Living with a serious medical condition can complicate everyday life, especially when that condition makes it impossible to keep working. For many people in North Carolina, Social Security Disability benefits serve as a vital financial lifeline.
But qualifying for benefits isn’t as simple as having a diagnosis. Approval depends on meeting strict eligibility requirements and completing a detailed application process, during which many initial claims are denied.
A knowledgeable Winston-Salem disability lawyer can help applicants understand which conditions qualify, what proof is required, and how to get approved the first time.
Understanding SSDI and SSI Benefits
The Social Security Administration (SSA) operates two main disability programs. These are:
- Social Security Disability Insurance (SSDI) is available to workers who have accumulated sufficient work credits by paying into Social Security throughout their careers.
- Supplemental Security Income (SSI) is a need-based program available to individuals with disabilities who have limited income and resources.
Both programs require proof that you have a medical condition that prevents you from engaging in substantial gainful activity and that the condition is expected to last at least 12 months or result in death.
According to SSA data, more than 63% of initial disability applications are denied. This is often because applicants don’t fully understand the medical or legal requirements. That’s why early guidance matters.
Medical Conditions That Commonly Qualify
The SSA maintains a “Blue Book” listing impairments that may qualify for disability benefits. While meeting a listing can strengthen a claim, applicants may still qualify even if their condition isn’t listed, as long as they can show they’re unable to work.
Common qualifying conditions include:
Musculoskeletal Disorders
These conditions affect movement and physical function and are among the most common bases for disability claims. Examples include:
- Severe arthritis
- Degenerative disc disease
- Spinal stenosis
- Chronic back injuries
- Joint dysfunction requiring surgery or limiting mobility
Musculoskeletal disorders account for just over one-third of approved SSDI claims nationwide, according to SSA statistics.
Heart Disease and Cardiovascular Conditions
Serious heart conditions can limit stamina, endurance, and the ability to perform even simple tasks, such as sedentary work. Qualifying conditions may include:
- Chronic heart failure
- Coronary artery disease
- Arrhythmias
- Cardiomyopathy
Claims often require test results, such as stress tests, imaging, and treatment records that show ongoing limitations.
Cancer and Related Conditions
Certain cancers may qualify automatically under the SSA’s Compassionate Allowances program, which fast-tracks severe cases. These claims require evidence showing:
- Aggressive treatment
- Recurrence or metastasis
- Significant side effects that prevent work
Approved conditions often include acute leukemia, ALS-related dementia, and mesothelioma.
Neurological Disorders
Conditions affecting the brain or nervous system can interfere with daily functioning. Neurological disorders that may qualify include:
- Multiple sclerosis (MS)
- Parkinson’s disease
- Epilepsy
- Traumatic brain injury (TBI)
- Stroke complications
Neurological claims often require demonstrating how symptoms affect concentration, motor skills, and reliability.
Mental Health Impairments
Mental health conditions can qualify when symptoms are severe and well-documented. Examples include:
- Major depressive disorder
- Bipolar disorder
- Schizophrenia
- Anxiety disorders
- Post-traumatic stress disorder (PTSD)
The SSA evaluates mental health claims based on how symptoms impact daily activities, social functioning, concentration, and the ability to manage work stress.
Why Documentation Is Critical to SSI Approval
One of the most common reasons claims are denied is the lack of sufficient medical evidence. The SSA doesn’t just want a diagnosis; they want proof of functional limitations.
Strong applications typically include:
- Detailed medical records
- Physician opinions
- Imaging and test results
- Treatment history
- Documentation showing how symptoms limit work activities
A qualified Winston-Salem disability lawyer can work with medical providers to gather the right evidence and present it in a way that meets SSA standards.
What Happens If Your Claim Is Denied?
Initial denials are common, but they’re not the end of the road. In fact, many successful claims are approved during the appeals process.
Appeals may involve:
- Reconsideration
- Hearings before an administrative law judge
- Submitting updated medical evidence
- Expert testimony
An experienced disability attorney can strengthen your position at an appeals hearing. At Lewis & Keller, we organize medical records, prepare you for questions from the judge, and clearly explain how your condition limits your ability to work.
Get Help Early From Lewis & Keller Injury Lawyers
Applying for disability benefits can be overwhelming, especially when you’re already dealing with serious health challenges. The attorneys at Lewis & Keller understand how North Carolina disability claims work and know how to build strong cases from the start.
If you’re struggling to work due to a medical condition, speaking with a Winston-Salem disability lawyer early in the process can improve your chances of approval, reduce delays, and relieve unnecessary stress.
Our team can guide you through applications, appeals, and hearings, allowing you to focus on your health while we handle the legal process to secure the benefits you deserve.
