Top Reasons Why Disability Benefits Get Denied

Insufficient Medical Evidence

One of the biggest reasons claims are denied is a lack of medical documentation. The Social Security Administration (SSA) needs detailed records showing that your condition is severe and long-lasting enough to prevent you from working.

• Missing treatment records
• Infrequent doctor visits
• Lack of diagnosis from a medical professional

Make sure to submit all relevant medical records, including test results, doctor’s notes, and letters from specialists.

Earning Too Much Income

If you are earning above the Substantial Gainful Activity (SGA) limit when you apply, the SSA may determine that you are not disabled—even if your condition is severe. For 2025, the SGA threshold is approximately $1,550 per month (subject to change yearly).

Failure to Follow Prescribed Treatment

If your doctor has recommended treatment and you fail to follow it without a valid reason, the SSA may deny your claim. They need to see that your condition persists despite treatment.

Previous Denials Without New Evidence

Resubmitting the same application without adding new medical or vocational evidence usually leads to the same result—denial. It's essential to address the SSA’s prior reasons for denial with fresh evidence.

Short-Term or Non-Severe Conditions

The SSA only approves benefits for long-term, severe disabilities expected to last at least 12 months or result in death. Claims based on short-term injuries or mild impairments are often denied.

Lack of Cooperation

Failing to respond to SSA requests, missing medical exams (CEs), or not submitting required documents can result in a denial. Always be prompt and thorough in responding to SSA communications.

Disability Not Preventing All Work

If the SSA believes you can perform other types of work, even if you can't do your previous job, they may deny your claim. They consider your age, education, work history, and skills when making this decision.