Social Security Disability Resource Center
What makes you eligible for Social Security Disability or SSI?
The decision on your disability case--either a disability award or a denial of your claim--will be made on the basis of three types of evidence which may make an applicant eligible for Social Security Disability (SSD) or Supplemental Security income (SSI) benefits: medical evidence, work history or academic performance information (for child applicants), and information about a person's normal daily activities.
1. Medical evidence - This includes all the records that are obtained by the Social security administration from your treatment providers, including admission and discharge summaries, reports of bloodwork, imaging (CT scans, xrays, PET scans, and MRI scans), and the notes made by your specific doctors, particularly the doctor who would be considered your treating physician.
If your claim is based on a mental disorder, of course, your psychiatrist would be considered your treating physician.
Medical evidence, at the disability application and reconsideration appeal levels, is generally confined to just medical records. However, at the social security hearing level, it usually includes (assuming the claimant's disability attorney or disability representative is competent and experienced) a statement from the treating physician on something known as an residual functional capacity form or medical source statement.
2. Work history or Academic performance information - For adults who are attempting to qualify for disability, the second area of information that will come under consideration will be related to their work history. What this essentially means is that a disability examiner will review the claimant's relevant work history (jobs worked in the prior fifteen years) and try to determine if the claimant has the ability to go back to one of those jobs, or perform some type of other work based on their various skills and training.
For children whose parents are filing for SSI disability for them, work history, obviously, is not an issue. But the child's ability to engage in age-appropriate activities is. And, therefore, social security will evaluate how the child is performing in school. This will mean that a disability examiner will try to obtain school records, reports of academic achievement testing and IQ testing, and sometimes questionaires completed by the child's teachers.
3. Information about the claimant's ADLs, or activities of daily living - Normal daily activities are considered by SSA (the social security administration) to provide insight into whether or not a person can engage in work activity (or, for children, age-appropriate activities).
For example, if a person has degenerative disc disease, it would be normal to expect that they might have difficulty remaining in one type of standing or sitting position for very long, or difficult bending or crouching, or lifting objects above a certain weight. If their prior employment required them to engage in these types of physical activities, they may no longer have the ability to return to that type of job, or do any other type of job that utilizes such activities.
The question becomes, how will the social security administration know if an individual has a certain type of limitation, or set of limitations? Simply being diagnosed with a certain impairment is generally not proof, in and of itself. And while medical records provide the bulk of the evidence used on a case, very often the records recorded by physicians do not make mention of specific physical limitations or mental limitations.
For this reason, then, disability examiners will usually contact a claimant and ask them about their normal daily activities. They may do this by sending out a questionaire for the claimant to complete and return, or they may call the claimant directly. They may also (and often do) contact an individual who knows the claimant-called a third-party contact person-and this person is usually supplied at the time the claimant files for disability.
Continued at: Part II: What makes a person eligible to receive disability benefits?
Social Security Disability and SSI Resource Center
The Most Basic questions about Getting Disability Benefits
Social Security Disability and SSI Back Pay Benefits
Social Security Disability SSI and whether or not you can work
How long does it take for Social Security Disability or SSI?
Social Security Disability SSI Awards and Award Notices
Tips, Mistakes, How to Qualify, and How to Win Disability
Tips and Advice for Social Security Disability and SSI Claims
Common Mistakes to avoid after being denied for Disability
Disability Qualifications and How to Qualify for Disability Benefits
Winning Social Security Disability or SSI, How to Win
Denials, Appeals, and Getting a Disability Lawyer or Representative
What you should know about Social Security Disability and SSI Denials
Social Security Disability and SSI Appeal Process - How to file appeals
Questions about Disability Lawyers and Hiring a Disability Attorney
Various Types of Benefits including SSI, Mental, and Child benefits
SSI Disability Benefits, Questions and Answers
Social Security and SSI based on Mental Disability
Social Security Disability or SSI Benefits for Children
Disability Benefits through Social Security
Information to start with regarding Disability Claims
An Overview of Social Security Disability and SSI
What is considered a Disabling condition by Social Security?
The Disability Requirements to be eligible for SSD and SSI Benefits
Filing for Social Security Disability or SSI Benefits
Social Security Disability and SSI Applications
Social Security Disability SSI List of Conditions and Impairments
Social Security Disability SSI: Medical Evidence and Records
Filing your claim for disability benefits
Eligibility for receiving disability benefits
Resources on this site
Social Security Disability, SSI Terms and Definitions
Previously answered questions regarding SSD and SSI
About the Author of SSDRC, Tim Moore
The SSDRC Disability Blog
For Individuals living in North Carolina
Disability in North Carolina
North Carolina Disability Lawyer
Getting disability in North Carolina
When does social security consider you eligible for disability benefits?
Who is eligible for SSI Disability?
Disability Criteria - Eligibility For Social Security and SSI Disability
Can I Be Eligible For SSI And Social Security Disability At The Same Time?
Social Security Disability and SSI Mental Claims and Criteria
Can you apply for disability on the basis of multiple health problems?
What makes a person eligible to receive disability benefits?
Inability to Work and Eligibility for Social Security Disability and SSI Benefits
What makes you eligible for Social Security Disability or SSI?
If You Are Currently Working Are You Eligible To Receive Social Security Disability Benefits?
Will Being A Veteran Affect Your Eligibility And Chances For Social Security Disability?
Are SSD and SSI disability cases decided the same way in terms of Eligibility?
Is the Medical Criteria to Get Social Security Disability or SSI Benefits hard?
Criteria for how Social Security Disability is Awarded
Social Security Disability SSI Criteria and the Evaluation Process
Information on the following topics can be found here: Social Security Disability Questions and in these subsections:
Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI
These pages answer some of the most basic questions for individuals who are considering filing a claim.
Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security
How to Apply for Disability - What medical conditions can you apply and qualify for?
Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?
What happens if I file a disability application and it is denied by a disability examiner or Judge?
How to Prove you are disabled and qualify to win disability benefits
How do you prove your disability case if you have a mental condition or impairment?
Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it
Social Security Disability SSI - Eligibility Requirements and Qualifications Criteria