What are the basic disability eligibility rules?
By Hogan Smith
Updated 05/05/2025
Applying for Social Security Disability benefits can feel overwhelming, especially if you’re unsure whether you meet the eligibility criteria. The Social Security Administration (SSA) has strict guidelines that determine who qualifies for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI).
Understanding the basic eligibility rules is the first step to building a strong case for benefits.
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You Must Have a Qualifying Disability
To qualify for SSDI or SSI, you must have a medically determinable physical or mental impairment that:
- Has lasted or is expected to last at least 12 months, or
- Is expected to result in death
Your condition must prevent you from engaging in substantial gainful activity (SGA)—which means you cannot work or earn more than a specific income threshold set by the SSA.
Your Condition Must Be Severe
The SSA only approves claims for conditions that significantly limit your ability to perform basic work-related tasks, such as:
- Walking
- Lifting
- Remembering
- Concentrating
- Communicating
Minor or short-term conditions generally do not qualify.
Your Disability Must Be Listed or Equivalent
The SSA maintains a Listing of Impairments (also known as the Blue Book), which includes medical conditions that are considered severe enough to qualify for disability. If your condition isn’t on the list, you may still qualify if:
- Your impairment is medically equivalent to a listed condition, or
- It prevents you from doing any work—not just your previous job
SSDI Requires a Work History
To qualify for SSDI, you must have worked and paid Social Security taxes for a certain number of years. The SSA uses a system of work credits to determine eligibility:
- Most people need 40 work credits, with 20 earned in the last 10 years.
- Younger individuals may qualify with fewer credits.
If you haven’t worked enough, you may still qualify for SSI based on financial need.
SSI Is Based on Financial Need
SSI is for individuals with limited income and resources. To qualify, you must meet:
- Strict income limits
- Limits on assets/resources (typically under $2,000 for individuals or $3,000 for couples)
- U.S. citizenship or eligible immigration status
Your work history is not a factor in SSI eligibility.
You Must Not Be Earning Above the SGA Limit
The SSA considers you “not disabled” if you earn more than the Substantial Gainful Activity limit, which changes each year. In 2025, the SGA limit is:
- $1,550/month for non-blind individuals
- $2,590/month for blind individuals
Earning above these limits generally disqualifies you from receiving benefits.
You Must Follow Prescribed Treatment
The SSA expects claimants to
follow recommended medical treatment unless there is a valid reason not to. If you refuse treatment that could restore your ability to work, your claim may be denied.
How Hogan Smith Can Help You
Navigating SSA rules can be confusing. At Hogan Smith, we help you understand the eligibility criteria and whether you qualify for SSDI or SSI. Here’s how we assist:
- Evaluate your case to determine eligibility
- Collect and organize your medical evidence
- Help complete and file your application properly
- Guide you through appeals if you’re denied
Contact Hogan Smith Today
Don’t waste time wondering if you qualify for disability benefits.
Contact Hogan Smith for a free consultation today. We’ll walk you through your eligibility, help you apply correctly, and stand by your side every step of the way.
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