration Appeal – After receiving an initial denial you will need to file a Request for Reconsideration.  This allows SSA to reevaluate the initial decision in your case at the lower level. 
    5. Request for Hearing Appeal – After receiving a denial at Reconsideration you will need to file a Request for Review by an Administrative Law Judge (ALJ).  After filing a Request for Hearing, you will be placed on a waiting list for a hearing before an Administrative Law Judge (ALJ). During the hearing, you’ll have the opportunity to present any new evidence that supports your claim. This can include medical documents, personal testimony, and statements from witnesses who can speak to your disability and its effects on your life. This is your opportunity to reinforce your case and give the judge a comprehensive understanding of your situation.
    6. Request for Review of ALJ Decision Appeal – After receiving an Unfavorable Decision from and ALJ you have the right to request that the Appeals Council review the ALJ Decision.  
    7. United States District Court (USDC) – In order to appeal a denial by the Appeals Council you would need to file a federal civil action by filing an appeal in the United States District Court.
    8. Representation Matters: Remember that you have the right to legal representation throughout the appeals process. This includes being able to consult with your attorney about any concerns or questions you may have, as well as discussing strategies for presenting your case effectively. Working with a knowledgeable Social Security disability attorney can make the difference in your case. An experienced attorney can file all the appropriate appeals, help you prepare for any necessary hearings, effectively present your case, and advocate on your behalf. They understand the nuances of Social Security disability law and can successfully navigate the appeals process, increasing your chances of a favorable outcome.

While a denial can feel like a setback, exercising your rights and pursuing the appeals process can lead to a successful outcome. Stay proactive, gather all necessary documentation, and seek the guidance of an experienced Social Security Disability attorney who can help you advocate for the benefits you deserve.

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Speak With Our Michigan Disability Lawyers Today

Navigating the process of obtaining Social Security disability benefits in Michigan can often feel like an uphill battle, leaving many individuals feeling hopeless and anxious. The uncertainty of waiting for a decision can weigh heavily on your mind, especially if you’re struggling with a disabling condition that affects your quality of life. If your claim has been denied, you may feel unsure about your next steps and what options are available to you.

Don’t give up. Instead, seek the guidance of a skilled Michigan Social Security disability lawyer who can help you understand the complexities of the system and advocate for your rights. At Disability Attorneys of Michigan, our dedicated team of Social Security attorneys is committed to assisting you every step of the way. We understand that each case is unique and we provide personalized support tailored to your specific situation.

Our experienced disability lawyers are well-versed in Social Security disability law, and we will help you gather the necessary documentation, navigate the appeals process, and prepare a solid case to present to the Social Security Administration. Whether you are just starting your application or need to challenge a denial, we are here to ensure you don’t have to face this process alone.

Don’t let the challenges of the Social Security disability system discourage you. Contact us today to schedule a consultation, and let our knowledgeable attorneys work diligently on your behalf to help you secure the benefits you deserve. Your well-being is our priority, and we are ready to take action on your claim today.

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  • We help those seeking Social Security Disability benefits.
  • We will also assist with denied Social Security Disability claims.

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