What are common reasons for disability denial in Wisconsin?
By Hogan Smith
Updated 06/06/2025
Applying for Social Security Disability benefits in Wisconsin can be a long and stressful process—and unfortunately, a large percentage of initial applications are denied. Understanding the most common reasons for disability denial in Wisconsin can help you avoid mistakes and improve your chances of approval.
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Insufficient Medical Evidence
One of the top reasons disability claims are denied is a lack of solid medical documentation. The Social Security Administration (SSA) requires detailed proof that your condition is severe enough to prevent you from working.
- Missing or outdated medical records
- Gaps in treatment
- Lack of support from a treating physician
Without consistent, detailed medical records and a doctor’s statement that explains your limitations, the SSA may determine that your disability isn’t severe enough.
Earning Too Much Income
To qualify for Social Security Disability Insurance (SSDI), you must not be engaging in Substantial Gainful Activity (SGA). In 2025, if you earn more than $1,550/month (or $2,590/month if you’re blind), your claim may be denied automatically—even if you're still struggling with your disability.
Failure to Follow Prescribed Treatment
If your doctor has recommended treatment and you haven’t followed it without a valid reason, the SSA may conclude that your condition could improve with compliance—resulting in a denial.
Exceptions include:
- Religious beliefs
- Financial constraints
- Severe side effects from treatment
Short-Term or Non-Severe Conditions
The SSA requires that your disability must:
- Last (or be expected to last) at least 12 months, or
- Be expected to result in death
If your condition is temporary or not considered severe enough to interfere with basic work functions, your claim may be denied.
Incomplete or Inaccurate Application
Errors on your application, such as missing information, leaving questions blank, or submitting the wrong documentation, can lead to a quick denial. The SSA relies on the application to understand your medical and work history—so clarity and accuracy matter.
Failure to Cooperate with the SSA
If you don’t respond to requests for additional documentation, fail to attend medical exams, or don’t stay in contact with the SSA, your claim may be denied for non-cooperation.
Ability to Perform Other Work
Even if you can’t return to your past job, the SSA will consider whether you can do any
other work based on your age, education, and skills. If they believe you can adjust to other work, your claim may be denied.
How Hogan Smith Can Help You
At Hogan Smith, we understand why claims are denied—and how to prevent it. Our team can help you:
- Collect and organize strong medical evidence
- Accurately complete and submit your application
- Communicate with the SSA on your behalf
- File appeals if you’ve already received a denial letter
Contact Hogan Smith Today!
If you’re applying for disability benefits in Wisconsin or have already been denied, Hogan Smith is here to help. Contact us for a free consultation. We’ll review your situation and create a plan to move your case forward with confidence.
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