Disability Qualifying Medical Conditions - DisabilityProAdvice.com (2023)

Cumulative effect of significant restrictions

What medical conditions qualify for CPP disability?

Alternatively, you may still qualify for the DTC if you demonstrate that your medical condition meets the requirements for the cumulative effect of significant disability. This means that she must be significantly restricted in two or more of the BADLs. A significant limitation is one that does not meet the significant limitation requirement and is present at least 90% of the time.

What must your medical record contain to be listed?

To determine if your spine condition is on the spine list, Social Security needs to see all of your information.medical recordsof the various doctors he consulted. Social Security requires that you have a full spine exam if you haven't already.

You may have already seen an orthopedist who performed a complete physical exam, including examination of:

  • muscle strength
  • physiotherapy and
  • any other treatments you have tried.

Your records should detail how long the treatment effects lasted and whether side effects from any medication or treatment are affecting your ability to work or function.

Your medical records should also include an x-ray, MRI, CT scan, or myelogram. Because Social Security doesn't just rely on your pain symptoms as an indicator of whether or not you can work, the results of these imaging tests can be extremely important for you.

Organic diseases of the central nervous system.

8000 encephalitis, epidemic, chronic.

8305 Neuritis of the fifth cranial nerve.

8307 Neuritis, seventh cranial nerve.

8309 Neuritis, ninth cranial nerve.

8310 Neuritis, tenth cranial nerve.

8311 Neuritis, eleventh cranial nerve.

8312 Neuritis, twelfth cranial nerve.

8405 Fifth cranial nerve neuralgia.

8407 Neuralgia of seventh cranial nerve.

8409 Ninth cranial nerve neuralgia.

8410 neuralgia, tenth cranial nerve.

8411 Neuralgia, cranial nerve XI.

8412 Neuralgia, twelfth cranial nerve.

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Reference to reportable income

You must inform your insurance company if you have any income other than your long-term disability pension to avoid overpaying LTD benefits.

Examples of reportable income are:

  • CPP disability benefits, WSIB payments, automobile accident income replacement benefits.
  • Employer compensation in the event of termination.
  • You must also tell your claims adjuster if you return to work or other employment and have reported income, such as income from your employer or income from self-employment.


Be sure to check your policy to see what qualifies as reportable income as this will affect your benefit levels and if you find your LTD payment needs to be adjusted you may find yourself in a situation where your insurer has overpaid and she needs to recover. money from you

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Objective evidence to support a long-term disability claim

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The burden of proving that a condition affected the claimant to the extent that he was unable to work rests with the claimant. You are expected to provide medical evidence to support your claim during the application process. It is not uncommon for an insurance company to require objective evidence before paying long-term disability benefits. Objective evidence is evidence in your medical records that insurance companies cannot deny. It can be difficult to qualify for benefits if there is no factual evidence to support your claim.

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Basic benefit eligibility

The SSA must ensure that you meet basic eligibility requirements before reviewing your application for benefits. This basic permission includes the following:

  • A formal diagnosis of a potentially disabling medical condition
  • A diagnosed condition that disables you for 12 months or more

After confirming that you meet the baseline requirements, the SSA will review your health in detail and verify that you meet all program requirements for SSDI and/or SSI.

Medical qualification for a mental illness

The SSA conducts a detailed review of your medical records to determine if you are eligible for benefits. During this review, they try to check your records against a list of deficiencies in the Blue Book. The Blue Book is the SSA's medical guide used to evaluate each disability claim.

Disability programs detail severity requirements and the specific medical evidence needed to support entitlement to benefits. mental illness occursSection 12.00and include:

  • 12.06, Anxiety-Related Disorders You may be included on this list if you have a severe phobia, post-traumatic stress disorder, panic disorder, or other anxiety-related condition.
  • 12.08, Personality Disorders This is the list you may qualify for if you have severe clinical depression.
  • 12.04, Mood disorders If you suffer from bipolar disorder, your application will be reviewed against this list.

Extensivemedical recordsare required to qualify, including:

  • Information about your diagnosis, ideally from a psychiatrist or psychologist
  • Brain scans or other evidence of physical abnormalities that might document an organic cause of the symptoms.
  • Treatment records, documentation of medications, therapies and other management methods used and their effects
  • Carefully documented episodes of increased symptoms or periods of decompensation
  • Well-documented impact of your symptoms on your daily skills or activities of daily living

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What medical conditions qualify for disability benefits

Any illness can qualify for a disability pension. In general, most benefit programs in Canada do not provide benefits based on a medical diagnosis. Instead, they provide benefits based on the degree of disability caused by the disease. In other words, the focus is always on the level of disability caused by your condition, not the diagnosis. To be eligible for benefits, you must demonstrate that the degree of disability due to your medical condition meets the eligibility criteria of the applicable disability benefit plan.

In the next section, we list the most common medical conditions that qualify for disability benefits. For each of these conditions, we discuss the unique challenges you may face.

Adults with a disability starting before age 22

Medical conditions that qualify you for disability benefits

An adult with a disability that began before age 22 may be eligible for benefits if their parents are deceased or receive retirement or disability benefits. We consider this to be 'child support' as it is paid on the parent's Social Security income statement.

The adult child with a disability, who may be an adopted child or, in some cases, a stepchild, grandchild or stepchild, must be unmarried, at least 18 years old, have a qualifying disability that began before age 22, and meet the definition disability adult.


It is not necessary that the DAC has already worked. Benefits are paid based on parents' income statements.

  • A DAC must not have substantial income. The revenue amount, which we consider significant, increases every year. In 2022, that means working and earning over $1,350 a month.

Working with a disability: how we can help

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What not to say in a job interview for people with disabilities

Do not discuss a family member's alcohol or drug use, criminal record, disability or unemployment, or similar topics that may violate your rights, unless specifically asked relevant questions. However, if you are asked directly about any of these topics, please answer truthfully.

What is the most commonly recognized disability?

1. Arthritis. Arthritis and other musculoskeletal disabilities are the most commonly approved disability benefit conditions. If you are unable to walk or use dexterous movements like typing or writing due to arthritis, you qualify.

How do you qualify for a disability if you can't meet the list?

if you don't find yourselfOIf you meet the medical listing criteria, you are still eligible for disability benefits if your condition limits your ability to function so severely that you are unable to work. Social Security will look at how your condition affects your ability to perform daily work routines and activities and then determine if there are any types of jobs you can expect to do safely.

First, Social Security determines yourremaining functionalityobserving how much you can lift and carry and how long you can walk and stand. The agency then assigns you an RFC for heavy, medium, light, or sedentary work. If your RFC does not allow you to do work that you would qualify for, you may qualify for benefits.professionally.” In recent years, half of all approved disability claims have been professionally approved, based on an assessment of the applicant's limitations and the jobs available to people with those limitations.

You can find more information about acquiring incapacity for work in our sectionhow Social Security decides whether your limitations make you disabled.

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What does my policy cover?

In general, your long-term disability insurance benefits include any condition that:

  • Meets the definition of your disability policy and
  • it is not specifically excluded by your policy.
  • Before we talk more about the conditions that may be involved, let's debunk some common myths about long-term impairments.

    • Myth #1: Disability must result from a physical injury. Many people mistakenly believe that they must have suffered a physical injury to their body to qualify for permanent disability. In fact, almost all guidelines accept that a variety of illnesses are considered disabling. Illnesses covered often include conditions such as:
    • infectious diseases
    • indigestion
    • mental and emotional disorders
  • Myth #2: Disability must be specifically listed on your insurance policy. While your policy may be aList of automatic qualifying conditions, it will not contain a master list of all possible injuries or illnesses that may be eligible. In many cases, your disabled status may not be the result of a single illness or injury. Instead, you could be disabled by a combination of illnesses and injuries that make it impossible for you to work.
  • Definition of Disability for Ticket to Work Health Insurance

    Disability Qualifying Medical Conditions - DisabilityProAdvice.com (2)

    The definition of disability for the TWHA Medicaid program is a little different:

    • A person who earns more than SGA and meets the disability requirements may qualify for Medicaid through the TWHA program.
    • A person with a clinically improved condition may qualify for TWHA.

    Medicaid Disability Assessment Process– Training slides on the severe disability assessment procedure from 04/2018.

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    Disability and health-related conditions

    Studies have shown that people with disabilities are more likely than people without disabilities to report:

    • worse general health
    • Less access to proper medical care.
    • Smoking and physical inactivity.

    People with disabilities need health care and health programs for the same reasons everyone else needs it to stay healthy, active and part of the community.

    Although the percentage is lower than for people without disabilities, most people with disabilities report that their health is good, very good or excellent. For all of us, being healthy means getting and staying healthy so that we can live full and active lives. That means having the tools and information to make healthy choices and know how to prevent disease. For people with disabilities, it also means knowing that disability-related health issues can be treated. These problems can include pain, depression, and an increased risk of certain illnesses.

    Other concerns, conditions and prevention

    Many associated health problems and chronic illnesses can be prevented. Chronic illnesses are among the most common and costly health problems, yet many chronic illnesses are preventable. Some chronic illnesses can be prevented by leading a healthy lifestyle, seeing a doctor for routine checkups and checkups, and learning to cope with health problems. For more information and tools on other health topics important to healthy living with a disability, click on the links that follow the text in each of the sections below.


    Arthritis, or inflammation of the joints, is the leading cause of disability among adults living in the United States. It restricts the daily activities of 24 million Americans. Persons with disabilities may be at greater risk of developing arthritis.


    Asthma is a disease that affects the lungs. It is one of the most common chronic illnesses in children, but adults can get asthma too. Asthma is the most common chronic childhood disease and a leading cause of disability in children.

    chronic fatigue

    Chronic Fatigue Syndrome affects more than one million people in the United States. It is four times more common in women than in men. People of both sexes and of any race, ethnicity and age can develop CFS.


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    how long does it take

    Once long-term disability benefits are approved, an employee can continue to receive benefits for the duration of their contract or until they return to work. Most long-term disability plans provide coverage for 36 months, although some plans may provide coverage for up to 10 years or even the entire life of the policyholder.

    What if your condition is not on the list?

    What illnesses entitle you to social security disability?

    Even if your medical condition is not on the disability list, you may still qualify for SSDI or SSI if certain criteria are met. First, the disease must be a clinically detectable deficiency. A medically identifiable disability is a medical condition that has been the subject of clinical and laboratory testing. In other words, your medical condition must be supported by clinical reports.

    Then the medical condition must limit your remaining ability to function. The RFC is determined by looking at the most demanding activity you can still perform despite your medical limitations. Based on your remaining ability to function, a disability claims examiner will do this.Determine your stress level. Effort level ranges from sedentary work to very heavy work and depends on how much weight you can lift and carry.

    The RFC also includes effortless constraints such as the ability to climb or bend down, the use of hands, the ability to manage anxiety or depression, and any environmental constraints. The Disability Claims Examiner considers your medical history, reports, and remaining functioning to determine whether your medical condition qualifies for disability benefits.

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    What conditions qualify for disability?

    The Listing Guide contains the following categories of conditions that automatically qualify you for a disability if you meet the listing requirements:

    • musculoskeletal problemssuch as back and joint injuries
    • cardiovascular diseasessuch as heart failure or coronary artery disease
    • blood diseases, ashemolytic or sickle cell anemiaobone marrow failure.

    For information about disability benefit eligibility requirements for many of the above conditions, see our section of articles onillnesses, disabilities and problems.

    Conditions most likely to be admitted are multiple sclerosis and some types of cancer. Diseases of the respiratory tract and joints also top the list.

    Applying for Social Security Disability Benefits

    He canapply for disabilityalone or with the help of a friend, family member, disability attorney or social security attorney. SSDI applications can be completed and submitted online via the SSA website, or you can apply in person with your local authority.secretary of social assistance. You have the opportunity to appeal the SSA's decisionif he refusesinitially.

    Your doctor is a key ally if you are also applying for Social Security. He or she can ensure that your medical records are sent to the Disability Adjudicator in a timely manner, who will review your eligibility for benefits. Your doctor can also help you understand the different lists of SSDI eligibility conditions and which list you are most likely to qualify for benefits.

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    Which Disorders Qualify for Long-Term Disability Classifications for Long-Term Disability

    Want to know what medical conditions you qualify for?Long Term Disability Benefits? Many medical conditions qualify someone for a disability if they are severe enough. include examplesgive backYThe neckProblems,Multiple sclerosis,Epilepsy,non-epileptic seizures,Krebs, YParkinson disease. However, we often find that an applicant's disability is not due to a single illness or injury. Instead, we often find that a person's combination of impairments makes them disabled.

    Illnesses and injuries are made worse by other illnesses and injuries. In addition, the applicant's medical problems may be further aggravatedchronic painofatigueand the negative side effects of strong drugs. Given that, what medical conditions qualify for a long-term disability? Almost any combination of medical conditions, if severe enough, will prevent you from working.

    Medical Conditions and Disability Claims: Disability List

    Disability Qualifying Medical Conditions - DisabilityProAdvice.com (3)

    The list of SSA impairments is usually broken down by function or body system. There are separate ads for adults and children under 18. This applies to adults.Conditions Eligible for SSDI or SSIto contain:

    • Disorders of the musculoskeletal system, such as back pain and other functional joint and bone disorders
    • Sensory and language problems, such as vision and hearing loss
    • Respiratory diseases such as asthma and cystic fibrosis
    • Cardiovascular disease, such as chronic heart failure or coronary artery disease
    • Digestive tract problems such as liver disease and inflammatory bowel disease.
    • Neurological diseases such as multiple sclerosis, cerebral palsy, Parkinson's disease and epilepsy
    • Blood disorders such as sickle cell disease or hemophilia
    • Mental disorders such as depression, anxiety, schizophrenia, autism or intellectual disability
    • Immune system disorders such as HIV/AIDS, lupus, rheumatoid arthritis, and kidney disease

    HeList of diseases for children.under 18 is virtually identical to that for adults. Stunting is the only medical condition covered for children that is not covered for adults. For a complete list of deficiencies, including detailed assessment methods, seewww.ssa.gov.

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