What are the top reasons for SSDI denial in Massachusetts?
By Hogan Smith
Updated 10/27/2025
Applying for Social Security Disability Insurance (SSDI) in Massachusetts can be a lengthy and complex process. Unfortunately, most applicants receive a denial at least once before getting approved. According to the Social Security Administration (SSA), only about one-third of initial SSDI applications are approved nationwide.

Understanding why SSDI claims are denied is essential if you want to improve your chances of success. Below are the most common reasons SSDI applications are denied in Massachusetts — and how to avoid them.
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1. Lack of Sufficient Medical Evidence
One of the main reasons SSDI claims are denied is the lack of strong, consistent medical evidence proving that your condition prevents you from working. The SSA needs detailed documentation showing how your disability limits your ability to perform daily activities or maintain employment.
To strengthen your claim:
- See your doctors regularly. Missed appointments or gaps in care can make it appear that your condition isn’t serious.
- Provide detailed medical records. Include lab results, hospital reports, imaging tests, and doctors’ notes.
- Request a written statement from your physician. A letter describing your symptoms, limitations, and inability to work can carry significant weight with the SSA.
- Include specialists. If you see specialists (like neurologists, psychiatrists, or orthopedists), make sure their records are submitted too.
Without consistent medical documentation, even legitimate claims can be denied.
2. Failure to Follow Prescribed Treatment
The SSA expects applicants to follow the treatment plans prescribed by their doctors. If you fail to take medication, attend therapy sessions, or follow other medical instructions without a valid reason, your claim may be denied.
The SSA assumes that if treatment could improve your condition and allow you to work, you aren’t disabled under their rules.
However, there are exceptions — for example, if you can’t afford treatment, experience severe side effects, or have religious objections. These reasons should always be clearly explained and documented in your records.
3. Income or Work Above the Substantial Gainful Activity (SGA) Level
SSDI is only for individuals who cannot work due to a disability. If you are earning more than the SGA limit, the SSA may decide that you’re not disabled enough to qualify.
For 2025, the SGA threshold is roughly $1,550 per month for most applicants (and slightly higher for those who are blind). Even part-time work or side jobs can lead to a denial if your earnings exceed this limit.
Before applying, review your income carefully and stop working above the SGA threshold to avoid complications with your claim.
4. The Disability Is Not Severe or Long-Term Enough
To qualify for SSDI, your disability must be severe enough to prevent you from performing substantial work and must last (or be expected to last) at least 12 months or result in death. If your condition is temporary, mild, or expected to improve quickly with treatment, the SSA may deny your claim.
For example:
- A short-term injury, like a broken arm, won’t qualify.
- A mild mental health condition that responds well to therapy may also be denied.
It’s important to provide medical documentation proving that your condition significantly limits your ability to work long-term.
5. Incomplete or Inaccurate Application
Many applicants are denied simply because of mistakes or missing information on their SSDI application.
Common errors include:
- Failing to list all doctors, hospitals, or clinics visited.
- Providing incorrect work history or income details.
- Skipping questions on the SSA forms.
- Not submitting required documents.
Even a single missing form can delay or result in denial. Before submitting, double-check every section of your application and ensure all supporting documents are attached.
6. Previous Denial Without New Evidence
Some applicants try to reapply after being denied, hoping for a different result — but without providing new or updated evidence, the SSA will likely deny the new application as well. If you’ve already been denied, don’t just start a new claim. Instead:
- File an appeal within 60 days.
- Submit additional medical records or new test results.
- Explain any changes in your condition that make your situation worse.
Reapplying with the same information rarely works — the appeals process is usually a better path forward.
7. Failure to Cooperate With the SSA
The SSA may request additional documents, schedule medical exams, or contact you for clarification. If you fail to respond to requests or attend scheduled exams, your claim could be denied due to “failure to cooperate.”
Always:
- Check your mail and SSA online account regularly.
- Respond promptly to any SSA requests.
- Attend all consultative examinations.
Ignoring these steps signals to the SSA that you may not be serious about your claim.
8. Lack of Work Credits
SSDI benefits are based on your work history and Social Security contributions. If you haven’t worked long enough or recently enough, you may not have the required work credits to qualify.
Typically, you need about 40 work credits, 20 of which must have been earned in the last 10 years before your disability began. Younger applicants may qualify with fewer credits.

If you lack sufficient work history, you may still qualify for SSI instead, which is based on financial need rather than work credits.
How Hogan Smith Can Help
At Hogan Smith, we understand how frustrating it can be to have your SSDI claim denied, especially when you truly can’t work due to your disability. Our experienced disability team can help you by:
- Reviewing your denial letter to identify the exact reasons for the decision.
- Gathering stronger medical evidence to address SSA concerns.
- Filing appeals and representing you at hearings before Administrative Law Judges (ALJs).
- Communicating with your doctors to ensure the right documentation supports your case.
Contact Hogan Smith Today
If your SSDI claim in Massachusetts was denied or if you’re preparing to apply, Hogan Smith is here to help. We offer free consultations to review your case, explain your options, and help you avoid common pitfalls that lead to denials.

Contact us today to get expert assistance and ensure your application is handled correctly from start to finish — giving you the best chance to secure the disability benefits you deserve.
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