{"id":353881,"date":"2023-05-25T10:35:41","date_gmt":"2023-05-25T15:35:41","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/socialsecurity\/basics\/if-you-ve-been-denied-social-security-benefits.html"},"modified":"2023-05-25T10:35:41","modified_gmt":"2023-05-25T15:35:41","slug":"if-you-ve-been-denied-social-security-benefits","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/socialsecurity\/basics\/if-you-ve-been-denied-social-security-benefits.html","title":{"rendered":"If You&#8217;ve Been Denied Social Security Benefits"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n<div class=\"fl-page-articles fl-section-main fl-section-main-full-width\"><h1 class=\"fl-no-margin-top\">If You&#039;ve Been Denied Social Security Benefits<\/h1>\n\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/jennifer-steinberg-esq\/\">Jennifer Steinberg, Esq.<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/steven-ellison-esq\/\">Steven Ellison, Esq.<\/a>\n                | Last updated\n        <time>\n                            May 25, 2023\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n\n\n    <div class=\"fl-callout-text article-blockquote\">\n        <p>There is a good chance the Social Security Administration (SSA) will deny your initial application for Social Security disability benefits. After all, the SSA denies the majority of applications for Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). However, it&#8217;s worth considering an appeal. Many appeals result in a favorable decision granting SSDI benefits or SSI benefits.<\/p>\n\n    <\/div>\n\n\n\n<p>Read the guide below for more information on the SSA&#8217;s time-sensitive appeals process for SSI and SSDI applications.<\/p>\n<p>If you need help appealing denied benefits, speak with a <a href=\"https:\/\/lawyers.findlaw.com\/social-security-disability\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">Social Security benefits attorney<\/a> near you. Also, see our main <a href=\"https:\/\/www.findlaw.com\/socialsecurity\/disability\/\">Social Security Disability<\/a>\u00a0index for more articles about the SSA&#8217;s disability benefits programs.<\/p>\n<h2>Why Were You Denied Social Security Benefits?<\/h2>\n<p>First, take the time to read and understand the\u00a0<a href=\"https:\/\/www.ssa.gov\/OP_Home\/handbook\/handbook.05\/handbook-0527.html#:~:text=Unfavorable%2D%2Dmeans%20that%20SSA,the%20requirements%20for%20disability%20benefits.\" target=\"_blank\" rel=\"noopener\">SSA&#8217;s initial denial<\/a>. If the decision is \u201cunfavorable,&#8221; this means the Disability Determination Services (DDS), a state agency, did not find that your medical impairment met the definition of disability. The DDS is a state agency funded by the federal government that completes SSA&#8217;s disability decisions at the initial level. There is another type of decision called a \u201cpartially favorable&#8221; decision. In this decision, the DDS either finds that you are disabled beginning after you said you were, or that you are no longer disabled after a period of disability. The determinations should explain the specific reasons why the DDS found you not disabled or partially disabled.<\/p>\n<p>Once you know why you were denied benefits, you can develop a plan of action. You may decide to appeal. At that point, you can begin to collect updated or new medical records and other evidence to prove your case. Or you may want to contact an attorney for legal advice before the appeal deadline.<\/p>\n<p>The most common reasons for\u00a0<a href=\"https:\/\/www.findlaw.com\/socialsecurity\/disability\/why-a-disability-claim-gets-denied.html\">denial of Social Security disability benefits\u00a0<\/a>include:<\/p>\n<ul>\n<li>You&#8217;re earning at\u00a0<a href=\"https:\/\/www.ssa.gov\/oact\/cola\/sga.html\" target=\"_blank\" rel=\"noopener\">substantial gainful activity<\/a>\u00a0(SGA) levels. This level is $1,470 a month in 2023. If your work history shows you&#8217;re earning at SGA levels, the SSA will deny disability insurance benefits outright.<\/li>\n<li>Your disability will not last at least 12 months.<\/li>\n<li>You did not follow the SSA&#8217;s requests for information or medical records.<\/li>\n<li>The SSA can&#8217;t locate you.<\/li>\n<\/ul>\n<p>Another reason for the denial of Social Security disability benefits is that you didn&#8217;t follow the treatment prescribed by your doctor. However, there are approved exceptions. Some exceptions include that you cannot pay for treatment, the prescribed treatment violates your religious beliefs, or your doctor prescribes treatment that is not effective. Another exception is that you have a mental illness that prevents you from following the prescribed treatment.<\/p>\n<p>Once you have an idea why the SSA denied your application for benefits, you&#8217;ll know how to respond. Don&#8217;t get technical or confrontational. Rather, simply respond to the reason(s) you were denied with proof that the situation is otherwise. The best forms of evidence come from professionals such as your employer or doctor, not family members or friends. Documentation from your employer or doctor is often the key to changing the SSA&#8217;s decision.<\/p>\n<h2>When To Appeal<\/h2>\n<p>In each step of the process, you have 60 days to file for appeal. You also have 60 days to file a lawsuit in federal court once you get a decision from the Appeals Council. If you wait longer than 60 days with any of the appeals, you will have to start the application process over and file a new application. So it may be wise to get started right away on your appeal.<\/p>\n<h2>How To Appeal<\/h2>\n<p>You have two options to appeal. The first is to\u00a0<a href=\"https:\/\/www.ssa.gov\/apply\/appeal-decision-we-made\" target=\"_blank\" rel=\"noopener\">request an appeal online<\/a>. The other option is to request an appeal in writing. To do so, submit the following\u00a0<a href=\"https:\/\/www.ssa.gov\/forms\/ssa-3441.html\" target=\"_blank\" rel=\"noopener\">forms<\/a>\u00a0to your local Social Security office.<\/p>\n<ul>\n<li>Form SSA-3441-BK (Disability Report, Appeal) to appeal the denial of disability benefits<\/li>\n<li>Form SSA-827 (Authorization to Disclose Information to the Social Security Administration)\u00a0AND<\/li>\n<li>Form SSA-561-U2 (Request for Reconsideration) to appeal the denial of an initial Social Security disability claim\u00a0OR<\/li>\n<li>Form SSA HA-50 (Request for Hearing By Administrative Law Judge) if you want a hearing before an administrative law judge<\/li>\n<\/ul>\n<h2>The Appeals Process<\/h2>\n<p>There are generally four ways to get an adverse disability determination reviewed. Here&#8217;s a list.<\/p>\n<h3>Reconsideration<\/h3>\n<p>This is\u00a0<a href=\"https:\/\/www.findlaw.com\/socialsecurity\/disability\/disability-reconsideration-appealing-a-denied-claim.html\">the first level of appeal<\/a>\u00a0of your disability application. The reconsideration decision is made by the Disability Determination Services, the same state agency that denied your case in the first place. But the reconsideration review is conducted by a new person not involved in your initial decision.<\/p>\n<h3>Administrative Law Judge Hearing<\/h3>\n<p>If your request for reconsideration fails, you may file a request for a hearing before an administrative law judge (ALJ). The appeals process leaves the state level at this point. Claimants can make their voices heard at the ALJ hearing stage. You may speak to the administrative law judge directly about your medical condition and explain how it limits your ability to work. The ALJ level typically has a much higher rate of approval than the initial and reconsideration levels. It may be wise to prepare and understand\u00a0<a href=\"https:\/\/www.findlaw.com\/socialsecurity\/disability\/what-happens-at-a-disability-hearing-.html\">what happens at a disability hearing<\/a>.<\/p>\n<h3>Appeals Council<\/h3>\n<p>If you want to appeal the administrative law judge&#8217;s decision, you&#8217;ll submit\u00a0<a href=\"https:\/\/www.ssa.gov\/forms\/ha-520.pdf\" target=\"_blank\" rel=\"noopener\">Form HA-520<\/a>\u00a0and request an appeal before the Appeals Council. This is the final level of review at the agency level. Before making a decision, the Appeals Council will review the administrative law judge&#8217;s decision for legal errors and also review any new medical evidence.<\/p>\n<h3>Federal District Court<\/h3>\n<p>Finally, if you want to appeal the decision of the Appeals Council, you can file an action in your local U.S. district court (federal court).<\/p>\n<h2>Get Advice and Assistance for an Appeal<\/h2>\n<p>A\u00a0<a href=\"https:\/\/lawyers.findlaw.com\/social-security-disability\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">Social Security disability attorney<\/a>\u00a0can help you understand your appeal options. A disability lawyer can provide legal advice on eligibility for monthly benefits under the SSDI and SSI programs. Even if you have limited income, it may be wise to seek a consultation with a disability attorney. Visit our attorney directory to find a lawyer near you who can help.<\/p>\n\n\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-up\" clip-path=\"url(#clip0_604_3418)\">\n                        <path id=\"Vector\"\n   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<\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"No\"\n                value=\"no\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">No<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-down\" clip-path=\"url(#clip0_604_3423)\">\n                        <path id=\"Vector\"\n                              d=\"M16 0.999995H18.67C19.236 0.989986 19.7859 1.18813 20.2154 1.55681C20.645 1.9255 20.9242 2.43905 21 3V10C20.9242 10.5609 20.645 11.0745 20.2154 11.4432C19.7859 11.8119 19.236 12.01 18.67 12H16M9.00003 14V18C9.00003 18.7956 9.3161 19.5587 9.87871 20.1213C10.4413 20.6839 11.2044 21 12 21L16 12V0.999995H4.72003C4.2377 0.994543 3.76965 1.16359 3.40212 1.47599C3.0346 1.78839 2.79235 2.22309 2.72003 2.7L1.34003 11.7C1.29652 11.9866 1.31586 12.2793 1.39669 12.5577C1.47753 12.8362 1.61793 13.0937 1.80817 13.3125C1.99842 13.5313 2.23395 13.7061 2.49846 13.8248C2.76297 13.9435 3.05012 14.0033 3.34003 14H9.00003Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n                    <\/g>\n                    <defs>\n                        <clipPath id=\"clip0_604_3423\">\n                            <rect width=\"22\" height=\"22\" fill=\"white\"\/>\n                        <\/clipPath>\n                    <\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n    <\/div>\n    <span class=\"was-this-helpful__taken-action fl-text-sm-bold\"><\/span>\n    <div class=\"was-this-helpful__feedback-container\">\n        <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n            <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n        <\/div>\n        <form class=\"was-this-helpful__feedback-form\">\n            <div class=\"was-this-helpful__feedback was-this-helpful__feedback--positive\">\n                <fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this helpful?<\/legend>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--understandable\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Easy to understand\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--understandable\"\n                        >Easy to understand<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--solved-problem\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Solved my problem\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--solved-problem\"\n                        >Solved my problem<\/label>\n                    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class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this not helpful?<\/legend>\n                    <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n                        <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--missing-info\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Missing Information\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--missing-info\"\n                        >Missing the information I need<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--complicated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Too complicated\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--complicated\"\n                        >Too complicated \/ too many steps<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--dated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Out of date\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--dated\"\n                        >Out of date<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--negative-other\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--negative-other\"\n                        >Other<\/label>\n                    <\/div>\n                <\/fieldset>\n            <\/div>\n            <div class=\"was-this-helpful__form-buttons-container\">\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--positive at-feedback-submit fl-button secondary\"\n                    type=\"submit\"\n                >\n                    <span class=\"fl-button-content\">Submit<\/span>\n                    <i\n                        class=\"fa fa-angle-right medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--cancel fl-button primary disabled\"\n                    type=\"reset\"\n                >\n                    <span class=\"fl-button-content\">Cancel<\/span>\n                    <i\n                        class=\"fa fa-times-circle medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n            <\/div>\n        <\/form>\n    <\/div>\n    <div class=\"was-this-helpful__thank-you-message\" role=\"status\">\n        <i class=\"was-this-helpful__thank-you-message-icon fa fa-check\"><\/i>\n        <p class=\"was-this-helpful__thank-you-message-text\" aria-live=\"polite\"><\/p>\n    <\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"fl-section-sidebar\"><div class=\"fl-editors-summary\" data-testid=\"fl-editors-summary\">\n    \n    <div class=\"fl-editors-summary-content\" data-testid=\"fl-editors-summary-content\">\n                    <h2>Can I Solve This on My Own or Do I Need an Attorney?<\/h2>\n                <div class=\"fl-editors-summary-content-main\" data-testid=\"fl-editors-summary-content-main\">\n            \n        <\/div>\n        <ul class=\"fl-list-style-none\">\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    The initial Social Security process doesn&#8217;t require an attorney\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    An attorney primarily handles claims that are denied\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    It can be helpful to have an attorney during Social Security benefit disputes or appeals\n\n                <\/li>\n                    <\/ul>\n                    <div class=\"fl-editors-summary-content-description\" data-testid=\"fl-editors-summary-content-description\">\n                <p>A Social Security lawyer can help protect your rights to your benefits.<\/p>\n\n            <\/div>\n                            <div class=\"fl-editors-summary-content-link fl-flex\" data-testid=\"fl-editors-summary-content-link\">\n                <i class=\"fa fa-angle-right medium\" aria-hidden=\"true\"><\/i>\n                <p class=\"find-attorney\">\u00a0<a href=\"https:\/\/lawyers.findlaw.com\/social-security\/#USER_GEO\/?fli=esum:FL17\" title=\"Social Security Law Attorney Directory\" target=\"_blank\" rel=\"noopener\">Find a local attorney<\/a><\/p>\n\n            <\/div>\n            <\/div>\n<\/div>\n\n\n\n<div class=\"email-subscription fl-mb30\">\n    <div class=\"email-subscription-header\">\n        <div class=\"email-subscription-header-content\">\n            <h3 class=\"fl-callout-sm fl-no-margin\">Stay Up-to-Date With How the Law Affects Your Life<\/h3>\n        <\/div>\n        <div class=\"email-subscription-header-image fl-flex fl-items-end\">\n            <img decoding=\"async\"\n                src=\"https://www.findlaw.com/static/c/images\/images\/w_1200,c_limit,dpr_auto\/f_auto,q_auto:eco\/v1745902396\/ability-law\/wp-prod\/general-components-subscribe-module-Image-subscribeModule_1\/general-components-subscribe-module-Image-subscribeModule_1.png?_i=AA\"\n                alt=\"\"\n                loading=\"lazy\"\n     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class=\"action-card-layout__heading\">\n                    Don\u2019t Forget About Estate Planning\n                <\/h3>\n                <div class=\"action-card-layout__content fl-text-lg\">\n                    <p>Now is a great time to consider creating or revising your estate plan. 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