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How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay

What are the requirements and criteria for Social Security Disability?



 
Eligibility for Social Security Disability and SSI benefits can be considered in two separate ways.

First, is the individual actually insured for SSD? In other words, has the person worked enough to achieve eligibility to apply for Social Security Disability?

If the person has (and in most cases, for an adult with a history of employment, this will be true), then the issue will be whether or not the person meets the eligibility requirements of the social security administration's disability program.

What are the requirements and criteria for Social Security Disability? The definition used by SSA is fairly obtuse, but this is what it boils down to. To be awarded disability benefits, a claimant must:

Criteria 1. Have a condition (physical or mental or both) that is considered severe. For claims in which there is only a non-severe impairment, the claim will be denied on this basis. How is the determination made as to whether an impairment is severe or non-severe? This is, to some extent, a subjective determination. However, to use a loose example, arthritis or asthma or degenerative disc disease would all be considered severe impairments, while a sprained wrist would not.



Criteria 2. Have a condition, physical or mental, which lasts for at least a year. Does this mean that the condition must last at least twelve months before a person can apply for disability? No, if the condition has not existed for at least twelve months at the time of application, when the case is evaluated, a projection will be made as to whether or not the condition will last this long. In cases where it is decided that a claimant's condition will not last at least this long, the claim may be denied on the basis of duration (failure to satisfy the minimum time period).

In addition to these requirements, there are additional requirements that determine an individual's eligibility for Social Security Disability benefits. After a claimant's medical records have been examined, the determination will be made as to whether or not the claimant can:

A. Return to their past work.

B. Perform some other type of work.

Even if an applicant for Social Security Disability has a severe impairment that has lasted, or can be projected to last, at least 12 months, if the determination is made that they can return to their past work, they will be denied for benefits. What is past work? Past work can actually include any job that the claimant performed for a year or longer within the last 15 years.

If it is decided that a person cannot return to their past work, the next step will be to decide whether or not it is possible for them to do some "other type of work". This is, very often, how applicants for Social Security Disability are denied.

What is "other work"? Other work can include a wide range of jobs for which a person might be eligible to perform based on their age, education, work skills, the transferrability of their work skills, and the current limitations they have as a result of their medical or mental condition or conditions.

When a disability case is denied at the application or reconsideration/review stage on the basis that they can do other work, there is nothing a claimant can do about this, other than to appeal the decision.

However, when a claimant gets to a disability hearing before a judge, the lawyer that handles their case can present the argument that A. they are incapable of returning to their past work and B. they are incapable of doing other work. When a representative or lawyer successfully makes this argument, a claimant will meet the program criteria and eligibility requirements and be approved for disability benefits.








Essential Questions

What is the Social Security Disability SSI list of impairments?

Can you work while getting or applying for Disability?

How Often Does Social Security Approve Disability The First Time You Apply?

Tips for getting Social Security Disability or SSI benefits approved

What medical conditions will get you approved for disability?

What kind of Mental Problems Qualify for Disability?

Receiving a Disability Award Letter

Conditions Social Security will recognize as a disability

Previously answered questions regarding SSD and SSI

Applying for disability in your state



Most popular topics on SSDRC.com

Social Security Disability SSI Questions

The listings, list of disabling impairments

Can a mental illness qualify you for disability?

Disability Lawyers prevent unnecessary denials

How much Social Security Disability SSI back pay?

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Filing a Social Security Disability SSI application

Filing for disability - when to file

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How to Prove you are disabled and Win your Disability Benefits

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Related pages:

Disability Criteria - Eligibility For Social Security and SSI Disability
Eligibility Requirements and Criteria to Qualify for disability
Social Security Disability SSI Criteria and the Evaluation Process
The Social Security Disability Approval Process and the Criteria for Decisions
How does SSA determine if a claim will be a denial or an approval?
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These pages provide answers to basic questions about pursuing disability benefits

How to file for disability, filing tips
What to Prove to Qualify for Disability Benefits
Applying for disability benefits, SSI and SSDI
What Disabilities Qualify for SSI and Social Security Disability?
Will you get disability back pay?
Social Security Disability And SSI Qualifications
Permanent Disability Qualifications for SSD and SSI
Social Security Disability SSI status
Disability lawyer representation, finding lawyers
Who will qualify for disability and what qualifying is based on
Qualifications for Disability Benefits
Important points about filing for disability
How long does it take to get disability after applying?
Am I Eligible For Social Security Disability?
Who is eligible for SSI disability?
How to get disability in Florida








For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.

The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.

To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.