Can pre-existing conditions affect eligibility?
By Hogan Smith
Updated 04/21/2025
Yes, pre-existing conditions can affect eligibility for disability benefits—but not always in the way you might expect. Whether you're applying for Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), or VA disability benefits, how a pre-existing condition influences your claim depends on several factors.
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How Pre-Existing Conditions Impact Social Security Disability (SSDI and SSI)
- SSA focuses on current limitations
The Social Security Administration doesn’t automatically deny you because a condition existed before you applied. What matters most is how that condition currently affects your ability to work. If your pre-existing condition has worsened over time and now prevents you from maintaining employment, it may support your claim. - Work history and timing matter
For SSDI, you need to show that your disability began after you earned enough work credits. If your condition existed but didn’t limit you until after your qualifying period, you can still be eligible. - Medical evidence must connect the dots
You’ll need medical records and doctor’s opinions that clearly explain how your pre-existing condition has progressed and now limits your functioning in a substantial way.
How Pre-Existing Conditions Affect VA Disability Benefits
- Aggravation is key
Veterans can receive VA disability compensation for pre-existing conditions if military service aggravated the condition. You must prove that your service made the condition worse beyond its natural progression. - Clear service connection required
To be eligible, your medical records must show that the pre-existing condition was noted upon entry into service, and that it worsened due to service—not just on its own. - Presumption of soundness
If no pre-existing condition was documented during your military entrance exam, the VA typically presumes you were in sound health. This can work in your favor unless the VA proves otherwise with clear evidence.
What You Need to Prove
- A current diagnosis
- How your condition limits your ability to work or function
- Medical evidence of worsening symptoms
- A
nexus (link) between the condition and your work history or military service, if applicable
How Hogan Smith Can Help You
At
Hogan Smith, we understand how complicated it can be to prove a disability claim when
pre-existing conditions are involved. We’ll help gather the necessary evidence, work with your doctors to get detailed medical opinions, and craft a clear narrative that connects your condition to your eligibility for benefits.
Contact Hogan Smith Today
If you’re worried about how a pre-existing condition might affect your claim, don’t wait.
Reach out to Hogan Smith for a
free consultation. We’ll evaluate your situation, explain your options, and help you build the strongest case possible—so you can move forward with confidence.
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