Listing 1409 Inflammatory Arthritis
If you don’t qualify for disability under any of the above listings, you may qualify under Listing 14.09, Inflammatory arthritis . To meet Listing 14.09, you must provide objective medical evidence that your arthritis has resulted in the following:
- Swelling or deformity of:
- your hip, knee or ankle joints that causes extreme interference with your ability to walk on your own, or
- your shoulder, elbow or wrist/hand that makes it difficult to take care of yourself and perform your day-to-day activities.
- Swelling or deformity of your hip, knee, shoulder, elbow, wrist/hand, or ankle/footwith:
- associated disease in at least two of your organs or body systems, with one organ or body system affected more than minimally, and
- at least two of following: severe fatigue, malaise, weight loss, or fever.
- Ankylosing spondylitis with:
- Fixation of the lower or upper spine with extremely limited flexibility of 45
A Guide To Disability Benefits And Psoriatic Arthritis
Psoriatic arthritis is a condition that can be particularly debilitating and painful, causing intense flare-ups that cause joints to be become inflamed.
This can make mobility difficult sometimes impossible. Not surprisingly, that can affect the ability to work, no matter your profession.
Although people with PsA can have long periods of remission, with few symptoms or even none, the unpredictability of the condition could require extended periods away from a job, or hinder your ability to look for employment.
According to a 2016 , one-third of people with PsA reported missing work because of their disease, and the condition impacted their ability to work full-time.
Disability insurance may be able to replace some of that income.
Should I Hire An Attorney
You shouldnt need to hire someone to apply for disability, says Manning, but if you can afford one, a lawyer or certified disability advocate might be able to help you get through the process faster and ensure that you have all the right documentation prepared. And there are a few instances when youll probably want an attorneys help, like if your employer is unwilling to work with you and provide reasonable accommodations, and/or if your disability claim is denied.
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Qualifying Under The Inflammatory Arthritis Listing
You may qualify for benefits if you fit the criteria under this listing in the SSA Blue Book. This listing has four categories, each with its own criteria.
For example, you may qualify under Category A if you can provide medical documentation showing you have persistent inflammation or deformity in one major joint in your foot or leg and have one major joint affected in both upper extremities. You will need evidence showing you need an assistive device for walking or have trouble using a hand or arm.
Category B says you need inflammation and deformity in one major joint in an upper extremity. Applicants must also prove two organs or organ systems are involved or prove they have a minimum of two systemic symptoms, like involuntary weight loss or tiredness.
If you apply under Category C you must have some type of spondyloarthritis, which refers to inflammation in the spine.
You may be eligible under Category D if you can prove two systemic symptoms and significant limitations in any of the following three things:
- Maintaining social functioning
- Activities of daily living, like bathing or dressing
- Completing tasks in a timely fashion because you struggle with persistence, pace or concentration
Applying Specific Medical Tests To Your Case For Disability For Psoriasis
Many medical tests are required to diagnosis psoriasis or psoriatic arthritis. Among these tests are blood work, x-rays, MRI or CAT scans, urinalysis, and ongoing physical observations and examinations. These tests results should be included along with your medical records for your disability application.
The SSA may order, at their expense, a medical evaluation with the doctor that they choose. This is for information only to confirm your condition and your symptoms. It is not designed to provide you with medical treatment. In some cases, a mental evaluation is also ordered to determine if you are impacted by anxiety, depression, an inability to concentrate, and loss of memory.
Your disability claim could be a lengthy process, and could involve as many as two denials, which you can appeal. The final step is a hearing before an administrative law judge, who will rule whether you are fully disabled and eligible to receive SSDI benefits.
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Psoriatic Arthritis And Filing For Disability
psoriatic arthritisPsoriatic arthritisapplication for SSD or SSIHow is psoriatic arthritis considered for disability?approved automatically for disabilitySGA level work activityresidual functional capacity evaluationa medical vocational allowance
Facts about Psoriatic ArthritisMore on qualifying for disability benefits with Psoriatic arthritis
Why are so many disability cases lost at the disability application and reconsideration appeal levels?obtained and submittedMost popular topics on SSDRC.com
Getting The Paperwork In Place
Whether you have PsA, a different condition, or a combination of conditions, the process for establishing a disability claim will be much more streamlined if you have a breadth of information already in place, says Michelle Ogunwole, MD, a specialist in internal medicine and research fellow at The Johns Hopkins University School of Medicine.
If youre managing multiple health issues or a chronic condition like psoriatic arthritis, its already a good idea to compile your medical info in one place, so you have it available for appointments, she says.
That will also give you insight into trends you may not have been seeing before, like possible triggers for a flare-up, she adds.
If possible, have the following information on hand:
- lab tests
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Are Disability Benefits Available For Psoriatic Arthritis
Disability benefits may be available to an applicant with psoriatic arthritis. In order to be eligible to receive disability benefits, however, the arthritis must be disabling to the point where the applicant is unable to retain substantially gainful employment. Psoriatic arthritis may prevent a person from use of fingers or other mobilities that would prevent a person from being able to work. This may be due in no small part because of severe joint pain and swelling an individual with psoriatic arthritis can experience.
The SSA evaluates psoriatic arthritis under the listing for inflammatory arthritis. To evaluate whether a persons arthritis is a disabling condition, it really comes down to the severity of the condition. Is the psoriatic arthritis severe enough that it prevents the applicant from working? This is the critical question to be answered.
The SSA will look at the effects of the psoriatic arthritis on your body. Does it impact one or more of the major peripheral joints? Does it impact the knees? The Ankles? The shoulders or the wrists? Furthermore, the SSA will look at how the psoriatic arthritis impacts other areas of your life. If you are unable to complete activities of daily living, this will be relevant to the disability determination. Activities of daily living will include things like doing the laundry and grocery shopping as well as cooking and cleaning.
Types Of Disability Benefits Available In Canada For Psoriatic Arthritis
If your work activities are directly related to your symptoms, winning disability benefits for psoriatic arthritis is one of the first steps in ensuring that the condition does not get worse.
The good news is that you can successfully obtain disability benefits if you take the right steps. Unfortunately, not every Canadian who has psoriatic arthritis is eligible for long-term disability benefits. However, if you are a worker, then you may qualify for these benefits. If having psoriatic arthritis is truly keeping you from being successful and productive in the workplace, then it is certainly likely that you are eligible for long-term disability benefits.
When it comes to claiming long-term disability benefits for psoriatic arthritis in Canada, you might be eligible for one of two types of disability benefits if you are a worker. These are the Canada Pension Plan disability benefits and the long-term disability insurance benefits.
CPP disability benefits for psoriatic arthritis
Long-term disability insurance benefits for psoriatic arthritis
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Can Psoriatic Arthritis Qualify For Disability
Psoriatic arthritis is a type of arthritis that occurs along with psoriasis in an estimated 10 30% of cases. Psoriasis, on the other hand, is a skin condition that causes patches of skin to become red and scaly and can be treated conservatively. Symptoms of both psoriasis and PA may come and go called flare-ups and remission. These chronic conditions can and often worsen over time.
PA usually develops after skin symptoms, but it is possible for symptoms of arthritis to occur first. The most common symptoms are joint pain, stiffness and swelling. Typically the onset of arthritis is about 10 years after the skin condition develops, so the typical age it is diagnosed is between 30 and 50 years old.
PA symptoms may occur in different ways, and individuals may experience all of them during the course of their condition. Pain may occur on only one side of the body, on both sides of the body at the same time, in the finger joints and in the spine. Psoriasis with nail lesions is the greatest risk factor for developing PA. Another large role with PA is family history and that may determine any future risk. PA occurs in men and women equally but the specific types of arthritis may differ between men and women.
Social Security considers the effects of PA as it does any other medical or mental impairment. PA is a severe impairment if it prevents a person from working for twelve continuous months or more or will result in death.
Qualifed, tested and working for you.
Results Of The Literature Review
We identified 49 studies that evaluated the clinical and/or economic burden of PsA. Of these, eight were economic cost-of-illness studies, consisting of seven longitudinal studies and one patient survey. Twelve studies were conducted in Canada, five in the U.S., and four each in the United Kingdom, Germany, Spain, and Italy. summarizes the patient characteristics of studies reviewed.
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Determining If You Can Work
When the SSA receives your application, they first determine whether you’re currently working and how much youre earning from your work. If you are earning $1,220 per month or more as stated in the 2019 COLA, you cant qualify for benefits because the SSA will determine that youre able to perform substantial gainful activity.
Can I Get Disability For My Arthritis
To decide whether you should be approved for disability based on your arthritis, the Social Security Administration goes through several steps. If you are working, the SSA will first determine whether you are working above the substantial gainful activity level. For 2021, this amount was $1,310 or more a month. This means that if you earn $1,310 or more per month, the SSA will find that you are engaged in SGA, and your claim will be denied.
If the SSA determines you are not working at the SGA level, it will next determine whether your arthritis is expected to last at least 12 months and is a “severe” impairment. Under the SSA’s standards, a “severe” impairment is one that causes a significant impact on your ability to do work-related activities.
At the next step, the SSA must determine whether your arthritis meets one of the conditions established in the SSA’s Listing of Impairments if your arthritis meets the criteria under a condition in the Listing of Impairments, your claim for disability will be automatically approved. If it doesn’t, you may still be able to get disability benefits another way .
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Listing 104 Disorders Of The Spine
If you suffer from arthritis of the spine , you may qualify for disability under Listing 1.04. In order to qualify for disability under Listing 1.04, you must show that you suffer from an arthritis-related disorder of the spine that compromises a nerve root or the spinal cord with one of the following complications:
Nerve root compression that causes wide-spread, nerve-related pain, limited flexibility, and weakened muscles, with a loss of reflex and sensation. If the lower back is involved, then you must have a positive straight-leg test.
Spinal arachnoiditis that results in painful burning or other abnormal sensations and requires you to change positions more than once every two hours.
Lumbar spinal stenosis that causes non-nerve related pain in the lower back, lower limbs, or buttocks, with weakness in the lower extremities that makes walking on your own difficult .
Because the listing criteria are complex, ask your doctor to determine whether your arthritis meets one of these listing requirements.
Receiving Ssdi For Psoriatic Arthritis
As with rheumatoid arthritis, there are two ways for individuals to qualify for benefits when suffering from psoriatic arthritis. One way is to meet the requirements for a listing maintained by the SSA. Since people who have this type of arthritis also have psoriasis, they may be eligible for benefits through the Dermatitis listing.
This listing requires the sufferer to have severe skin lesions that last at least three months. It is necessary for these lesions to be present despite treatments. Lesions must be present in a place that makes it difficult for sufferers to go about their normal routine. For example, people who use their hands to work may be eligible under the listing if their lesions are on both palms.
Other listings that may apply when an individual is suffering from psoriatic arthritis include Major Dysfunction of a Joint, Reconstructive Surgery of a Weight-Bearing Joint, Disorders of the Spine and Inflammatory Arthritis. Whether an individual will be approved based on these listings depends upon the type and severity of their symptoms.
Anyone who suffers from this condition and does not qualify for benefits under a listing has the option to apply by completing a residual functional capacity assessment. This evaluation determines whether the condition limits the physical abilities of the applicant severely enough to make it impossible for the individual to work in any position for which they are qualified.
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Qualifying For Psoriasis Disability Benefits Under The Ssa Listing
The main function of the SSA is to provide disability benefits in time to those who need them most. The SSA, therefore, maintains a specific list of major conditions that can automatically qualify someone for benefits. These conditions are typically severe enough to make applications undergo expedited processing and automatic approval for either SSI or SSDI.
While the SSA currently does not have a separate bluebook listing for psoriasis, it does categorize the condition under the section 8.05 listing for dermatitis. If your psoriasis condition presents symptoms that match the listing, you can automatically be approved for benefits. The listing specifies that:
Extensive skin lesions are categorized as those that are located on more than one area of the body, or occurring in an area of the body that affects how one functions. This includes having lesions present on critical joints, such as your elbows or knees, that prevent you from properly walking, bending or lifting lesions on your palms that prevent you from using your hands or lesions in the groin area.
If you dont qualify for psoriasis under the dermatitis listing, you may qualify for psoriasis disability under other related SSA disability listings, such as:
- Inflammatory arthritis
Qualifying For Disability Benefits
The medical requirements are typically the same for adults to qualify for Social Security or SSI. You will need to demonstrate that the disability makes you unable to sustain substantial gainful employment.
You can apply as soon as PsA makes it difficult or impossible to perform a job. While theres no requirement for you to have a disability for a certain amount of time before you apply, you will need to show that PsA will prevent you from working for at least 12 months.
More information on qualifying for Social Security and SSI with a PsA disability can be found in the Immune System Disorders or the Musculoskeletal System section of the governments Disability Evaluation Under Social Security guidelines.
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Qualifying For Disability With Arthritis
In order to qualify for disability benefits, your arthritis condition must be so severe that it prevents you from working, and it is expected to last for at least a year. Having severe arthritis can qualify you for benefits depending on how much the condition inhibits your ability to participate in any substantial gainful activity.
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