What Medical Conditions Qualify for Social Security Disability or SSI?
Here’s what you need to know about whether your medical condition will qualify for disability and how to apply for 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.
What Medical Conditions Are Listed?
The listing manual, which has been updated for 2020, includes:
- musculoskeletal problems, such as back injuries
- cardiovascular conditions, such as heart failure or coronary artery disease
- senses and speech issues, such as vision and hearing loss
- respiratory illnesses, such as COPD or asthma
- neurological disorders, such as MS, cerebral palsy, Parkinson’s disease, or epilepsy
- mental disorders, such as depression, anxiety, autism, or intellectual disorder
- immune system disorders, such as HIV/AIDS, lupus, and rheumatoid arthritis
- various syndromes, such as Sjogren’s Syndrome and Marfan Syndrome
- skin disorders, such as dermatitis
- digestive tract problems, such as liver disease or IBD
- kidney disease and genitourinary problems
- cancer, and
- hematological disorders, such as hemolytic anemias and disorders of bone marrow failure
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.
How Do You Get Disability for Listed Medical Conditions?
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. 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). For all other conditions, the next step is to determine if your medical condition meets the specific criteria for that condition. 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.
If you haven’t had the clinical or laboratory tests required in the listing, you can ask your doctor to perform them. Or you can wait for the SSA to pay for a consultative exam, but this makes your claim take longer. It’s generally better if the test results are already in your medical record before you apply. 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.
Does a Medical Condition Have to Match the Blue Book Listing?
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. 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. This is called “equaling a disability listing.” (According to recent government statistics, 37% of all approved disability applications “met” a listing and only 6% “equaled” a listing.)
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 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. For more information, see our section on how Social Security decides if your limitations make you disabled. (In a recent year, half of all approved disability applications were approved based on an assessment of applicants’ limitations.)
Does a Medical Condition Have to Be in the Blue Book?
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. 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. 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. In this case, an applicant could qualify for benefits under a medical-vocational allowance. 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.
Which Medical Conditions Are Likely to Qualify for Disability?
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. We recently surveyed our readers about their experiences in applying for disability benefits and compared their answers to government statistics. For details, see our article on survey statistics on getting Social Security disability for common medical conditions.
How Do You Apply for Disability Benefits?
There are three ways to apply for Social Security benefits:
- file online at www.ssa.gov/applyfordisability (but note that online filing isn’t available to most SSI applicants)
- call the Social Security office at 800-772-1213 for an appointment to apply, or
- go to your local Social Security office without an appointment.
Before you apply, make sure you have the names and addresses of all doctors and clinics you’ve visited over the last five years. Applying for benefits involves much more than filling out the disability application. Your first step should be making sure that you have sufficient medical records for Social Security to make a decision on your claim. 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. If your doctor agrees, it’s time to apply for disability benefits.
If you haven’t been seeing a doctor, it’s time to start. 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. Once you’ve had several doctors’ appointments, ask if your doctor thinks your limitations are disabling and about your long-term prospects for work. Only then should you apply for disability.
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Berlin (/bɜːrˈlɪn/; German: [bɛʁˈliːn] (listen)) is the capital and largest city of Germany by both area and population. Its 3,769,495 (2019) inhabitants make it the most populous city proper of the European Union. The city is one of Germany’s 16 federal states. It is surrounded by the state of Brandenburg, and contiguous with Potsdam, Brandenburg’s capital. The two cities are at the center of the Berlin-Brandenburg capital region, which is, with about six million inhabitants and an area of more than 30,000 km2, Germany’s third-largest metropolitan region after the Rhine-Ruhr and Rhine-Main regions.
Berlin straddles the banks of the River Spree, which flows into the River Havel (a tributary of the River Elbe) in the western borough of Spandau. Among the city’s main topographical features are the many lakes in the western and southeastern boroughs formed by the Spree, Havel, and Dahme rivers (the largest of which is Lake Müggelsee). Due to its location in the European Plain, Berlin is influenced by a temperate seasonal climate. About one-third of the city’s area is composed of forests, parks, gardens, rivers, canals and lakes. The city lies in the Central German dialect area, the Berlin dialect being a variant of the Lusatian-New Marchian dialects.
First documented in the 13th century and situated at the crossing of two important historic trade routes, Berlin became the capital of the Margraviate of Brandenburg (1417–1701), the Kingdom of Prussia (1701–1918), the German Empire (1871–1918), the Weimar Republic (1919–1933), and the Third Reich (1933–1945). Berlin in the 1920s was the third-largest municipality in the world. After World War II and its subsequent occupation by the victorious countries, the city was divided; West Berlin became a de facto West German exclave, surrounded by the Berlin Wall (1961–1989) and East German territory. East Berlin was declared capital of East Germany, while Bonn became the West German capital. Following German reunification in 1990, Berlin once again became the capital of all of Germany.
Berlin is a world city of culture, politics, media and science. Its economy is based on high-tech firms and the service sector, encompassing a diverse range of creative industries, research facilities, media corporations and convention venues. Berlin serves as a continental hub for air and rail traffic and has a highly complex public transportation network. The metropolis is a popular tourist destination. Significant industries also include IT, pharmaceuticals, biomedical engineering, clean tech, biotechnology, construction and electronics.
Berlin is home to world-renowned universities such as the Humboldt Universität zu Berlin (HU Berlin), the Technische Universität Berlin (TU Berlin), the Freie Universität Berlin (Free University of Berlin), the Universität der Künste (University of the Arts, UdK) and the Berlin School of Economics and Law. Its Zoological Garden is the most visited zoo in Europe and one of the most popular worldwide. With the world’s oldest large-scale movie studio complex, Berlin is an increasingly popular location for international film productions. The city is well known for its festivals, diverse architecture, nightlife, contemporary arts and a very high quality of living. Since the 2000s Berlin has seen the emergence of a cosmopolitan entrepreneurial scene.
Berlin contains three World Heritage Sites: Museum Island; the Palaces and Parks of Potsdam and Berlin; and the Berlin Modernism Housing Estates. Other landmarks include the Brandenburg Gate, the Reichstag building, Potsdamer Platz, the Memorial to the Murdered Jews of Europe, the Berlin Wall Memorial, the East Side Gallery, the Berlin Victory Column, Berlin Cathedral and the Berlin Television Tower, the tallest structure in Germany. Berlin has numerous museums, galleries, libraries, orchestras and sporting events. These include the Old National Gallery, the Bode Museum, the Pergamon Museum, the German Historical Museum, the Jewish Museum Berlin, the Natural History Museum, the Humboldt Forum, which is scheduled to open in late 2020, the Berlin State Library, the Berlin Philharmonic and the Berlin Marathon.
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