Florida Personal Injury & Social Security Disability Attorney
View our Practice Areas

Can I receive SSD benefits for IBD?

While there are many qualifying SSD benefits for illness that are obvious, there are times when people suffering from certain medical issues are unaware that they meet the criteria of qualifying SSD benefits for illness. They might be under the impression that there's no point in trying because the result is clear and it will be a denied claim. However, those suffering from inflammatory bowel disease can receive SSD benefits according to federal regulations.

To file for benefits for IBD and have a chance of approval, it must be documented medically via endoscopy, biopsy or some other medical imaging that is deemed appropriate. Or operative findings can verify that you are suffering from IBD to make you eligible to receive benefits. The operative findings must discover the issue in one of two separate categories, A and B. For A, there must be an obstruction in the stenotic areas of the colon or small intestine. The doctor must verify that there is proximal dilation. There must have been two occasions of this being found and it must have required hospitalization 60 days apart of twice within six consecutive months.

In lieu of the conditions for A being met, the claimant must have two of the issues from B. These include anemia with a hemoglobin measured at less than 10.0 g/dL. There must be a serum albumin of 3.0 g/dL or less in the same time frame as the first issue. There must be a clinical documentation of tender abdominal mass found via physical exam or with cramping that can't be dealt with using medication. If a person has perineal disease with fistula or draining abscess and pain that can't be assuaged by medication. If there is weight loss without trying to lose weight and it is at least 10 percent from the individual's baseline, this too can qualify a person for IBD diagnosis. If a patient requires nutrition on a daily basis through enteral means or some other way, this is also sufficient. The time frame for symptoms and diagnosis is always the same of twice within 60 days.

While it may be difficult to understand the technical terms of IBD, a physician, the SSA and an experienced legal professional will know what they mean when a person seeks SSD benefits. For assistance, it's wise to discuss the matter with a qualified attorney before moving forward with a filing.

Source: SSA.gov, "Inflammatory bowel disease (IBD)," accessed on Nov. 4, 2014

No Comments

Leave a comment
Comment Information