How do they evaluate disability eligibility?

By Hogan Smith

Updated 04/17/2025


The Social Security Administration (SSA) uses a strict and detailed evaluation process to determine whether someone qualifies for disability benefits through either Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). Understanding this process is essential if you’re applying for disability benefits.

Find out if you qualify for SSDI benefits. Pre-qualify in 60 seconds for up to $4,018 per month and 12 months back pay.

Please answer a few questions to help us determine your eligibility.


The Five-Step Disability Evaluation Process

The SSA uses a five-step sequential process to evaluate disability eligibility. Here’s how it works:


Step 1: Are You Engaging in Substantial Gainful Activity (SGA)?

  • The SSA checks whether you're currently working and how much you're earning.
  • If you're working and earning more than the monthly SGA limit (which changes annually), you won’t be considered disabled.
  • If you're not working or earning below the SGA threshold, the SSA moves to Step 2.


Step 2: Is Your Condition “Severe”?

  • The SSA evaluates whether your medical condition significantly limits your physical or mental ability to perform basic work activities, like lifting, standing, remembering, or concentrating.
  • Your condition must last — or be expected to last — at least 12 months or result in death.


Step 3: Does Your Condition Meet or Equal a Listed Impairment?

  • The SSA has a Listing of Impairments that includes medical conditions considered severe enough to automatically qualify you for disability.
  • If your condition matches (or is equal in severity to) a listed impairment, you are considered disabled.
  • If not, the SSA proceeds to evaluate your ability to work.


Step 4: Can You Perform Past Relevant Work?

  • The SSA reviews your previous jobs and whether your current condition allows you to return to that type of work.
  • If you can still do your past work, you will be denied benefits.
  • If you cannot perform your past work, the process moves to Step 5.


Step 5: Can You Do Any Other Work?

  • The SSA considers your age, education, work history, and transferable skills to determine whether you can adjust to any other kind of work.
  • If no other work is reasonably possible for you given your limitations, you may be found disabled.


Key Evidence the SSA Uses to Make Its Decision

To determine your eligibility, the SSA will review:


  • Medical records and test results
  • Doctor’s opinions about your limitations
  • Work history and job descriptions
  • Statements from caregivers, employers, or family
  • Activities of daily living reports


Your claim’s success depends heavily on the quality and completeness of your documentation.


What If You’re Denied?

Many claims are denied at first, but you have the right to appeal. You can:


  • Request reconsideration
  • Attend a hearing with an Administrative Law Judge
  • Submit additional evidence or corrections



Appeals give you another chance to present your case in greater detail.

How Hogan Smith Can Help You

At Hogan Smith, we know how complex and intimidating the disability evaluation process can be. Our team can help you:


  • Understand each step of the SSA evaluation process
  • Prepare and organize all necessary medical and employment records
  • Strengthen your application to improve your chance of approval
  • Represent you in appeals and hearings if needed

Contact Hogan Smith Today

Need help navigating the disability evaluation process? Contact Hogan Smith today for a free consultation. We’re here to support you from start to finish — and make sure your case is presented with the strongest possible evidence.


Further Reading

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

Was this helpful?

Boost Your Chance of Being Approved

Get the Compensation You Deserve

Our experts have helped thousands like you get cash benefits.

Contact Us


How It Works
A black and white drawing of a checklist and a handshake.
1

Briefly tell us about your case

A stack of papers with lines on them on a white background.
2

Provide your contact information

A black and white icon of a scale of justice and a briefcase.
3

Choose attorneys to contact you