Social Security Disability Insurance eligibility is determined using medical criteria in the Blue Book (Officially: Disability Evaluation Under Social Security). The impairments include the most common medical conditions that are severe enough to keep an individual from working. If you match the requirements of an impairment that is listed, you may qualify for SSDI benefits. SSDI pays benefits to people who are unable to work for at least one year.
The law defines disability as the inability to engage in any substantial gainful activity (SGA) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.
The SSDI Blue Book, available online, is broken down into two main sections. Part A lists disability criteria that affect adults. Part B is dedicated to ailments causing childhood disabilities. Each of these parts is broken down further into sub sections such as Musculoskeletal System, Cardiovascular System, Low Birth Weight (child hood) and more. The two newest sections for the adult category are Mental Disorders and Immune System Disorders.
How to Determine Social Security Disability Insurance Eligibility
The medical conditions listed in the Blue Book are used by government decision-makers to determine if someone is eligible for Social Security Disability Insurance benefits. Depending on the level of a claim, the decision-maker could be either a disability examiner or a federal administrative judge. Administrative judges only hear disability cases if legal matters are involved.
Social security disability insurance claims are not approved solely based on having an impairment listed in the book. Many medical conditions are not listed in the Blue Book. The length and severity of an ailment is also a consideration in determining medical eligibility. This is where the medical documentation from your health care provider becomes critical.
To learn more about the Social Security Disability Insurance, check out the video below or visit the Social Security Administrations website.