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SSDI benefits, told I qualify than denied?

Recently on our disability forum we had a user ask, “How could I have been told I qualify for SSDI benefits than have my SSDI case denied?”


Qualifying for SSDI benefits


There are strict qualifications for Social Security Disability Insurance. Some of them are nonmedical and some of them are medical. When you submit a SSDI application or you call the SSA to ask some basic questions they will first determine if you meet the nonmedical requirements.

Nonmedical requirements for SSDI Benefits


The two main nonmedical requirements for SSDI Benefits are your employment status and whether or not you have earned enough work credits to be insured for SSDI Benefits. So, for example, if a claimant called the SSA and they asked if they could qualify for SSDI benefits, the SSA representative employee may do a quick cursory review and determine whether you are insured for SSDI and whether you are not currently working and performing substantial gainful activity.

At this point I cannot imagine they would make it sound to the claimant that they would absolutely be approved for SSDI but maybe there could be some confusion if they said, “Yes, you meet the nonmedical requirements for SSDI benefits.”

Medical requirements for SSDI benefits


Now, if you meet the nonmedical requirements after the SSA gets your SSDI application they will request your medical regards and review whether you meet the medical requires: your condition severe, is it listed on the SSA listing of impairments, and will it last 12 continuous months. If it is not on the SSA listing of impairments the SSA will then determine if you have the capacity to work through a medical vocation allowance.

Assuming you meet the medical as well as the nonmedical requirements the SSA would then determine you were disabled and send you an acceptance letter.

Other reasons you can be denied SSDI benefits


There may be one other way that you could be denied after you were told you qualify and that is if you went back to work and started working too much and making too much money. For instance, because it can take months to be approved for SSDI benefits it is not that unusual for a claimant to apply for SSDI benefits and at some point become so desperate for funds they go and find some type of employment which is less strenuous than their previous work.

If this happens the SSA could have approved your SSDI benefits claim than realized you went back to work and deny your SSDI case.

The argument the SSA would make in this case it that if you were able to retrain for new work or if you could work your old job than you were not really disabled in the first place because to be disabled means you cannot work.
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