Tag: ssdi

According to the Internet Stroke Center, approximately 795,000 people in the United States experience a stroke each year. According to the CDC, 38% of stroke victims are younger than 65 years of age. If you’ve had a stroke before the age of retirement and are unable to work, you may be facing the difficulty of figuring out how to make ends meet. Does a stroke qualify for disability? The Social Security Administration (SSA) disability insurance programs, either one or both, may provide the solution you’re looking for. Disability benefits may be available if your stroke led to the development of additional medical conditions and/or a limitation in your ability to work, and the experts at KKB Law can help you apply for disability benefits.

When A Stroke May Cause Disability

A stroke can be caused by either a brain hemorrhage (hemorrhagic stroke) or a blocked blood vessel (ischemic stroke), both of which result in decreased blood supply to the brain and can cause damage. Speech, walking, and vision problems can all be various impacts of a stroke. Stroke patients commonly have muscular weakness, generally on one side of the body, as well as numbness and sensory loss. For some, the damage is temporary; for others, it is permanent. For some stroke sufferers, the lingering symptoms of the stroke make it impossible to return to work. In these cases, a stroke may qualify for disability benefits. 

Financial Impact of a Stroke

According to the CDC, “stroke-related costs in the United States came to nearly $46 billion between 2014 and 2015.” Medical treatments, health care services, prescription drugs and missed work hours for all impacted adults each year all go into this total. Diagnostic and early treatment costs, as well as long-term or permanent deficiencies, are all things to consider when it comes to your direct personal costs. Initial diagnosis and treatment expenses are influenced by the kind of stroke. In many cases, patients are simultaneously suffering from a variety of other ailments, such as heart disease, diabetes, or a traumatic brain injury.

Main Qualifying Factors for a Stroke

Similar to other types of disabling conditions, you may be eligible for Social Security disability benefits or Supplemental Security Income. SSDI may be available to you if you have worked and paid Social Security taxes for five of the previous 10 years. If you are under the age of 31, you may not be required to have worked for as long. The SSA will use a five-step process to determine eligibility, including asking questions like:

  • Are you currently working?
  • Is your condition severe?
  • Is your condition included in the Blue Book list of disabling conditions?
  • Can you do the work you did previously?
  • Can you do a different type of work?

Many people want to know “does a stroke qualify for disability” and there are three basic ways people qualify:

  • You meet or equal disability listing 11.04, Vascular insult to the brain
  • You meet another disability listing
  • You are not able to perform your past work or any other work based on your physical and mental limitations

Let The Law Offices of Karen Kraus Bill Help You Apply for Disability Benefits

Having a disability attorney by your side during the application process for Social Security disability benefits can increase your chances of being awarded benefits by ensuring that all deadlines are met, accurately and favorably completing the complex paperwork, and providing representation at a hearing. Reach out to one of our qualified disability attorneys today.

Are you someone who has been diagnosed with kidney disease? Wondering if you can get disability for kidney disease? The Social Security Administration (SSA) provides financial assistance to individuals who are unable to work on a monthly basis. Although kidney disease does not automatically qualify for benefits, thousands of individuals who have been out of work for a year or longer due to kidney disease may qualify.

Social Security Disability Benefits

The Social Security Administration (SSA) provides two kinds of payments to disabled individuals: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). SSDI is a work-based program, while SSI is need-based.

You must be determined disabled through the SSA’s Five-Step Sequential Evaluation to be eligible for any benefit. The first step is to apply for disability benefits either online or with a local Social Security Administration office. You may seek the advice of a disability attorney to file your initial application for disability for kidney disease. 

Kidney Failure: Acute vs. Chronic

Kidney failure may be acute or chronic (prolonged). Acute kidney failure may be caused by a decrease in blood flow to the kidneys, medication/infection/toxin damage, or a blockage. You may experience difficulty urinating and have swelling in your extremities if you have acute renal failure. Although most patients recover from acute kidney failure, persistent kidney damage may occur, resulting in chronic renal disease.

Chronic kidney disease lowers kidney function over time and, depending on severity, may need dialysis or a kidney transplant. As waste builds in the body, severe chronic kidney disease produces electrolyte imbalance and edema (swelling). 

Disability For Kidney Disease

The SSA Blue Book defines the conditions that are qualified for disability payments and the test results or symptoms that must be present for the condition to be recognized as a disability. To qualify for disability compensation, you must generally meet or exceed at least one of the requirements.

Kidney disease is covered in Section 6.00 of the Blue Book under Genitourinary Disorders. For the SSA to consider your kidney condition a disability, at least one of the following must be true:

  • You suffer from chronic Kidney (renal) disease and need dialysis.
  • You have chronic kidney disease and had a kidney transplant within the last year.
  • You have chronic kidney disease with decreased kidney function and at least one of the following symptoms:
  1. Renal osteodystrophy: a bone disease caused by failing kidneys, characterized by significant bone pain and anomalies.
  2. Peripheral neuropathy: a nerve disease that causes pain, numbness, tingling, and muscular weakness throughout the body as a result of toxins that the kidneys were unable to filter out.
  3. Fluid overload syndrome: a disorder in which water and salt are retained in the body, resulting in unusually large blood vessels, high blood pressure, skin inflammation, or a BMI of 18.0 or less due to weight loss.
  4. Anorexia with weight loss measured by a body mass index (BMI) of 18.0 or below, calculated at least twice in a 12-month period at least 90 days apart.
  • You have nephrotic syndrome (where protein is lost in the urine), as shown by testing twice a year, at least 90 days apart, and skin inflammation for at least 90 days.
  • You have chronic kidney disease and have been hospitalized at least three times in the last year as a consequence of complications. They must occur at least 30 days apart and last at least 48 hours, including time spent in a hospital emergency room prior to hospitalization.

The Social Security Administration (SSA) will administer a Residual Functioning Capacity (RFC) assessment, which is a questionnaire that assesses your capacity to stand, sit, walk, lifting weight, and complete other daily tasks. Even if you do not fit into any of these categories, you may be eligible for disability for kidney disease if treatments prevent you from working. If your kidney disease prevents you from performing a job, you may be eligible for disability benefits.

Hire an Experienced Disability Attorney

While qualifying for disability for kidney disease is frequently straightforward, not all applicants have a fast or easy case assessment. Discuss your symptoms with your doctor to record your condition and ensure that the SSA has all the necessary information and medical documents to assess your claim. You may also want to seek the assistance of an experienced Social Security advocate or attorney, particularly if your kidney condition prohibits you from working but does not fall under one of the Blue Book categories described above.

Our Columbia, MO disability attorneys want to help you secure the Social Security Disability benefits you need and deserve. Visit our website today to learn how to receive a free evaluation!

Diabetes is a metabolic disorder in which the body is unable to handle and absorb glucose (sugar) sufficiently due to inadequate insulin production or insulin resistance. Diabetes comes in various forms, including Type I, Type II, Type III, and gestational. So, can you get disability for diabetes?

Types Of Diabetes

Type I diabetes, also called Diabetes Mellitus, often develops during childhood. This usually indicates that the pancreas is producing insufficient insulin to metabolize the blood glucose, which may occur due to pancreas-related damage or illness. Type I diabetes patients need insulin because their bodies do not manufacture enough insulin.

Type 2 diabetes, known as adult-onset diabetes, develops when the body’s cells develop insulin resistance and therefore cannot metabolize adequate glucose. Type 2 diabetes is most prevalent in adults over 45 and is closely connected with obesity, hypertension, and a sedentary lifestyle. Additionally, genetic factors contribute to the development of Type 2 diabetes.

Type 3 diabetes is a suggested name for Alzheimer’s disease, caused by insulin resistance in the brain. It is not yet a recognized medical term or illness, but it is being utilized in studies into the causes of Alzheimer’s disease.

Gestational diabetes is a kind of diabetes that may develop in women who do not already have the disease during pregnancy.

Symptoms Of Diabetes

The common symptoms of diabetes vary by individual. Still, the commonalities often include frequent urination, blurred vision, excessive thirst, dark skin patches, constant hunger, lethargy or exhaustion, and tingling in the hands or feet. These symptoms, which can be severe, leave diabetic patients unable to work and lead them to ask an attorney, “can you get disability for diabetes, and how do you qualify?”

Numerous diabetic patients have neuropathy (nerve damage), which most often affects the hands and feet. Diabetes may also result in severe eye issues, such as retinopathy, glaucoma, cataracts, and blurred vision. Because of their blood sugar levels, people with diabetes often have a more difficult time recovering from infection or skin lacerations. Additionally, if a diabetic patient has neuropathy, they may not detect an injury as quickly as ordinary individuals, particularly to the foot. These variables predispose diabetes patients to acute infections, which may result in amputation and other catastrophic consequences. Diabetic patients are also at a higher risk of developing kidney disease, ketoacidosis, hypertension, and stroke.

Can You Get Disability For Diabetes With Complications?

Diabetes is covered in Section 9 (Endocrine) of the Social Security Administration’s “Blue Book” listing of debilitating ailments under paragraph 9.B5 (Diabetes mellitus and other pancreatic gland disorders).

Although a diagnosis of diabetes does not automatically qualify a person for SSDI benefits, any of its complications may very likely qualify a person for SSDI payments. These complications include:

  • Neuropathy
  • Retinopathy
  • Ketoacidosis
  • Hypertension
  • Diabetic Kidney Disease
  • Vascular Disease
  • Hyperglycemia that persists
  • Hypoglycemia on a long-term basis
  • Coronary arteriopathy
  • Cognitive impairments

Among other complications, they are all included in a diabetic disability claim.

Suppose you have uncontrolled diabetes and have been unable to work for at least 12 months or anticipate being unable to work for at least 12 months. In that case, you may qualify for Social Security disability (SSDI/SSD) or Supplemental Security Income (SSI) payments. To qualify for disability benefits, however, the damage caused by diabetes must significantly impede your capacity to work, or you must have problems that meet the criteria for one of Social Security’s disability categories.

If your diabetes is uncontrolled as a result of your failure to adhere to your doctor’s advised medication, you will not qualify for disability.

How Limiting Is Diabetes For You?

Even if you do not fulfill a listing, can you get disability for diabetes? To decide if your diabetes significantly impairs your everyday functioning to the point that you are unable to work, the Social Security Administration (SSA) or state agencies (referred to as Disability Determination Services, or DDS) will examine your residual functional capacity (RFC). Most individuals who apply for disability payments based primarily on diabetes are first refused benefits and must submit an appeal to get a hearing before an administrative law judge.

Your RFC is a measure of the amount of activity you can continue to do while having diabetes. For instance, an RFC may determine that you are competent in undertaking a medium-level job, light-level labor, or sedentary work. The SSA will consider your medical history, doctor’s opinion(s) (if they specify your functional limits and are supported by medical evidence), and comments from you, your family, and friends in determining your RFC.

The SSA is also interested in your ability to concentrate on duties, work well with others, and report to work on a consistent basis. For instance, if your glucose levels are poorly maintained during the day, the insurance adjuster may discover that you cannot focus for extended periods. If you are suffering from depression or excessive exhaustion, your RFC may claim that you are unable to work consistently and regularly.

Applying For Disability Benefits

If you are unable to work due to health impairments caused by Type 1 or Type 2 Diabetes, you may be eligible for Social Security Disability benefits.

Proving disability due to diabetes and its associated conditions can be complex. Working with your doctors and a qualified Social Security Disability attorney can help ensure that your disability case has the best possible chance of success. Contact The Law Offices Of Karen Kraus Bill to help get you the benefits that you not only need but that you deserve!

Special Rules for Social Security Disability Over Age 50

Did you know that there are special rules for Social Security Disability programs for people age 50 and over? At age 50 and over, having a medical condition that limits your ability to work could qualify you for disability benefits even if you have been denied in the past. 

How Does Age Affect Social Security Disability?

After you turn 50 years old, your age becomes an important factor when filing a Social Security Disability claim. In fact, it can sometimes be easier to be awarded disability after 50. Those under age 50 are considered “younger individuals” and must prove the inability to perform any competitive employment to be awarded disability benefits. Generally speaking, individuals aged 50 and over might not be required to adjust to a different type of work even if physically able.

Rules for Social Security Disability After 50

When applying for disability benefits, your medical condition will be assessed by the Social Security Administration so they can determine if your condition qualifies as severe enough to receive benefits immediately. By working with a social security disability attorney, you can determine if your condition is listed in the SSA Blue Book and then proceed to go through the application process. If your medical condition does not qualify, you may still be eligible for benefits. The SSA uses the “grid rule” to help them determine eligibility. 

What Is The Social Security Disability Grid?

The Social Security Disability grid has rules that help evaluate the level of disability individuals may have, regardless of any diagnosis or medical condition. There are four factors that the grid rule analyzes, including residual functional capacity (RFC), education, previous work experience, and transferable skills. 

Residual Functional Capacity (RFC)

RFC evaluates the amount of strength-related work an individual can perform. It will assess whether an individual can push, lift, walk, and stand. For individuals who have a low capacity to perform these actions, their chances of being awarded disability after 50 are increased. A person’s RFC is classified into four categories:

  • Heavy: able to lift more than 50 lbs
  • Medium: able to perform frequent lifting of 25 lbs
  • Light: can lift 10 lbs but no more than 20 lbs occasionally
  • Sedentary: unable to lift more than 10 lbs

Education

A person’s level of education is a factor in determining eligibility for disability after 50. In general, less education means the chances of being approved for a disability claim are increased. The levels of education are classified in four different ways:

  • Individual has completed a recent educational program that serves as skilled job training
  • Individual is a high school graduate or higher
  • Individual has a limited education level of 11th grade or less
  • Individual is illiterate or unable to communicate

Prior Work Experience

The assessment of an individual’s previous work experience includes how they performed in their last job. An applicant will be classified as either unskilled, semi-skilled, or skilled. The less experience an individual has, the more likely it is that they will qualify for disability after 50. For individuals who are unskilled or can only perform light work, the eligibility for benefits may increase. 

Transferable Skills

The number of skills an individual has gained from previous jobs will have an impact on disability benefits eligibility. The SSA will determine if there are skills obtained at a previous job that are transferable to a new position that is similar to the last one. Those with fewer skills may have an increase in eligibility. 

Need Help Applying for Social Security Disability?

Sometimes it can be difficult to ask for help when you need it. If you are 50 or over and need assistance in applying for social security disability benefits, don’t hesitate to reach out to the Law Offices of Karen Kraus Bill. During tough times, you may be unsure where to turn and feel like all hope is lost. We’re here to tell you it’s not. Our attorneys are dedicated to representing people just like you. Schedule a free evaluation today to find out whether or not you are eligible for disability benefits.

Social Security Disability Insurance (SSDI) is a federal insurance program used by qualified workers who can no longer work. Those who qualify and are insured under the SSDI program will receive an SSDI payment each month. So, what is the average SSDI payment qualifying participants can expect?

How Are SSDI Benefits Calculated?

The Social Security Administration has a system to calculate your benefits called the Average Indexed Monthly Earnings (AIME) and the Primary Insurance Amount (PIS). Is it a complex formula that is difficult to use to calculate your expected benefits on your own, but the SSA can give you an estimate. 

Average Indexed Monthly Earnings (AIME)

This is a tool the SSA uses to index your lifetime earnings. During this process, they account for up to 35 years of your working years, along with the increase in general wages that happened during those years. This is to ensure that your future payments mirror this rise. The SSA will use the years you have the highest indexed earnings and calculate the average earnings, and then round down to reach your AIME. 

Primary Insurance Amount (PIA)

The PIA is the base amount of benefits you will receive. Using the total of three fixed percentages from your AIME, the SSA will determine your PIA. As an example, someone who becomes eligible for SSDI benefits in 2021 may be calculated like this:

  • 90% of the first $996 of AIME
  • 32% of the AIME over $996 through $6,002, and
  • 15% of the AIME over $6,002

Average SSDI Payment Amounts

If you are eligible for SSDI benefits, your amount is not based on how much income you have but on your average lifetime earnings before your disability began. The average SSDI payment amount for 2021 is about $1,277. The highest monthly SSDI payment you can receive in 2021 at full retirement age is $3,148. 

Why Is My SSDI Payment Low?

Your benefits amount may be reduced if you receive other disability payments such as a worker’s compensation settlement. Reductions like this are referred to as “offsets.” However, most other disability benefits will not affect your average SSDI payment, such as payments from private insurance or veterans benefits. If you haven’t worked many years, if you have gaps in your work history, or if you have several years with low earnings your benefit amount may be lower than average.  

Get Help Applying for SSDI Benefits Today

Applying for SSDI benefits is a challenging task and is best handled with the assistance of a skilled disability attorney. The SSDI lawyers at the Law Offices of Karen Kraus Bill will ensure your records are in order so your application is as strong as it can be. We will help you avoid unnecessary delays and increase your chances of winning the benefits you need and deserve. Call our office today to learn more or to schedule a free evaluation. 

The coronavirus has affected people worldwide, and this widespread virus has caused the rates of unemployment in the United States to skyrocket. Due to this, the U.S. government passed the CARES (Coronavirus Aid, Relief, and Economic Security) Act in 2020 and the Coronavirus Response and Relief Supplemental Appropriations Act of 2021. These are both meant to provide direct economic assistance for Americans who have been negatively affected by the COVID-19 pandemic. However, there are some limitations on who will receive stimulus money based on income level. So what do you need to know about SSDI, SSI, and stimulus checks? 

Who Is Eligible For The COVID-19 Stimulus Check?

The 2nd stimulus check was provided in the amounts of $600 per individual, $1,200 per couple, and $600 for children. Individuals with an adjusted gross income (AGI) that falls at or below $75,000, $112,500 for heads of household, or couples who earn below $150,000 are eligible to receive the COVID-19 relief funds. Those who earn above these amounts may still receive a stimulus check, but the amounts will be reduced. 

Will SSDI or SSI Affect My Stimulus Check?

Many people are wondering, “Am I eligible for the COVID-19 stimulus check if I also receive SSDI or SSI benefits?” If you participate in the SSDI or SSI programs, the IRS claims you should automatically be eligible to receive the stimulus money. If you received money on the first or second round of payments, you should qualify for future stimulus payments. However, if you were claimed as a dependant on someone else’s tax return, that could affect your eligibility. 

Will COVID-19 Stimulus Money Affect My Disability Benefits Eligibility?

The COVID-19 stimulus check will not count as income for SSI eligibility purposes, and there is no need to report it to the Social Security Administration as income. The money is also not taxable, so it also does not count as a resource as long as you spend the full amount within 12 months of receiving it. For those receiving SSDI benefits, the stimulus check should not affect eligibility. 

What If My Income Is Lower Than When I Filed My Last Tax Return?

If you had decreased income in 2020 due to the loss of a job and/or starting disability benefits, there is a chance you may not receive the next stimulus check. However, if you filed a 2019 tax return that is above the $75,000 or $150,000 threshold, but you are under that threshold upon filing your 2020 taxes, you could get your stimulus payment in the form of a rebate with a later tax return. This is referred to as a Recovery Rebate Credit. 

Beware of Stimulus Check Scams

Please be aware that the IRS will not contact you for personal financial information. Many scams surround the COVID-19 relief money and people have received phone calls from someone claiming to be from the Treasury Department or the IRS. The IRS will securely mail you a letter to your last known address approximately 15 days after your money was deposited into your account or mailed as a paper check. This letter will inform you of how the payment was made, and if you did not receive your payment, you can request a replacement check from the IRS. You can also check the status of your payment through the IRS website. 

Contact Us Today

If you or a loved one needs legal advice about SSI, SSDI, and stimulus checks for COVID-19 relief, please reach out to the Law Offices of Karen Kraus Bill today. Our team of experienced attorneys is available to help you get the money you deserve.

Are you dealing with health issues and financial uncertainty? You’re not alone. When you’ve become unable to work due to a health condition, you may need financial assistance to pay for your livelihood. Social Security Disability Insurance (SSDI) is an available resource for those needing financial assistance due to a disability. 

What is SSDI?

SSDI is considered an “entitlement program,” meaning it is available to those who have paid into social security and earned enough credits. By making their contribution to the Social Security fund, recipients of SSDI are considered “insured”. The Social Security Administration provides benefits to those who cannot work enough due to certain medical conditions. 

Who Can Qualify for SSDI?

SSDI is available for those individuals who are unable to work due to a physical or mental disability. There are a variety of impairments that qualify under SSDI. Some of them include disorders affecting the cardiovascular system or musculoskeletal system as well as neurological disorders and cancer. To be considered a candidate for SSDI, a person should be under the age of 65 and have earned a specific number of work credits, working at least 5 out of the last 10 years. 

How Much Money Can You Make And Still Get SSDI?

SSDI Income Limits

In general, SSDI recipients are unable to perform what the Social Security Administration refers to as “substantial gainful activity” (SGA). Substantial gainful activity means you can work enough to make more than $1,310 per month in 2021 or $2,190 if you’re blind. In general, SSDI payments will stop if you are earning more than those amounts. 

Working and SSDI Benefits

There are some exceptions to the SSDI income limitations. SSDI recipients can perform a trial work period during which they may be able to make more than the SGA amount and maintain SSDI benefits. Sometimes, during a one-month trial period, SSDI recipients can test their ability to work and continue to receive full benefits even if the amount earned exceeds SGA. 

Ticket to Work Program

Those who are looking to work toward financial independence and are also receiving SSDI benefits can sign up for the SSA’s Ticket to Work program. This program supports those ages 18 to 64 who want to work but are also Social Security disability beneficiaries. The program waives SGA earning limits, so recipients can go through the program and complete trial work while still receiving benefits. If a participant gets a job through the program, SSDI benefits will stop if the amount earned exceeds the SGA amount. 

Ready to Apply for SSDI?

If you think you might qualify for SSDI benefits and are ready to apply, contact the Law Offices of Karen Kraus Bill help. Our team of experienced disability attorneys is ready to assist you throughout the process. If you are unsure whether or not you will qualify for SSDI, we are happy to discuss your options and answer your questions. The Law Offices of Karen Kraus Bill can also help if you were previously denied SSDI benefits. Contact us today for more information or to schedule a free consultation. 

Many people qualifying for disability have one big question about the income they are going to be receiving. Is SSDI taxable? The question is not so simple to answer as it can vary based on your specific situation and location. Here is a breakdown of how taxable your SSDI may be.

Before receiving SSDI benefits, there are two major factors that must be in play to qualify for benefits. The first is the definition by which the government deems someone qualified to receive benefits:

First, the SSA says, “Your condition must significantly limit your ability to do basic work such as lifting, standing, walking, sitting, and remembering—for at least 12 months.” The condition must prevent you from doing the kind of work you did previously, and based on your age, education, experience, and transferable skills, you are unable to perform other work.

Additionally, you must have a pre-qualifying disability from the SSA’s Approved List and make less than $1310 in monthly wages.

SSDI has supported Americans since Social Security came into existence during the New Deal acts of the 1930s.

When do you pay Federal Tax for SSDI?

Generally, SSDI income is not taxable unless your federal taxable income is above a certain threshold. Currently, as of December 2020, the threshold for a single income amount that is not taxable is $25,000 and $32,000 when married and filing jointly.

State Tax Possibilities for SSDI

The above rules stand for federal taxation of SSDI, but what about State taxes? Historically, states have not taxed Social Security Income, including disability income. However, in recent years, some states have began implementing state-specific policies on how social security income is taxed. The following 13 states have their own policies in place:

  • Colorado
  • Connecticut
  • Kansas
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • New Mexico
  • North Dakota
  • Rhode Island
  • Utah
  • Vermont
  • West Virginia

The state regulations on social security income often mirror the Federal regulations and simply add a state-specific layer to the way your income is taxed, but in some states, the regulations and ruling can differ slightly.

How Are SSDI Taxes Calculated?

Your reported income for taxes does not necessarily include the entirety of your disability income. The way this is calculated is based on your other sources of income and a portion of your social security income. If your calculated total is below the threshold set in your state or federally, you will not receive any taxes on your disability income. Additionally, this means that if your disability benefits are increased for any reason, you would potentially get taxed on a portion of that increase.

All of this can be confusing to navigate. This is one of the many reasons people often seek council with an experienced attorney to help them make sure they take the best route possible for their specific needs.

Need Help Navigating SSDI and Taxes?

Many of the questions people have about the income they receive can blur the lines of legal support and accounting support. Let our experienced social security disability lawyers help! Our attorneys have specialized in Social Security Disability Income and SSI legal services for over 30 years and we are prepared to help you through the process! Schedule a free consultation with one of the experienced attorneys at the Law Offices of Karen Kraus Bill.

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.