Top Reasons SSDI Claims Are Denied in New York

1. Insufficient Medical Evidence

One of the most frequent reasons for denial is the lack of strong medical documentation. SSA needs to see consistent, credible proof that your condition significantly limits your ability to work.

• Missing test results or physician reports
• Incomplete medical histories
• Gaps in treatment
• No confirmation of how the condition affects daily activities

Tip: Always include detailed records from all doctors, clinics, and hospitals you've visited.

2. Failure to Follow Prescribed Treatment

If SSA believes that you’re not following medical advice or treatment plans, they may conclude your condition isn’t as disabling as claimed.

• Ignoring therapy or medications
• Missing follow-up appointments
• Skipping medical testing

Tip: Always comply with treatment or explain any reasons for non-compliance.

3. Income Exceeding the Substantial Gainful Activity (SGA) Limit

If you're working and earning more than SSA’s monthly SGA limit—even part-time—your claim could be denied.

Tip: Know the SGA limit and avoid exceeding it while your claim is pending.

4. Short Work History or Not Enough Work Credits

To qualify for SSDI, you must have earned enough “work credits” based on your past employment and contributions to Social Security.

• Not enough years of work
• Work was too far in the past
• Mostly self-employed or under-the-table work

Tip: You can check your work credits by creating a mySSA account online.

5. Your Condition Is Not Considered Severe or Long-Term

SSA only approves conditions expected to last at least 12 months or result in death. Mild or temporary conditions usually don’t qualify.

• Recovery is expected
• Condition doesn’t meet SSA’s severity standards
• No impact on basic work functions

Tip: Include letters from doctors explaining your long-term limitations.