Here are some of the key factors that are taken into account when determining SSDI eligibility.
To be eligible for SSDI benefits, an individual must have worked and paid into the Social Security system for a certain amount of time. Specifically, they must have earned a certain number of work credits, which are based on their age at the time they become disabled. Generally, individuals must have worked for at least 5 of the past 10 years to be eligible for SSDI benefits.
To be eligible for SSDI benefits, an individual must have a medically determinable impairment that prevents them from engaging in substantial gainful activity (SGA). The SSA has a list of medical conditions that are considered to be severe enough to prevent an individual from working, but if an individual’s condition is not on the list, they may still be eligible if their condition is severe enough to meet the SSA’s definition of disability.
In order to be considered disabled under SSDI, an individual’s impairment must be severe enough to significantly limit their ability to perform basic work-related activities such as standing, walking, lifting, or sitting. The severity of the impairment is determined by medical evidence, such as the individual’s medical records and the opinions of their treating physicians.
The SSA will also consider an individual’s ability to perform work-related activities in jobs that are available in the national economy. This involves an evaluation of the individual’s age, education, work experience, and transferable skills, as well as the limitations imposed by their medical condition.
To determine if an individual is eligible for SSDI benefits, the SSA will typically follow a five-step evaluation process.
- Is the individual currently engaged in substantial gainful activity? If yes, they are not eligible for SSDI benefits.
- Does the individual have a medically determinable impairment that is severe? If not, they are not eligible for SSDI benefits.
- Does the individual’s impairment meet or equal a listing in the SSA’s “Blue Book” of disabling conditions? If yes, the individual is considered disabled and eligible for SSDI benefits.
- If the individual’s impairment does not meet or equal a listing, can they perform their past relevant work? If yes, they are not eligible for SSDI benefits.
- If the individual cannot perform their past relevant work, can they perform any other work that exists in significant numbers in the national economy? If not, they are considered disabled and eligible for SSDI benefits.
It’s important to note that the SSDI application process can be lengthy and complex, and it’s not uncommon for individuals to be denied benefits initially. In fact, the majority of initial applications are denied.
However, individuals have the right to appeal a denial of benefits, and working with an experienced SSDI attorney or advocate can be helpful in navigating the appeals process and increasing the chances of a successful outcome.
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Determining SSDI eligibility involves a careful evaluation of an individual’s work history, medical condition, severity of impairment, and ability to work. The SSA follows a five-step evaluation process to determine eligibility, but the application process can be complex and individuals may benefit from working with an experienced SSDI attorney or advocate.
