Health Conditions That Make You Eligible for Social Security Benefits

January 25, 2023

Social security disability benefits may be available to people with certain medical conditions that affect their ability to work. But to qualify for these benefits, you must meet certain criteria set forth by the Social Security Administration (SSA).


These criteria stipulate that a person's condition should have lasted or is expected to last at least one year and limits their ability to do substantial, gainful activity. The SSA then evaluates the limitations the person has to live with as a direct result of the condition.


This blog post describes, in detail, some health conditions that can make you eligible for social security disability benefits and how the SSA evaluates them.


Mental Disorders


Mental disorders may include conditions such as bipolar disorder, depression, and schizophrenia. These conditions can affect your ability to concentrate, think rationally, and remember things. They can also affect your ability to interact with others, which makes things very complicated if you need to work.


To evaluate these mental disorders, the SSA reviews medical evidence such as lab results, psychological testing and evaluation, and statements from your physician. The SSA representatives will use the evidence to determine if the disorder is severe enough to limit your ability to do basic work functions.


In addition, the SSA will look at how your mental disorder affects your ability to perform normal everyday activities, like when you want to clean, cook, and shop. If they determine that your mental disorder causes you to not perform these activities effectively, you may still be eligible for disability benefits.


Musculoskeletal Disorders


Musculoskeletal disorders often cause pain, stiffness, and mobility issues that limit an individual's ability to work. These conditions include arthritis, spinal disorders such as herniated discs or scoliosis, degenerative joint diseases, and neck or back injuries.


To qualify for benefits in this category, you must also provide medical evidence of the diagnosis, plus notes from doctors that detail how the condition limits your functional capacity.


Whether or not you are "disabled" will then depend on your age, education and past work history. 


Neurological Disorders


Neurological disorders often cause severe physical limitations since they affect the body's ability to move. Examples of these disorders include conditions such as multiple sclerosis, Parkinson's disease, and peripheral neuropathy. These conditions affect your ability to walk, stand and/or use your arms or hands.


The SSA will evaluate medical evidence, such as MRI or CT scans, along with reports from neurologists and other specialists to determine how the condition affects your daily life. MRI scans will show the extent of the damage to your brain or soft tissue, while CT scans show any damage to your spine or bones.


While neurological disorders can sometimes be difficult to prove, you need to provide as much detail and documentation as possible to increase your chances of approval for disability benefits. And if you have additional impairments, then your case for disability benefits will be much stronger.


These are just a few conditions that can make you eligible for social security disability benefits. Note that the SSA considers each individual's circumstances when they evaluate an application. You can get approval even if your medical condition isn't on the list above.


If you believe your medical condition is why you can no longer work and earn an income, speak with one of our representatives at Gordon & Pont about your situation. We can help you understand the eligibility requirements for social security benefits and assist you throughout the application process.


Our job is to make sure you get the help you need to navigate the difficulties of life with debilitating conditions. Contact us today to learn more about your options.


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By Gordon & Pont Gordon & Pont May 27, 2025
KEY TAKEAWAYS • If it’s complicated applying for Social Security benefits, or if a disability claim has been rejected, you can enlist an attorney for help. • Be sure to identify lawyers with special knowledge and expertise in Social Security claims and know their way around the system. • Make sure the lawyer you choose has a solid reputation, track record, and ethical grounding. • Many of these lawyers will take a retroactive fee based on Social Security benefits received from a successful case—limited to 25% of your past-due benefits up to a maximum of $9,200. Pre-Qualify Yourself Before even looking for a lawyer, know the basics of Social Security. Most cases that may need the help of a lawyer involve disability claims. Social Security disability is for people who have a medical condition that fits Social Security’s definition of a disability. And to qualify, you must have worked in jobs covered by Social Security. In other words, if you never paid into Social Security, you’re not going to get anything out. If you have not worked enough or recently enough to “insured” for social security disability benefits, you may still qualify for SSI if you meet both the medical and non-medical (meaning financial) requirements. If you do qualify, you can get monthly benefits checks only if you are unable to work for at least one year because of a disability. What a Lawyer Can and Can’t Do A lawyer can speed up your application or appeal because can help you avoid mistakes and can submit needed documents faster. However, the SSA is woefully understaffed which means everything is taking longer than it should. While a lawyer can’t guarantee that you’ll win, your chances of success improve greatly. Because we are paid only once we win, experienced lawyers are skilled in identifying strong cases. How to Find the Right Lawyer You can find Social Security disability lawyers in a variety of ways. The internet has plenty of lawyer referral sites. Legal aid clinics and referral services operated by state bar associations are also sources for the names of people to interview. Be careful. Just because you find an attorney by searching one of these sources doesn’t guarantee they’ll be good, ethical lawyers. A better way to put together a list of lawyers to interview is probably through word of mouth, in person, or through social media, from people who have had good experiences with a Social Security disability lawyer and by reading reviews from former clients. Red Flags Make sure you speak to and hire a real lawyer and not an “advocate” or the like. Be cautious of “case managers” and insist on speaking with your lawyer. Although disability lawyers are busy, you want to hire one who has a staff of people who will answer any questions you have accurately and promptly. How Much Will It Cost? Cases will cost you nothing upfront. Lawyers take their fees from any retroactive benefits you’re awarded from Social Security. The fee is limited to 25% of your past-due benefits, up to a maximum of $9,200. The attorney will have you sign a document that allows Social Security to pay the law firm directly. If you get nothing, you owe the lawyer nothing. Because the lawyer will likely have to request medical, school, work, and psychological records that come with a cost, they might pass on that fee to you. This should be a couple of hundred dollars at most. Setting up a patient portal with our doctor or hospital is an excellent way to avoid that cost. Since it costs you nothing unless and until you win, consider talking to somebody if you file a claim and get turned down initially. The Bottom Line You should get an attorney’s help if you’re having trouble applying for Social Security benefits or if a disability claim has been rejected. Identify lawyers with special knowledge and expertise in Social Security claims and who know their way around the system. Make sure your lawyer has a solid reputation, track record, and ethical grounding.
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