Medical Conditions That Qualify For Disability Benefits
You may be wondering about the medical conditions that qualify for disability benefits? And whether your diagnosis is on that list? We give a list of medical conditions that qualify for disability below, but as you will learn, any medical condition can potentially qualify for disability benefits. However, the focus is always on the extent of the disability caused by your medical condition. And whether the extent of your disability meets the requirements for various disability benefits plans and programs.
This article lists common disabling conditions and reviews the eligibility criteria for various disability benefits in Canada. So, you can see if your medical condition qualifies for benefits.
Can You Apply For Benefits For Conditions That Are Not Listed
You can get SSD benefits for conditions not listed in the Blue Book. To receive payments, you must have proof of a medically determined impairment from a medical authority.
Your condition must also reduce your residual functional capacity enough that you cannot work.
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More Specific Conditions That Could Entitle You To Benefits
It is important to note that every applicant presents individual circumstances that could qualify or disqualify them for benefits. With this in mind, some of the specific conditions the SSA lists under its broader medical categories include:
- Depressive disorder
- Bipolar disorder
These are just some of the many conditions the SSA lists as potential prerequisites for receiving disability benefits through one or more federal programs. Additional context may be required to determine your eligibility and the number of benefits you could receive if you are eligible. As such, these conditions do not automatically qualify you for disability benefits.
Additional Information That May Impact Your Benefits Eligibility
The SSA outlines some of the requirements to apply for benefits under SSDI and SSI. They include:
- Having a condition that has prevented you from working for at least one year
- Being at least 18 years of age
Beyond these basic requirements, the SSA will request several types of information as part of your application. Your answers to these questions and your ability to provide various forms of documentation may directly impact your eligibility for benefits. Some questions on the Checklist for Online Adult Disability Application may ask about:
- The age you were at the time that you became disabled
- How many years you participated in the workforce before becoming disabled
- The nature and severity of the medical condition that causes you to be disabled
- Your marital status
- Whether you have any dependents
- Whether you can complete any type of work to earn an income
- Your education and work history
Your ability to provide thorough documentation about the nature of your medical condition and the date of the conditions onset is essential in determining your eligibility for benefits through SSDI and SSI.
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E How Do We Document And Evaluate Immune Deficiency Disorders Excluding Hiv Infection
a. Immune deficiency disorders can be classified as:
Primary for example, X-linked agammaglobulinemia, thymic hypoplasia , severe combined immunodeficiency , chronic granulomatous disease , C1 esterase inhibitor deficiency.
Acquired for example, medication-related.
b. Primary immune deficiency disorders are seen mainly in children. However, recent advances in the treatment of these disorders have allowed many affected children to survive well into adulthood. Occasionally, these disorders are first diagnosed in adolescence or adulthood.
2. Documentation of immune deficiency disorders. The medical evidence must include documentation of the specific type of immune deficiency. Documentation may be by laboratory evidence or by other generally acceptable methods consistent with the prevailing state of medical knowledge and clinical practice.
3. Immune deficiency disorders treated by stem cell transplantation.
a. Evaluation in the first 12 months. If you undergo stem cell transplantation for your immune deficiency disorder, we will consider you disabled until at least 12 months from the date of the transplant.
b. Evaluation after the 12-month period has elapsed. After the 12-month period has elapsed, we will consider any residuals of your immune deficiency disorder as well as any residual impairment resulting from the treatment, such as complications arising from:
Immunosuppressant therapy, such as frequent infections.
Listed And Unlisted Conditions Must Be Severe
Whether the SSA has or hasnt listed your impairment, you will need more than a diagnosis to qualify for disability benefits. For listed conditions, your diagnosis and medical records must match the SSAs requirements for that specific condition. The medical evidence you present must align with the symptoms, signs, and other criteria for that impairment. If you dont meet all the requirements of a listed condition, you can still present your medical evidence. The SSA can review it and determine if its severity is equal to an impairment it considers severe.
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What Is An Equivalent Va Disability
An Equivalent VA disability is a general term for conditions that have multiple names. Listed below are some of the most common conditions that go by other names.
- Adrenal cortical hypofunction is the same as Addisons disease, code 7911.
- Aminoaciduria is a renal tubular disorder, code 7532.
- Anaphylaxis is the same as angioneurotic edema, code 7118.
- Angioedema is the same as angioneurotic edema, code 7118.
- Anthracosis is the same as pneumoconiosis, code 6832.
- Antheroembolic renal disease is the same as atherosclerotic renal disease, code 7534.
- Atherosclerotic heart disease is the same as arteriosclerotic heart disease, code 7005.
- Bartters syndrome is a renal tubular disorder, code 7532.
- Benign chronic familial pemphigus is a type of bullous disorder, code 7815.
- Birmingham Hip Resurfacing is a type of hip replacement surgery, code 5054.
- Buergers Disease is the same as thrombo-angiitis obliterans, code 7115.
- Bullous pemphigoid is a type of bullous disorder, code 7815.
- Calcinosis cutis is a type of collagen-vascular disease, code 7821.
- Cardiospasms are the same as spasms of the esophagus, code 7204.
- Choroidal nevus is a type of benign neoplasm of the eye, code 6015.
- Choroiditis is a form of choroidopathy, code 6000.
- Coronary artery disease is the same as arteriosclerotic heart disease, code 7005.
- Cyclitis is a form of choroidopathy, code 6000.
- Dacryocystitis is a disorder of the lacrimal apparatus, code 6025.
- Dariers disease is a disease of keratinization, code 7824.
Social Security Disability Conditions
There is an enormous amount of disabling conditions that qualify applicants for disability benefits. The Blue Book is the manual used by the Social Security Administration to define what qualifies a disabling condition for disability benefits. If your condition is not listed in the Social Security Administrations Bluebook, you may still qualify if your condition prevents you from achieving sustainable gainful activity and you are expected to be unable to work for at least 12 months.
The Disability Care Centers team of experienced disability advocates has created a comprehensive list of illnesses and conditions recognized by the SSA. Our team describes the general restrictions and requirements needed for each condition to qualify. Each condition has its own specifications for qualification. Typically every disabling condition needs to prevent the applicant from working, has or will last longer than 12 months, and needs to be recognized by a doctor with substantial evidence.
If you would like to know if your condition qualifies for disability benefits, look for your condition below. If your condition is not listed, do not worry as your condition may still qualify. Please call the Disability Care Center if you would to know if your condition qualifies for benefits.
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Adults With A Disability That Began Before Age 22
An adult who has a disability that began before age 22 may be eligible for benefits if their parent is deceased or starts receiving retirement or disability benefits. We consider this a “child’s” benefit because it is paid on a parent’s Social Security earnings record.
The Disabled Adult Child who may be an adopted child, or, in some cases, a stepchild, grandchild, or step grandchild must be unmarried, age 18 or older, have a qualified disability that started before age 22, and meet the definition of disability for adults.
It is not necessary that the DAC ever worked. Benefits are paid based on the parent’s earnings record.
- A DAC must not have substantial earnings. The amount of earnings we consider substantial increases each year. In 2022, this means working and earning more than $1,350 a month.
What Medical Conditions Qualify For Disability Benefits
Any medical condition can qualify for disability benefits. Generally speaking, most disability benefits programs in Canada do not give-out benefits based on a medical diagnosis. Instead, they provide benefits based on the level of disability caused by the medical condition. In other words, the level of disability caused by your medical condition is always the focus, not the diagnosis. To qualify for benefits, you must show that the level of disability from your medical condition meets the eligibility criteria of the disability benefits plan in question.
In the next section, we list the common medical conditions that qualify for disability benefits. For each of these conditions, we discuss the unique challenges you may face.
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On Employment And Job
Title I of the Americans with Disabilities Act involves an individual with a disability and employment, specifically in the following areas:
- Job application procedures
The ADA establishes guidelines for employers to follow, ensuring protection for employees and job applicants with a disability. The ADA requires employers to provide reasonable accommodation to qualified employees and job applicants.
What is a reasonable accommodation?
A reasonable accommodation would help enable a person with a disability to perform the essential functions of the job. This may be in a form of technical assistance that allows a job applicant or employee to accomplish job functions.
This portion of the law is regulated and enforced by the Equal Employment Opportunity Commission.
An exemption to this guideline is when said reasonable accommodation would affect the company. An employer may consider this before providing reasonable accommodation, especially in cases where it may produce undue hardship for the companys reputation and operations.
What Are Considered As Disabilities Under The Ada
Although the ADA provides a definition of disability, there are no regulations stating all the specific conditions considered as physical or mental impairments in the ADA. Due to the possibility of new disorders in the future, it will be difficult to come up with a definitive and updated list of specific conditions that classify as a disability.
The ADA mentioned some examples of impairments considered as disabilities. These conditions are the following:
- AIDS, HIV and its symptoms
- Sprained joints
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What Are Gynecological Conditions And Disorders Of The Breasts For Va Rating Purposes
7610 Vulva or clitoris, disease or injury of .
7612 Cervix, disease or injury.
7613 Uterus, disease or injury.
7614 Fallopian tube, disease or injury.
7615 Ovary, disease or injury.
7617 Uterus and both ovaries, removal.
7618 Uterus, removal.
7619 Ovary, removal.
7620 Ovaries, atrophy of both.
7621 Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy.
7624 Fistula, rectovaginal.
Hiring A Lawyer For Va Disability Benefits
Since 1985, Woods & Woods has successfully represented thousands of injured and disabled people. Our veterans disability lawyers never charge a penny for VA disability benefits help unless you win your appeal. There is never a fee for help with the application process. We offer free claim evaluations to anyone who has questions. We are here to help.
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Organic Diseases Of The Central Nervous System
8000 Encephalitis, epidemic, chronic.
8210 Tenth , paralysis.
8211 Eleventh , paralysis.
8212 Twelfth , paralysis.
8305 Neuritis, fifth cranial nerve.
8307 Neuritis, seventh cranial nerve.
8309 Neuritis, ninth cranial nerve.
8310 Neuritis, tenth cranial nerve.
8311 Neuritis, eleventh cranial nerve.
8312 Neuritis, twelfth cranial nerve.
8405 Neuralgia, fifth cranial nerve.
8407 Neuralgia, seventh cranial nerve.
8409 Neuralgia, ninth cranial nerve.
8410 Neuralgia, tenth cranial nerve.
8411 Neuralgia, eleventh cranial nerve.
8412 Neuralgia, twelfth cranial nerve.
Which Medical Conditions Are Likely To Qualify For Disability
While any of the above medical conditions are 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. The conditions most likely to get approved were multiple sclerosis and some types of cancers. Respiratory disorders and joint disease were also high on the list. For the details, see our article on survey statistics on getting Social Security disability for common medical conditions.
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How Do You Prove That You Have A Qualifying Condition
When considering an SSD claim, the SSA asks five questions:
An essential element to a successful SSD claim is medical evidence. You will need to see a qualified healthcare provider for a diagnosis. Proof of your condition may include:
- Treatment reports
Va Compensation For Physical Disabilities
Veterans who are eligible for VA disability benefits may be able to receive more than $3,332.06 a month. Veterans who have physical disabilities may also be eligible to receive monthly compensation for dependent children and parents. The amount of money you receive from the Veterans Administration will depend upon your VA disability rating.
Lots of veterans who win their VA disability benefits are owed back pay. Your effective date will determine when you should have started receiving money for your physical conditions. Many veterans find that their effective date was years before they were approved VA disability benefits, which means they receive a considerable sum from the Veterans Administration.
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Other Criteria In Determining Disability
The list of impairments is only one aspect of determining whether you have a disability. You can still be classified as disabled even if you do not suffer from a specific condition on the list. That, however, is dependent on a multi-step review in which evaluators will consider a number of significant questions:
- Are you working?
- Is your condition on the list of disabling impairments?
- Can you do the work you did previously?
- Can you do other types of work?
The program maintains special rules for individuals affected by blindness and may offer benefits for disabled widows or widowers and children.
It is important to note that SSDI only applies in the case of a total disability. The program does not provide benefits in connection with short and partial-term disabilities. However, the program pays benefits to everyone who qualifies, regardless of need.
Determining whether you qualify for disability benefits can be confusing and frustrating. The attorneys at Goodman Acker can help guide you through the process and recommend your best course of action.
What Is The Musculoskeletal System For Va Rating Purposes
Your musculoskeletal system includes your bones, cartilage, ligaments, tendons, and connective tissues. Your skeleton is the foundational structure for your muscles and other soft tissues. All these parts work together to support your body weight, maintain your posture, and help you move.
Below is a complete list of VA disabilities for the musculoskeletal system, listed in order by Diagnostic Code from CFR Title 38, Part 4, the Schedule for Rating Disabilities.
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What Is The Americans With Disabilities Act
The Americans with Disabilities Act of 1990 is a civil rights law which prohibits discrimination among people with disabilities. The ADA protects individuals with a disability in all aspects of public life namely employment, transportation, public accommodation, communications, and access to state and local government programs and services. The Americans with Disabilities Act prohibits discrimination of any person with a disability, ensuring equal opportunities for everybody, especially people with disabilities.
The Basics About Disability Benefits
The SSDI program pays benefits to you and certain if you are insured. This means that you worked long enough and recently enough – and paid Social Security taxes on your earnings. The SSI program pays benefits to adults and children who meet our requirements for a qualifying disability and have limited income and resources.
While these two programs are different, the medical requirements are the same. If you meet the nonmedical requirements, monthly benefits are paid if you have a medical condition expected to last at least one year or result in death.
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Talk To An Attorney About Your Disability Claim
The reality is the Social Security Administration recognizes many different conditions, and the right legal guidance can make the difference in your case. Our team at Marc Whitehead & Associates could help you fight for a fair outcome in your disability claim. This is true even if your initial claim was denied. We can handle every aspect of your appeal. Reach out as soon as possible for your confidential consultation.
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What Is The Difference Between Activity Limitation And Participation Restriction
The World Health Organization published the International Classification of Functioning, Disability and Health in 2001. The ICF provides a standard language for classifying body function and structure, activity, participation levels, and conditions in the world around us that influence health. This description helps to assess the health, functioning, activities, and factors in the environment that either help or create barriers for people to fully participate in society.
According to the ICF:
- Activity is the execution of a task or action by an individual.
- Participation is a persons involvement in a life situation.
The ICF acknowledges that the distinction between these two categories is somewhat unclear and combines them, although basically, activities take place at a personal level and participation involves engagement in life roles, such as employment, education, or relationships. Activity limitations and participation restrictions have to do with difficulties an individual experiences in performing tasks and engaging in social roles. Activities and participation can be made easier or more difficult as a result of environmental factors, such as technology, support and relationships, services, policies, or the beliefs of others.
The ICF includes the following in the categories of activities and participation:
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