Receiving a Social Security denial letter is discouraging, especially when you genuinely cannot work. But don't give up, an initial denial is common, and with proper representation, most people who appeal end up winning their case.
Why Are So Many Applications Denied?
The SSA denies approximately 67% of all initial applications. Common reasons include insufficient medical documentation, income exceeding the Substantial Gainful Activity (SGA) limit, or the SSA determining your condition doesn't meet their strict definition of disability.
The SSA defines disability very specifically: a medical condition that prevents you from performing any substantial work and that is expected to last at least 12 months or result in death, a higher bar than most people expect.
The 4 Levels of Appeal
- Reconsideration: A different SSA reviewer examines your case (~15% approval rate, but mandatory).
- ALJ Hearing: The most important stage. You appear before a judge in person. Approval rates are much higher, especially with an attorney.
- Appeals Council: If the ALJ denies, you can request a review from the SSA Appeals Council.
- Federal Court: The last resort, filing a lawsuit in federal district court.
The Appeal Deadline Is Critical
You have only 60 days from receiving the denial letter to file your appeal. Miss this and you generally have to start over, losing months or years of potential retroactive benefits.
Why You Need an Attorney
Statistics are clear: people with legal representation win at significantly higher rates before an ALJ. SSDI attorney fees are regulated by law, only paid if you win, capped at 25% of retroactive benefits or $7,200, whichever is less. You never pay out of pocket.
Take Action Today
If you were recently denied or have been waiting months with no response, contact us. At Centro de Acción Legal we evaluate your case at no cost. There's no reason to navigate this process alone.