The Social Security Administration (SSA) assesses claims for autoimmune diseases based on specific criteria and requirements. Understanding this evaluation process is important when applying for Social Security Disability benefits.
Meeting the listing requirements
The SSA uses a manual called the “Blue Book” to evaluate disability claims. The Blue Book includes specific listings for autoimmune diseases, such as lupus or rheumatoid arthritis. To qualify for benefits, your condition must match or exceed the severity described in these listings. You must provide detailed medical evidence, including lab tests, doctor’s reports, and documentation showing how the disease limits your daily activities.
Assessing Residual Functional Capacity
If your autoimmune disease does not meet the listing requirements, the SSA evaluates your Residual Functional Capacity (RFC). This assessment determines what kind of work, if any, you can still perform despite your condition.
The RFC evaluation considers both physical limitations, like your ability to walk or lift, and mental limitations, such as your ability to concentrate or interact with others. The goal is to assess how the disease affects your ability to maintain employment.
Considering the overall impact
Beyond the Blue Book and RFC, the SSA also considers the overall impact of the autoimmune disease on your life. This includes the frequency and severity of flare-ups, side effects from medications, and the cumulative effect of multiple symptoms. The evaluation focuses on how the disease impacts your ability to function daily.
Understanding the process
The SSA takes a thorough approach to evaluating claims for autoimmune diseases. Each case is unique, requiring a detailed review. This careful evaluation process ensures that those truly in need receive the disability benefits they deserve.
