The process of applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) may be overwhelming. Most people who apply fear waiting before the Social Security Administration (SSA) makes a decision, and they are given a denial letter. Although denials are the norm, with more than 60 percent of initial applications denied, learning about some of the most typical indications that you are being denied disability can help you plan, prevent, and build your case.
When you are considering pursuing disability benefits or have already filed them, be aware of these red flags that your application is in danger of being rejected.
1. Inadequate Medical Evidence
Poor medical documentation is one of the top reasons why disability is denied. The SSA demands detailed and extensive medical records of the nature and extent of your condition. The SSA may deny your claim unless your records are clear on the fact that your disability would not allow you to work, or there are lapses in your treatment history. Missing or not keeping appointments regularly or treatment may damage your case as well.
Key Point: Never leave behind any of the medical records, notes left in the doctor’s office, tests, and hospital summaries. You may want to ask your doctor to provide a written statement of your functional limitations.
2. Rejecting Recommended Treatment
Failure to adhere to the treatment plan prescribed to you by the healthcare provider without a sound reason might trigger the SSA to believe that your condition is not as disabling as you allege. Failure to adhere to defined medications, therapy, or rehabilitation may be a red flag.
Hint: Do not miss treatment without any cause, but in case of an objective cause (e.g., intolerable side effects, unavailability, religion), state them explicitly in your application.
3. Earning Too Much Income
The SSA uses a threshold called “Substantial Gainful Activity” (SGA) to determine eligibility. If you are working and earning above the SGA limit—$1,620 per month for non-blind applicants in 2025—your claim is almost certain to be denied, regardless of your medical condition.
4. Short Duration of Disability
Social Security Disability benefits are intended for those with long-term or permanent impairments. If your medical condition is expected to last less than 12 months, your application will be denied. Temporary injuries or illnesses do not meet the SSA’s definition of disability.
5. Previous Denials Without New Evidence
If you simply reapply after a denial without providing new or additional evidence, your claim will likely be denied again. The SSA reviews your case based on new information, so submitting the same application and documents will not improve your chances.
Pro Tip: Consult a disability lawyer if your claim was denied. They can help identify gaps and collect new evidence to support your appeal.
6. Your Condition Is Not Listed or Severe Enough
The SSA maintains a Listing of Impairments (“Blue Book”). While you can qualify for SSD even if your condition is not listed, you must still prove that your impairment is severe and limits your ability to work. If your medical records do not demonstrate that your condition meets the criteria for disability, a denial is likely.
7. Incomplete or Inaccurate Application
Simple errors or omissions in your application can lead to a denial. Failing to provide a detailed work history, not listing all medical providers, or missing deadlines can be costly. The SSA relies on the information you provide; mistakes or missing data can slow down or derail your claim.
8. Lack of Communication or Missed Deadlines
Failure to provide other information when requested, canceling your scheduled medical exam (Consultative Exams), or not returning forms on a timely basis may send a message to the SSA that your claim is not important to you.
Tip: Never miss mail and reply to any letter you receive immediately, and make contact with Social Security. A lack of adherence to deadlines might lead to automatic rejection.
9. You Are Disabled by Drug or Alcohol Abuse
In case one of the factors of your disability is substance abuse, your claim will be rejected by the SSA if substance abuse is found to be material to the severity of your limitations. The SSA is required to find out whether you would remain disabled by cessation of the use of drugs or alcohol.
10. Other Work You Can Do
Although you might not be able to do your former job, the SSA will check whether you may adapt to another job position depending on your specific age, education, and job experience. They will refuse your claim in case they conclude you are capable of working another kind of job.
What to Do When You Observe These Signs
Do not despair when you realize some of these signs are present in your disability application. A lot of claims are turned down only to be granted on appeal, especially when accompanied by a qualified disability lawyer. A lawyer will be able to review your case, obtain new evidence, and represent you in appeals.
Fields Law has many years of experience in assisting such clients in Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). When your application gets declined or when you are concerned about the approval, contact us. Always remember, planning and documentation are the forte of a winning SSD application.
Disclaimer: The information provided in this blog post is for informational purposes only and does not constitute legal advice. Please consult with a qualified attorney to address your specific legal needs.
