crohn's ribbon
By Michelle Shvarts
Principal Attorney

Living with Crohn’s Disease can be physically and emotionally challenging. When the symptoms of this chronic condition become so severe that you can’t work, Social Security Disability Insurance (SSDI) can provide critical financial support. However, the path to approval for SSDI claims related to Crohn’s Disease can be arduous, and many applicants face initial denials. If you’re in this situation, don’t lose hope; Disability Advocates Group is here to guide you through the process. In this blog post, we’ll discuss how to overturn a denial of SSDI claims for Crohn’s Disease in Florida.

Understanding Crohn’s Disease and SSDI

Crohn’s Disease is an inflammatory bowel disease that can lead to severe abdominal pain, digestive issues, fatigue, and a variety of other symptoms. In some cases, these symptoms can be debilitating, making it impossible to maintain gainful employment.

To qualify for SSDI benefits, including in Florida, you must meet the Social Security Administration’s (SSA) criteria, including the severity of your condition, limitations it imposes on your ability to work, and the duration of the condition.

Common Reasons for Denial

It’s important to recognize why your SSDI claim might be initially denied. Some common reasons for denials in Crohn’s Disease cases include:

  1. Lack of Sufficient Medical Evidence: The SSA requires comprehensive medical evidence, including records of your Crohn’s Disease diagnosis, treatments, medications, and the impact of your symptoms on your daily life.
  2. Failure to Meet Listing Requirements: Crohn’s Disease isn’t specifically listed in the SSA’s “Blue Book” of impairments. Therefore, you must demonstrate that your condition is equal in severity to a listed impairment or that it significantly impacts your ability to work.
  3. Not Complying with Treatments: If the SSA believes you haven’t followed your prescribed treatment plan without good reason, your claim may be denied.
  4. Incomplete or Inaccurate Information: Errors on your application or missing information can lead to denials.
  5. Earning Too Much: If you earn substantial income from work, you might not meet the SSA’s definition of disability, which requires an inability to engage in substantial gainful activity (SGA).

Overturning a Denial

Receiving an initial denial of your SSDI claim for Crohn’s Disease doesn’t mean the end of the road. Here are steps to help you overturn this denial:

1. Consult an Attorney:

Seeking legal representation is often a critical step. Attorneys experienced in SSDI cases, such as Disability Advocates Group, understand the specific requirements and can help build a strong case for you.

2. Review Your Denial Letter:

Carefully read the denial letter to understand why your claim was denied. This information can guide your next steps.

3. Request a Reconsideration:

You have 60 days from the date you received your denial letter to request a reconsideration. In this phase, your case will be reviewed by a different SSA officer.

4. Gather Comprehensive Medical Records:

Obtain updated medical records, including a detailed account of your Crohn’s Disease diagnosis, symptoms, treatments, and their effects on your daily life. Statements from healthcare providers and specialists can also bolster your case.

5. Comply with Treatment:

Follow your treatment plan as prescribed. If you have a good reason for not doing so, provide detailed documentation.

6. Provide Detailed Work History:

Offer a comprehensive work history, including the physical and cognitive demands of your previous jobs. This can help the SSA assess whether you can engage in substantial gainful activity.

7. Demonstrate Functional Limitations:

Clearly present the functional limitations imposed by your Crohn’s Disease. These limitations should illustrate why you can’t work, even in sedentary jobs.

8. Work with a Professional:

An experienced attorney can help you compile the right evidence and present it in a compelling manner. They know how to build a convincing case based on your specific situation.

Overturning a denial of SSDI claims for Crohn’s Disease in Florida can be challenging, but it’s far from impossible. The right documentation, legal assistance, and a solid case strategy can make all the difference. If you’re struggling with a denial, reach out to Disability Advocates Group for experienced legal guidance and representation. We’re here to help you navigate the complex SSDI appeals process and secure the financial support you need to cope with your condition. Don’t give up – your path to SSDI approval is within reach.

About the Author
Ms. Shvarts and the rest of the team at Disability Advocates Group are dedicated to assisting individuals in Florida obtain Social Security Disability Benefits (SSDI) and Supplemental Security Income (SSI) benefits.