Why Your Long-term Disability Claim is Denied

Why Your Long-term Disability Claim is Denied

May 27

Approved long-term disability claims have tremendous benefits. One, you will get assistance from the financial troubles that have risen because of your disability. Two, you will have the peace of mind and avoid emotional and psychological problems that can arise from financially troubling times. And three, this peace of mind can prevent problems within your family and social circles.
But the issue is that not all long-term disability claims are approved, so not everybody gets to enjoy these benefits. It is even worse if legitimate cases have been denied. It is a good thing that there are professionals who focus on such instances, such as those from Fields Disability.
But why are claims denied? There are several reasons why, and the most common ones are enumerated below.

You are not truly “disabled”

You have to check the definition of disability in your policy plan. It can be very detailed, like when you are medically unable to fulfil your duties in a specific job. It can also be quite vague, like when you are medically limited to do any job. Whatever the case may be, you should fit the description in the policy plan, because if you don’t, you may not be able to claim that you are truly disabled and need financial assistance.
It also helps if you get the opinion of a medical professional, so you have enough proof and authority to claim that you really are disabled.

You don’t have enough medical evidence

Of course, you can’t just go to the insurance company and claim you are disabled. You have to prove it, and the best way to do it is presenting medical evidence showing your disability. Usually, medical evidence comes in three forms: proof that you are getting regular treatment from a specific medical professional, medical records to validate such treatments, and official opinions from the treating physician.

You are still arguably capable

Insurance companies will make sure that you are truly disabled, not just in the medical sense, but also on how you move. They may have recordings of you, such as photos and videos, showing that you are still quite capable. These may be grounds for them to deny your claim or stop coverage. The best way to avoid these things is to not overexert yourself, because you will never know when someone is recording you to invalidate your claim.

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