Tag: social security disability insurance

It was never your plan to stop working before retirement. You’ve worked hard your entire life, but an unexpected medical condition keeps you from working now. Should you apply for SSDI benefits? The Social Security Administration has an updated list of medical conditions that are considered severe enough to prevent a person from working. So, what are the SSDI qualifying conditions? 

Conditions that Qualify Under SSDI

The Social Security Administration has a list of impairments for each major body system that may support an individual’s qualification for SSDI. These conditions are considered severe enough to prevent a person from having gainful employment to support themselves or their family. Many of the conditions listed are either permanent, have a specific duration, or are progressive illnesses. For all other listings, there must be evidence to support the condition is severe and will last for a period of at least 12 continuous months. 

SSDI Qualifying Conditions for Adults 18 and Over

Part A of the Listing of Impairments from the Social Security Administration covers adults that are 18 or older. The conditions include disorders affecting:

  • The Musculoskeletal System: These may result from hereditary, congenital, or acquired pathological processes as a result of inflammatory, infections, traumatic or developmental events or degenerative processes. 
  • Special Senses and Speech: This can include visual disorders such as blindness and requires measuring an individual’s visual fields. 
  • Respiratory Disorders: This can include disorders such as chronic obstructive pulmonary disease, pulmonary fibrosis, pneumoconiosis, asthma, bronchiectasis, cystic fibrosis, chronic pulmonary hypertension, and lung transplantation. 
  •  Cardiovascular System: Impairment in this category may result from chronic heart failure or ventricular dysfunction, discomfort or pain due to myocardial ischemia, syncope or near syncope, or central cyanosis. 
  • Digestive System: Disorders can include liver dysfunction, gastrointestinal hemorrhage, short bowel syndrome, inflammatory bowel disease, and malnutrition. 
  • Genitourinary Disorders: Examples can consist of chronic glomerulonephritis, hypertensive nephropathy, diabetic nephropathy, chronic obstructive uropathy, and hereditary nephropathies.
  • Hematological Disorders: Includes disorders that disrupt the normal development and function of red blood cells, white blood cells, platelets, and clotting-factor proteins such as bone marrow failure, disorders of thrombosis and hemostasis, and hemolytic anemia. 
  • Skin Disorders: These may include disorders affecting the skin such as ichthyosis, bullous diseases, hidradenitis suppurativa, chronic infections of the skin or mucous membranes, burns, dermatitis, and genetic photosensitivity disorders.
  • Endocrine Disorders: This can include disorders affecting the pituitary gland, thyroid gland, parathyroid gland, adrenal gland, pancreatic gland, and more. 
  • Congenital Disorders that Affect Multiple Body Systems: This included non-mosaic Down syndrome.
  • Neurological Disorders: This can include epilepsy, amyotrophic sclerosis, coma or persistent vegetative states, or early-onset Alzheimer’s disease. 
  • Mental Disorders: There are 11 categories of mental disorders including schizophrenia, autism spectrum disorder, neurodevelopmental disorders, and more. 
  • Cancer: This includes all cancers, except for certain cancers associated with an HIV infection. 
  • Immune System: Include immune dysfunction due to impaired cell-mediated immunity, issues with antibody production, and more. 

Visit the SSA website to see the full description of each disorder.

SSDI Qualifying Conditions for Children Under 18

Part B of the Listing of Impairments from the Social Security Administration covers children under 18 years old. The conditions included are:

  • Low Birth Weight and Failure to Thrive: Low birth weight is evaluated in children from birth to age 1 and failure to thrive from birth to age 3. 
  • Musculoskeletal System: Defined as the inability to ambulate effectively or perform fine and gross movements effectively.
  • Special Senses and Speech: Visual disorders, including blindness.
  • Respiratory Disorders: Includes chronic lung disease of infancy, asthma, pulmonary fibrosis, or cystic fibrosis. 
  • Cardiovascular System: Impairment in this category may result from chronic heart failure or ventricular dysfunction, discomfort or pain due to myocardial ischemia, syncope or near syncope, or central cyanosis. 
  • Digestive System: Disorders can include liver dysfunction, gastrointestinal hemorrhage, short bowel syndrome, inflammatory bowel disease, and malnutrition. 
  • Genitourinary Disorders: Includes diabetic neuropathy, hypertensive neuropathy, chronic glomerulonephritis, chronic obstructive uropathy, and hereditary nephropathies. 
  • Hematological Disorders: Includes disorders that disrupt the normal development and function of red blood cells, white blood cells, platelets, and clotting-factor proteins such as bone marrow failure, disorders of thrombosis and hemostasis, and hemolytic anemia. 
  • Skin Disorders: Impairments under this category can include dermatitis, hidradenitis, ichthyosis, suppurativa, burns, genetic photosensitivity disorders, or infections of the skin or mucous membranes.
  • Endocrine Disorders: This can include disorders affecting the pituitary gland, thyroid gland, parathyroid gland, adrenal gland, pancreatic gland, and more.
  • Congenital Disorders that Affect Multiple Body Systems: Includes non-mosaic Down syndromes.
  • Neurological Disorders: Includes epilepsy, coma, or persistent vegetative states as well as neurological disorders that cause bulbar and neuromuscular dysfunction, disorganization of motor function, or communication impairment. 
  • Mental Disorders: Can include intellectual disorders, anxiety and obsessive-compulsive disorders, developmental disorders in infants and toddlers, autism spectrum disorders, and more. 
  • Cancer: All cancers are evaluated except for those associated with an HIV infection. 
  • Immune System Disorders: Include immune dysfunction due to impaired cell-mediated immunity, issues with antibody production, and more. 

Visit the SSA website to see the full description of each disorder.

Ready to Apply for SSDI Benefits?

There are other factors that are considered when the Social Security Administration determines whether you qualify for SSDI benefits. If you think you may be eligible for SSDI, the Law Offices of Karen Kraus Bill can help. Having practiced disability law for more than 30 years, we are experienced lawyers for social security disability – ready to assist you with every step of the application process. If you were previously denied SSDI benefits, our experienced attorneys can also help you with the appeal process. Contact us today for a free consultation. 

Do I need a lawyer to apply for SSDI?

Suppose you’ve spent most of your life working hard and paying into Social Security and are now unable to continue due to your age or a decline in your health. In that case, you may be eligible for Social Security Disability Insurance (SSDI). There are many qualifying factors that determine if you are eligible for SSDI, such as whether you can continue working, how severe your condition is, and whether you can do another type of work, to name a few. If you believe you qualify, the next step is applying for SSDI benefits. Once you’re ready to apply, you might be wondering, “should I apply for SSDI on my own?” Acquiring assistance from an experienced disability attorney can make the process easier and increase your chances of being approved. 

What Is Involved In The SSDI Application Process?

Though it may appear as though applying for SSDI is as simple as filling out a few forms, there is much more that goes into the application process. There is an extensive amount of paperwork and communication with the Social Security Administration required for a successful outcome. Additionally, your medical evidence must be obtained and evaluated. 

Information Needed to Apply for SSDI Benefits

To apply for SSDI benefits, information regarding you, your medical condition, and your work history will be needed. 

Personal Information

Applying for SSDI benefits may require personal information such as:

  • Your date and place of birth
  • Your social security number
  • Your current or former spouse’s social security number and date of birth as well as the place of marriage and date of divorce or death if applicable
  • Name and birth dates of any children who are minors
  • Your banking information including bank name and routing number or account number

Medical Information

Medical information needed when applying for SSDI may include:

  • Name, address, and telephone number of someone who knows details about your medical condition to assist with application process
  • Names of medications you are taking and the prescribing doctor
  • Dates and names of any medical tests you have undergone 
  • Dates of treatments you have had along with names, addresses, phone numbers, and patient ID of the corresponding doctors or medical facility in which the care took place

Work Information

Your work history will play a part in determining your eligibility. Information needed may include:

  • Names and addresses of employers from the current year and year prior
  • The amount of money earned in the current year and previous year
  • A list of up to five jobs you have had in the last 15 years with dates of employment
  • A copy of your Social Security Statement
  • The start and end dates of any active-duty U.S. military service prior to 1968
  • Information regarding any workers’ compensation benefits you field or intended to file for

Benefits of Hiring a Disability Attorney to Apply for SSDI

When you choose to hire a disability attorney to assist you in the SSDI application process, you increase the likelihood that your application will be approved. A disability attorney is familiar with the Social Security Administration and the rules that pertain to SSDI applicants. They are also available to assist you in the long process of acquiring the necessary documents to help prove your eligibility. An experienced staff member will complete your application and review your information while checking for missing details or inconsistencies that could affect your approval. Errors and omissions may negatively impact your claim and could result in being denied SSDI benefits. If this happens, you can file an appeal, but this may cause a delay in receiving your benefits. 

Get Help Applying for SSDI Benefits

The disability attorneys at the Law Offices of Karen Kraus Bill understand the SSDI application process and want to make it as easy as possible for you. Having practiced disability law for more than 30 years, we are experienced lawyers for social security disability – ready to assist you with every step of the application process. Many people assume it is easy to be awarded benefits, but it’s not that simple. Applying for SSDI benefits is a complicated legal process that you shouldn’t have to navigate alone. Contact us today for a free consultation with one of our disability attorneys. 

You’ve worked hard all your life, but now you’re unable to continue working due to your declining health, or maybe you’ve reached an age where you simply can’t anymore. You might be wondering if you are eligible for Social Security disability benefits. Which type of claim is right for you? Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) are disability benefit programs run by the Social Security Administration. The differences between these two programs can be confusing, so let’s discuss the major distinctions.

Social Security Disability Insurance

Social Security Disability Insurance, or SSDI, is considered an “entitlement program” that is generally available to anyone who has paid into the Social Security system for the last ten years. These recipients are considered “insured” because they have made their contribution to the Social Security trust fund through paying FICA Social Security taxes. SSDI provides benefits to people who cannot work enough due to certain medical conditions or disabilities. The amount of SSDI payments vary based on the beneficiary’s earnings record. SSDI recipients are eligible for medicare.

Who Can Apply for SSDI?

To be a candidate for SSDI, a person must have earned a particular number of work credits and be under the age of 65. Generally, an eligible individual would need to have worked at least five out of the last ten years. Federal law has strict definitions of disability, stating that the medical condition causing the disability be one that is expected to last one year or more, or potentially result in death. People with short-term or partial disabilities would not qualify. 

Supplemental Security Income

Supplemental Security Income, or SSI, is considered a “needs-based program,” meaning it is strictly for low-income American citizens and is funded by general taxes rather than from the Social Security trust fund. The standard federal SSI payment is a set amount that changes yearly based on the Cost-of-Living Adjustments (COLA). Additionally, most people who receive SSI will immediately qualify for benefits through Medicaid. 

Who Can Apply for SSI?

To meet the requirements for SSI, a person must have a very limited income and less than $2,000 in assets, or less than $3,000 for a couple. Most people who would qualify for SSI would also qualify for food stamps. Individuals over the age of 65 can qualify for SSI (regardless of their medical condition) if the income requirements are met. A person of any age, even children, can apply for SSI if they are disabled and have limited to no resources or income. 

Get Help Applying for Social Security Disability Benefits

It can be risky to apply for SSDI or SSI on your own. Many applications are initially denied due to mistakes or misinformation, unsuccessful attempts to collect medical evidence, and/or a failure to cooperate with the Social Security Administration. If your disability benefits application has been denied, we can help. There is a small window of time to appeal your denial, and statistics show you are more likely to get approved with the assistance of an attorney who is familiar with disability law.

Call Karen Kraus Bill

The Law Offices of Karen Kraus Bill has extensive experience handling disability law cases for SSDI or SSI. It is beneficial to have a skilled attorney on your side to help you get all of the necessary records in order to create the strongest application possible. We can also represent you during the appeals process if you were previously denied. We are ready to focus on winning your disability case so you can continue to take care of your health. Contact us today!