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Social Security Disability Representatives
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Social Security Disability Benefits Information

Chef in uniform holding his ankle, appearing to be in pain in a kitchen.

Social Security Disability Benefits

To qualify for Social Security Disability (SSD) benefits, an applicant must meet two main requirements: a sufficient work history and a qualifying disability. These criteria are essential for securing Disability Benefits and may also affect eligibility for Supplemental Security Income.

Work History Requirement

Social Security Disability benefits are available to individuals who have worked and contributed to the Social Security system through payroll taxes. Generally, to qualify for Social Security Disability, you must have earned enough work credits, which depend on your age and the duration of your work history prior to becoming disabled. Younger workers may qualify for Disability Benefits with fewer credits, while older workers typically require a more extensive work history. Even if you're uncertain about your eligibility for Supplemental Security Income or other benefits, it is often beneficial to apply or consult with a qualified representative to assess your situation.

Disability Requirements

To qualify for Social Security Disability (SSD) benefits, a disability must meet both of these conditions: 


The inability to engage in any substantial gainful activity due to any medically determinable physical or mental impairments, which can be expected to result in death, or has lasted or is expected to last for a continuous period of 12 months or more; and 


The impairment must be of such severity that the claimant is unable to perform previous work. After considering age, education, and past work experience, the claimant is not able to engage in any other substantial gainful work that exists in the national economy, regardless of whether such work is available in the immediate area where the claimant lives, whether a specific job vacancy exists for the claimant, or whether the claimant would be hired if he/she applied for work. Additionally, individuals may also consider Supplemental Security Income (SSI) if they do not meet the requirements for Social Security Disability.

Examples of Medical Conditions that may Qualify for Benefits

Many medical conditions can qualify for Social Security Disability benefits if they prevent you from working for at least 12 months. Below are examples of conditions that may qualify for these benefits:


Disability Due to Back Pain. Chronic back pain, including conditions such as herniated discs, degenerative disc disease, spinal stenosis, or nerve damage, may qualify for Social Security Disability if the pain significantly limits your ability to stand, walk, sit, lift, or perform daily work activities. Strong medical documentation is especially important in these cases.


Disability Due to Mental Health Conditions. Mental health conditions such as depression, anxiety, bipolar disorder, PTSD, and other psychiatric disorders can qualify for disability benefits when they interfere with concentration, memory, social interaction, or the ability to maintain consistent employment. Ongoing treatment records and professional evaluations are key to supporting these claims for Supplemental Security Income.


Disability Due to Cancer. Many forms of cancer may qualify for Social Security Disability benefits, particularly when treatment, side effects, or complications prevent a person from working. Some cancers may qualify for expedited processing depending on severity, diagnosis, and prognosis.


Other qualifying disabilities may include (but are not limited to) the following list of impairments:


1. Physical Conditions:

- Chronic heart failure

- Chronic liver disease

- Kidney failure

- Cystic fibrosis

- Multiple sclerosis (MS)

- Severe arthritis or joint problems

- Chronic obstructive pulmonary disease (COPD)

- Blood clotting or bleeding disorders


2. Mental Health Conditions:

- Schizophrenia

- Bipolar disorder

- Severe depression

- Anxiety disorders

Factors that determine your eligibility for SSD benefits

1. Work Credits:


Social Security Disability benefits are based on your work history. You need to have worked enough years and paid Social Security taxes to earn your "work credits." Without sufficient work credits, you may not qualify for Disability Benefits, even if you are disabled.


2. Medical Condition (Impairment):


To qualify for Supplemental Security Income or Social Security Disability, the impairment must last at least 12 months or be expected to result in death. This requirement ensures that only serious, long-term disabilities are eligible.


3. Nature and Extent of Impairment:


The SSA evaluates the severity of your disability. They review your medical records, doctor reports, and may sometimes require additional exams to determine the extent of your impairment.


4. Ability to Work (Substantial Gainful Activity - SGA):


If you can still perform work and earn above a certain limit, you may not qualify for Disability Benefits. "Substantial Gainful Activity" is the SSA’s term for work that earns enough money to be considered self-supporting.


5. Date of Disability:


The SSA determines the exact date your disability began. This date is crucial for calculating when your benefits will start.

Family Benefits

Your family may receive Disability Benefits if they rely on you or if you’ve passed away. For family members of a deceased worker with sufficient work credits, eligible spouses and children can also receive Social Security Disability benefits. The amounts depend on the worker’s earnings. 


Navigating SSD claims can be tricky and often requires careful preparation. Seeking help can significantly improve the chances of your claim for Supplemental Security Income being approved.

You may be eligible for SSD Benefits if you can answer YES to one or more of the following questions

Severe Impairment. Do you have a serious physical or mental condition that prevents you from performing any type of gainful employment and affects your eligibility for Disability Benefits? 


Work Limitation. Does your disability prevent you from working any job, not just your previous work, making you eligible for Social Security Disability? 


Duration. Has your disability lasted at least 12 months, or is it expected to last that long, qualifying you for Supplemental Security Income? 


Life-Threatening Condition. Is your disability expected to result in death, impacting your access to disability support?

5-Step Disability Determination Process

To qualify for Disability Benefits, the Social Security Administration (SSA) evaluates these five crucial questions in order:


1. Substantial Gainful Activity (SGA)


Are your monthly earnings below the SGA limit? If your income exceeds this threshold, SSA may deny your claim for Social Security Disability, as you might be deemed capable of working.


2. Severe Impairment


Do you suffer from a serious medical condition that significantly limits your ability to perform work-related tasks? Generally, minor or temporary impairments do not qualify for Supplemental Security Income.


3. Listed Impairment


Is your condition included on SSA’s list of impairments that automatically qualify for disability benefits? If your condition is listed, you may find it easier to gain approval; if not, SSA will evaluate the severity of your condition further.


4. Past Relevant Work


Can you still perform the work you have done in the past? If the answer is yes, you are usually not considered disabled; if no, you will move to the next step.


5. Other Work


Taking into account your age, education, and work experience, can you engage in any other work available in the national economy? SSA examines whether jobs exist anywhere in the country, not limited to your local area. If you cannot find such work, you may qualify for SSD benefits.


This step-by-step process can be complex and confusing. If you fail at any step, SSA may deny your claim, which is why seeking guidance from a lawyer or advocate can be very beneficial.

Supplemental Security Income (SSI) benefits information

Female doctor in pain holding her lower back in a medical setting.

Supplemental Security Income Benefits (SSI)

Supplemental Security Income (SSI) benefits are a needs-based program aimed at assisting individuals with disabilities who have limited income and resources. Unlike Social Security Disability (SSDI), SSI does not require a work history, making it an essential source of disability benefits for those in need.

Financial Need Requirement

To qualify for Supplemental Security Income (SSI), applicants must meet strict financial guidelines set by the Social Security Administration. This includes limits on: income, such as wages, pensions, or other benefits, and resources, including cash, bank accounts, and certain assets. Some items—like a primary home and one vehicle—are typically not counted. Even if you believe your income or resources may be too high, it is still worth seeking guidance, as many people qualify for Disability Benefits, including Social Security Disability, without realizing it.

Disability Requirement

To qualify for Supplemental Security Income (SSI), you must meet Social Security’s definition of disability. This entails having a physical or mental condition that:  


- Prevents you from working, and  

- Has lasted or is expected to last at least 12 months, or could result in death.  


These criteria are essential for accessing Disability Benefits through Social Security Disability.

Factors That Determine SSI Eligibility

1. Income Limit


To qualify for Supplemental Security Income (SSI), which is a need-based program, your household income must be below the SSI limit. This includes wages, benefits, and sometimes support from family members.


2. Medical Condition (Impairment)


To be eligible for Social Security Disability benefits, you must have a disability, blindness, or an age-related limitation. The impairment must last at least 12 months or be expected to result in death.


3. Nature and Extent of Impairment


The Social Security Administration (SSA) evaluates the severity of your impairment to determine your eligibility for disability benefits. Medical evidence must demonstrate that your condition prevents you from working.


4. Ability to Work (Substantial Gainful Activity – SGA)


If you can perform work that earns above a certain threshold, you may not qualify for Social Security Disability benefits. SGA is a standard the SSA uses to assess if someone can support themselves through work.


5. Date of Disability


The SSA establishes the exact date your disability began, which impacts when your benefits will start.

Common Reasons for Denial

Rules surrounding Disability Benefits can be complex, and the associated paperwork may often be confusing. Incomplete documentation, such as missing medical records, proof of income, or other essential details, can hinder access to Social Security Disability or Supplemental Security Income. Additionally, there are common misunderstandings about financial eligibility, including income and resources from family or other benefits.

Why Guidance Matters

Understanding both the medical and financial requirements can significantly increase your chances of approval for Disability Benefits, including Social Security Disability and Supplemental Security Income.

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