Why Social Security Denies Claims

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Woman denied her Social Security Claim

The Social Security Administration can deny claims if certain qualification criteria are not met. The most common denial is of applications for disability benefits. According to the Social Security Administration itself, nearly 70 percent of those that apply for disability are initially denied.

  1. Work Credits

    • Social Security requires that a person have enough work credits to qualify for a claim. According to the administration, workers over 31 need 20 credits earned in the 10 years prior to a claim, while younger workers generally need fewer.

    Time Frame

    • Social Security requires claimants to have a medical need to receive benefits for a period of at least one year. If someone is in need of a shorter period of coverage, then they will not qualify for Social Security disability benefits.

    Considerations

    • The Social Security Administration can deny a claim based on a lack of matching criteria. Reviewers of your case need to see evidence that you are unable to perform the work you did before the onset of your disability.

    Significance

    • A major reason that Social Security claims are denied is lack of medical evidence to prove a disability. This makes proper diagnosis by doctors very important in the attempt to obtain benefits.

    Windfall Elimination Provision

    • The Windfall Elimination Provision applies when a person has a pension from a company that did not withhold Social Security taxes. Retirement or disability benefits may be reduced in accordance with this provision.

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  • Photo Credit Image by Flickr.com, courtesy of Vox Efx

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