Conditions that Automatically Qualify for Social Security Benefits

As we all know, being approved for disability can be a complex and trying process that can beat the will out of some. Long wait times and the uncertainty of the outcome does and will weigh heavy on the minds of those who are so desperate for assistance. Documentation is the key to a successful claim. You must have hard medical evidence that shows you are unable to work and that you meet the criteria to be approved for Social Security Disability benefits. There are a few medical conditions, however, that do qualify for disability benefits if you have a confirmed diagnosis.  Let us look at conditions that automatically qualify for Social Security benefits.

HandsCompassionate Allowance List

Ther are some very serious injuries and illnesses that are on the Compassionate Allowance List, which means that Social Security only requires proof of your diagnosis to approve your benefits:

  • Acute Leukemia
  • ALS – Lou Gehrig’s Disease
  • Stage IV Breast Cancer
  • Gallbladder Cancer
  • Early-Onset Alzheimer’s Disease
  • Small Cell Lung Cancer
  • Hepatocellular Carcinoma
  • Pancreatic Cancer
  • Anaplastic Thyroid Carcinoma

A claim that is filed because of one of these conditions will get expected attention, which means a person could reasonably expect to get a decision within a month of applying. That is the fastest or as close to automatic as you can expect with a Social Security Disability claim. As always, there are no guarantees of course. We had a client that was strapped to a dialysis machine for six hours a day, seven days a week, desperately in need of a transplant and still, he was denied benefits. We did get him approved but only after an appeal and hearing.

There are a few conditions that are on the listing of Impairments Manual used by the Social Security Administration (SSA) that will qualify for disability benefits if you can prove through medical records their existence or occurrence. These include:

  • Kidney Transplant
  • Liver Transplant
  • Cochlear Transplant
  • Lung Transplant
  • Heart Transplant

For those five automatic disabilities, the SSA will review the case at the end of a year, or three years for a lung transplant, to determine if the claimant is still considered disabled per the SSA guidelines.

Importance of Medical Records

Even for these conditions that will get automatic approval for disability benefits, the proper medical records are still needed. Without this hard medical evidence, any claim will be denied. You must provide Disability Determination Services with all your medical records to show evidence of your diagnosis along with the necessary supporting information If your physician left out important supporting details, your claim could be denied although your condition is classified as medically eligible for disability benefits. Your denial notice will explain why your claim was denied, and you can then appeal and provide additional details needed to support your claim.

The Financial Standpoint

Even if you have a condition that will automatically qualify for disability benefits, the SSA will consider the financial situation. If you are working enough to exceed the limits for substantial gainful activity (SGA), your claim will be denied. Often, claimants continue working part-time to cover some basic living expenses. If their income exceeds the SGA, their claim will be denied because the SSA believes the individual can continue working and earn a sufficient living.

Consult With a Disability Attorney

If you are unable to work because of a medical condition, you should consult with a Social Security disability attorney. Your odds of approval increase significantly with the help of an attorney. Get your free case evaluation today.

Social Security Corner & Jones Brown Law

Our mission is to make accessible legal help and services for everyone by answering questions at no cost and with no obligation. We aim to make the world of law understandable to all. At the law offices of Jones Brown, we pride ourselves on principles of honesty, hard work, fair dealing and compassion in our representation. Our goal is to let clients focus on healing while we take care of the legal process of recovering from your accident. Our attorneys and staff are committed to adhering to a strict code of professional ethics. We dedicate ourselves to our clients’ best interests and making the legal process as painless and simple as possible for the injured and their family. CLICK HERE to contact us now.






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