Home; About . The Social Security Administration has two separate systems of approval for mental and physical disabilities. In other words, your medical condition must be supported by clinical reports. Copyright © 2021, Thomson Reuters. Musculoskeletal System. Get approval tips with our SSDI Navigator, Get Approval Tips with our FREE SSDI Navigator email program, Copyright ©2021 MH Sub I, LLC dba Nolo ® Self-help services may not be permitted in all states. Lung transplant 3. Musculoskeletal problems, such as back conditions and other dysfunctions of the joints and bones, Senses and speech issues, such as vision and hearing loss, Respiratory illnesses, such as asthma and cystic fibrosis, Cardiovascular conditions, such as chronic heart failure or coronary artery disease, Digestive tract problems, such as liver disease and inflammatory bowel disease (IBD), Neurological disorders, such as multiple sclerosis, cerebral palsy, Parkinson's disease, and epilepsy, Blood disorders, such as sickle cell disease or hemophilia, Mental disorders, such as depression, anxiety, schizophrenia, autism, or intellectual disability, Immune system disorders, such as HIV/AIDS, lupus, rheumatoid arthritis, and kidney disease. If you haven't had the clinical or laboratory tests required in the listing, you can ask your doctor to perform them. Listed Conditions for Social Security Disability Benefits. For adults, medical conditions that automatically qualify you for social security disability compensation include: Musculoskeletal problems, such as back conditions and other dysfunctions of the joints and bones; Senses and speech issues, such as vision and hearing loss; Respiratory illnesses, such as asthma and cystic fibrosis This is called "equaling a disability listing." Medical Conditions and Disability Claims: List of Impairments. Special Senses and Speech. For instance, migraine headaches are not included in the blue book, but if a claimant's migraines are severe enough and are well documented, the SSA may grant disability benefits if the migraines make it impossible for the disability applicant to work a full-time job. Your use of this website constitutes acceptance of the Terms of Use, Supplemental Terms, Privacy Policy and Cookie Policy. Call Us At : 866-977-1075. Other common impairments that aren't listed in Social Security's blue book include carpal tunnel syndrome, fibromyalgia, chronic regional pain syndrome, reflex sympathetic dystrophy, celiac disease, and degenerative disc disease. The email address cannot be subscribed. It categorizes the conditions by the affected system, such as cognitive or musculoskeletal, and it includes all the following problems: What illness qualifies for long term disability: Breathing conditions, such as COPD. First, the medical condition must be a medically determinable impairment. The SSA will consider the effect of your condition on your capacity to perform routine daily activities and work and will then determine whether there is any kind of job you can safely be expected to do. The Social Security Administration (SSA) must consider the combined effects of all your impairments, both severe and non-severe, in deciding whether you qualify for benefits. 2.00. There are a few medical conditions, however, that do qualify for expedited approval. For adults, the medical conditions that qualify for SSDI or SSI include: Musculoskeletal problems, such as back conditions and other dysfunctions of the joints and bones. The information provided on this site is not legal advice, does not constitute a lawyer referral service, and no attorney-client or confidential relationship is or will be formed by use of the site. Once you've had several doctors' appointments, ask if your doctor thinks your limitations are disabling and about your long-term prospects for work. To receive social security benefits, there are certain criteria that you have to meet to be eligible. In 2014, the income limit is $721 per month for individuals and $1,082 for couples. Microsoft Edge. The listing manual, which has been updated for 2020, includes: For articles on getting disability for many common conditions, some of which are in the blue book and some of which aren't, see our section on Medical Conditions, Impairments, and Problems. go to your local Social Security office without an appointment. Benefits are awarded based on the severity of the condition which the claimant is suffering from. These… The roster includes fast-moving cancers, immune-system and neurodegenerative diseases, rare genetic disorders and other illnesses that by definition meet Social Security’s standard for disability: They prevent sufferers from working or are likely to result in death. Contact a qualified social security lawyer to assist in your social security disability matter. Medical Eligibility for Disability Benefits, Getting Disability Benefits for a Listed Impairment, kidney disease and genitourinary problems, Medical Conditions, Impairments, and Problems, how Social Security decides if your limitations make you disabled, survey statistics on getting Social Security disability for common medical conditions, call the Social Security office at 800-772-1213 for an appointment to apply, or. The Social Security Administration (SSA) relies upon medical evidence when evaluating your disability claim, which makes it important for you to know what kinds of medical tests and other records you may … You may find that you can. 1.00. Obtaining Social Security disability income (SSDI) means you have to undergo a stringent process. Applying for benefits involves much more than filling out the disability application. There are three ways to apply for Social Security benefits: Before you apply, make sure you have the names and addresses of all doctors and clinics you've visited over the last five years. There are some medical conditions that will be approved for disability benefits if you can prove that these conditions exist or that you are suffering from them just by your medical records. An individual filing for Social Security disability benefits does not necessarily have to satisfy the exact listing requirements for a particular illness or condition to be awarded disability benefits based on the condition. Individuals who had medical conditions have difficulty in performing important daily tasks. All rights reserved. The SSA's Listing of Impairments is generally broken down by bodily system or function. Digestive disorders, such as Crohn's Disease, and Hepatitis. Vision Loss ; Hearing Loss; Respiratory Disorders Cochlear transplant 2. Kidney transplant 4. These include epilepsy, diabetes, Parkinson’s disease, HIV/AIDS, Crohn’s disease, lung disease and many other illnesses. In some states, the information on this website may be considered a lawyer referral service. Known as the “blue book,” the 2020 version includes these conditions: Musculoskeletal problems — like back injuries This is – in part – because the Social Security Administration (SSA) has a specific list of medical conditions that qualify as “disabilities” for the purposes of SSA determinations. Liver transplant For those five disabilities, the case will be reviewed again by Disability Determination Services at the end of a year, or for a lung transplant, at the conclusion of three years, to determine if y… Seizure Disorder; Stroke (CVA, Cerebrovascular Accident) Traumatic Brain Injury, or TBI; Special Senses. Begin typing to search, use arrow keys to navigate, use enter to select, Please enter a legal issue and/or a location. Endocrine System. Based on your residual functional capacity, a disability claims examiner will determine your exertional level. ), Alternatively, you can be eligible for disability benefits if you don't meet or equal the criteria for the blue book listing, if your condition limits your functioning so much that you can't work. The Social Security Administration (SSA) maintains a "Listing of Medical Impairments" (known as the blue book) that automatically qualify you for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), provided certain conditions are met. The Social Security Disability Insurance (SSDI) program maintains the most extensive list of medical conditions that can qualify as long-term disabilities. Visit our professional site », Created by FindLaw's team of legal writers and editors Some conditions automatically qualify for … Then you can check to see if your test results meet the requirements of the listing, and if they match the criteria or are close, you can apply for disability. You can qualify for disability benefits with conditions such as fibromyalgia, depression, bipolar disorder, multiple sclerosis, degenerative disc disease, post-traumatic … The application process to receive disability benefits from the Social Security Administration (SSA) is notoriously slow, confusing, and complicated, but some medical conditions automatically qualify for disability. The first is to indentify whether or not a condition is included in the Social Security Disability list of impairments. 2/3 of all initial disability applications get denied! Thus, it is essential when completing your disability application to mention all your medical conditions, including those that are minor compared to your serious problems. The RFC also includes non-exertional limitations, like the ability to climb or bend down, the use of hands, the capacity to cope with anxiety or depression, and any environmental restrictions. The listing manual is frequently updated. There are fourteen categories under which conditions are evaluated, including musculoskeletal, special senses and speech, respiratory disorder, cardiovascular, digestive, genitourinary, hematological,  skin, endocrine, congenital, neurological, mental, cancer, and immune system disorder. In addition to the disabling conditions, the SSA also has a list of 88 conditions that automatically qualify for disability benefits under the Compassionate Allowances program. Get Professional Legal Help. A mere diagnosis will get you an automatic disability approval for only a few conditions, however, like ALS, an organ transplant, or certain serious cancers, such as esophageal cancer, mucosal melanoma, anaplastic carcinoma of the thyroid gland, or small-cell carcinoma (of the prostate, ovaries, breast, lungs, pleura, intestines, or bladder). If you are between the ages of 50 and 65 years and suffer from a disability that prevents you from working, you may be eligible for Social Security Disability benefits CHECK IF YOU QUALIFY Types of Cancer That Qualify for Disability; Filing for Disability on the Basis of Cancer; Social Security Disability SSI and Breast Cancer; Mesothelioma (Cancer of the Mesothelium) Neurological Disorders. Reviewing the above list of what medical conditions that qualify for social security disability benefits can feel disheartening, especially if your disability claim doesn’t fall on the list. Stage IV breast cancer, and inflammatory breast cancer. Internet Explorer 11 is no longer supported. The disability claims examiner will take your medical history, reports, and residual functional capacity into consideration to determine if your medical condition qualifies for disability benefits. Please reference the Terms of Use and the Supplemental Terms for specific information related to your state. You must have been working for 25% of all the years after you obtained age 21. Learn more about FindLaw’s newsletters, including our terms of use and privacy policy. Heart transplant 5. Digestive System. You can be awarded disability benefits if Social Security considers aspects of your condition medically equivalent to the criteria in the listing or a related listing. Inside, it lists numerous medical conditions and impairments, both mental and physical, that will dictate whether you qualify for SSDI. There are separate lists for adults and children under the age of 18. An individual filing for Social Security disability benefits does not necessarily have to satisfy the exact listing requirements for a particular illness or condition (such as rheumatoid arthritis) to be awarded disability benefits based on this condition. Whether you get hurt in a car crash or suddenly develop symptoms that result in a diagnosis with a debilitating medical condition, a disability can quickly change your life. Conditions of the glands that secrete hormones, such as Thyroid Disorders and Obesity You can also be awarded disability benefits if Social Security considers aspects of your condition medically equivalent to the criteria in the listing or a related listing. Sense and voice difficulties, such as vision impairment and hearing loss. We recommend using While you may think a medical is serious and restricts your ability to work, your claim for Social Security disability benefits may still be denied. Your first step should be making sure that you have sufficient medical records for Social Security to make a decision on your claim. Social Security looks at your medical impairment and works history to make a determination on whether or not you meet their standards for disability. A medically determinable impairment is a medical condition that has been the subject of clinical and laboratory testing. Learn more below. | Last updated March 27, 2019. Firefox, or Read on to know more about the medical conditions and requirements that automatically qualify you for social security disability. Next, the medical condition must limit your residual functional capacity (RFC). Conditions that qualify for SSDI and SSI include: Cardiovascular System. The social security administration … For adults, the medical conditions that qualify for SSDI or SSI include: The list of medical conditions for children under the age of 18 is virtually identical to the one for adults. While any of the above medical conditions are SSDI and SSI qualifying disabilities, some medical conditions are more likely to lead to an approval of benefits than others. The Social Security Administration uses a number of conditions listed in the blue book to determine whether someone qualifies for SSD or SSI benefits. The Social Security Administration's impairment listing manual (called the blue book) lists a number of impairments, both physical and mental, that will automatically qualify an individual for Social Security disability benefits (SSDI) or Supplemental Security Income (SSI), provided the individual's condition meets the specified criteria for a listing. Growth impairment is the only medical condition covered for children that isn't covered for adults. It is intended for individuals who are either blind, disabled, or aged 65 or older and who meet certain income and resources requirements. If your medical condition is not on the list, you may still be eligible under other SSA guidelines. Gallbladder cancer, … Determining whether your medical condition qualifies for Social Security-related benefits can be confusing. This is called \"equaling a disability listing.\" (According to recent government statistics, 37% of all appr… Please try again. The attorney listings on this site are paid attorney advertising. Some of those conditions include: 1. To help them gain access to affordable and effective medical services, these individuals need social security disability benefits. Call For A Free Initial Consultation 573-874-2402   Toll free: 800-483-1789 Further, your medical records must show that your condition is severe enough to prevent you from performing your standard work-related duties. Non-Medical Qualifications for SSI SSI is a need-based benefit. Do You Have Medical Conditions That Qualify for Disability Claims? (According to recent government statistics, 37% of all approved disability applications "met" a listing and only 6% "equaled" a listing. The Social Security Administration manual that lists a number of physical and mental impairments that qualify for SSDI and Social Security Income (SSI). The list updated in 2020 includes disabilities like-: Autoimmune Disorders like Lupus, Multiple Sclerosis and Rheumatoid Arthritis If you've been seeing a doctor regularly, have a conversation with your doctor about your limitations (such as not being able to lift 30 pounds or stand for three hours), and whether the doctor thinks they rule out full-time work for you. For more information, see our section on how Social Security decides if your limitations make you disabled. The Social Security Blue Book is a guide of impairments that the Social Security Administration (SSA) considers to be disabling enough to qualify for benefits. JEFFREY L. DULL; JASON J. HEANY; DAVID A. PEARSON; Practice Areas. Do Not Sell My Personal Information. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Medical evidence for a Social Security disability case can include: The medical evidence must be recent and must encompass the time period from when you became disabled to the present time. As mentioned above, you need to have medical records that support your claim, including your diagnoses, your limitations, your test results, and your treatment plans. Conditions of the heart, such as High Blood Pressure, Heart Failure and Blood Clots. Medical Conditions and Disability Claims: Do You Qualify? These medical conditions need varying levels of expensive medical attention to help ease the condition of the individual. Respiratory illnesses, such as asthma and cystic … Most Americans get a paying job to sustain themselves and their families, but for some, medical conditions make this extremely difficult, or even impossible. For all other conditions, the next step is to determine if your medical condition meets the specific criteria for that condition. The following sections contain medical criteria that apply to the evaluation of impairments in adults age 18 and over and that may apply to the evaluation of impairments in children under age 18 if the disease processes have a similar effect on adults and younger children. Stay up-to-date with how the law affects your life, Name If your disability is listed in Social Security's Listing of Impairments, the first step is to get a diagnosis of the condition from your doctor. If you haven't been seeing a doctor, it's time to start. For details, see our article on survey statistics on getting Social Security disability for common medical conditions. If you are considering filing an application for Social Security Disability, you probably have a medical condition that makes it difficult or impossible to work. The listing requirements are often quite complex; our illness-specific articles simplify the medical criteria in the listings so that you can understand whether your condition will qualify for disability. Only then should you apply for disability. Even if your medical condition isn't on the Listing of Impairments, you may still qualify for SSDI or SSI if certain criteria are met. If your doctor agrees, it's time to apply for disability benefits. Find an experienced SSDI attorney near you today. Only certain totally disabling medical conditions qualify for Social Security disability. These conditions include, but are not limited to, the following: back injuries, heart disease, asthma, hearing and vision loss, mental disorders, and … We recently surveyed our readers about their experiences in applying for disability benefits and compared their answers to government statistics. conditions, however, like ALS, an organ transplant, or certain serious cancers, such as esophageal cancer, mucosal melanoma, anaplastic carcinoma of the thyroid gland, or small-cell carcinoma (of the prostate, ovaries, breast, lungs, pleura, intestines, or bladder). Or you can wait for the SSA to pay for a consultative exam, but this makes your claim take longer. The Social Security Administration that approves benefits for those who apply have an impairment listings manual called the blue book. You must have hard medical evidence that shows you are unable to work and that you meet the medical criteria to be approved for benefits. In addition the SSA medical conditions that automatically qualify you for social security disability include: Acute leukemia, Lou Gehrig’s disease (ALS) and early-onset Alzheimer’s disease. To qualify for Social Security Disability Benefits a medical condition most severely hamper your ability to work. What If Your Medical Condition Is Not on the List? Are you a legal professional? The keys here are that the condition be a medically determinable impairment and that it reduces someone's RFC enough so that they can't do their prior job or any job. The Social Security Administration recognizes hundreds of different illnesses and conditions that qualify an American to receive Social Security Disability. For a complete list of impairments, including detailed evaluation methods, visit www.ssa.gov. A Social Security disability claimant doesn't even have to have an impairment that is listed in the Social Security disability blue book to be awarded disability benefits. (In a recent year, half of all approved disability applications were approved based on an assessment of applicants' limitations.). However, for those people that have a… If your medical condition, or its equivalent, is on SSA's Listing of Impairments, then you're generally considered disabled and therefore eligible to receive SSA disability benefits. However, the SSA doesn’t require applicants for SSD to meet an exact listing if he or she has a condition that is medically equivalent to something listed above. If you have questions about medical conditions and disability claims, or if you've been denied Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), make sure you explore your legal options. Exertional levels vary from sedentary work to very heavy work and are based on how much weight you can lift and carry. It's generally better if the test results are already in your medical record before you apply. Search, medical conditions that qualify for SSDI or SSI, Disability Benefits Appeal: Notice of Representation, Sample Letter Applying for Social Security Benefits, Social Security Disability Appeals Process. Senses and speech issues, such as vision and hearing loss. Knowing which Social Security disability benefits you qualify for can sometimes be complicated to sort out when you’re also struggling with a serious medical condition. The first qualification is your work history. Google Chrome, The Social Security Administration has a listing of impairments that are widely recognized as causing disability when they reach a certain medical point. This is not enough to prove you suffer from a disability, however. In this case, an applicant could qualify for benefits under a medical-vocational allowance. RFC is determined by looking at the most demanding activity you can still do despite your medical limitations. 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