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Breast Cancer and Social Security Disability Benefits


If you have been diagnosed with breast cancer, you may find that you are no longer able to work or earn a living. If you are facing circumstances such as these, you may be eligible to receive Social Security Disability benefits. These benefits can help offset income lost due to unemployment and can help cover your increased medical expenses.  Continue reading to see if you qualify for assistance.

Disability Benefit Programs

The Social Security Administration governs the two main public disability assistance programs in the United States. These are Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI).

SSDI is intended to provide financial assistance to disabled workers and their eligible family members. SSDI is funded through Social Security taxes, which are usually taken from workers’ paychecks. Only those who have worked and paid Social Security taxes are able to qualify for SSDI benefits.  Learn more about SSDI eligibility, here:

SSI is a separate program that offers financial assistance to individuals with disabilities who earn very little income. To qualify for SSI applicants must fall within the financial limits set by the SSA. These limits control the amount of income a person can earn and the amount of resources a person can own. For more information about SSI eligibility, visit the following page:

Be sure to research each of these programs to determine which program is the best fit for your particular needs.

Social Security Medical Eligibility

If you meet the program requirements for SSDI or SSI, you will also need to meet specific medical requirements.

First, you must be considered disabled according to the SSA’s definition of disability. This definition states that an applicant is disabled if he or she has a long-term, physical or mental condition that prevents him or her from participating in Substantial Gainful Activity (SGA). In 2014, SGA is considered to be earning $1,070 per month. If you do not meet the SSA’s definition of disabled, you will not qualify for either type of benefits.

In addition to the general definition of disability, you will also need to meet medical criteria specific to your breast cancer. These criteria are listed in a publication referred to as the SSA’s Blue Book. Essentially, the Blue Book is a long list of symptoms and conditions that qualify for disability benefits.

Breast cancer is evaluated under Blue Book listing 13.10—Malignant Neoplastic Diseases of the Breast. To meet this listing, applicants must provide the SSA with medical evidence of the following:

·       Locally advanced carcinoma (inflammatory carcinoma, tumor of any size with direct extension to the chest wall or skin, tumor of any size with metastases to the ipsilateral internal mammary nodes); OR

·       Carcinoma with metastases to the supraclavicular or infraclavicular nodes, to 10 or more axillary nodes, or with distant metastases; OR

·       Recurrent carcinoma, except local recurrence that remits with antineoplastic therapy.

Medical Vocational Allowance


In the event you are unable to qualify for benefits by meeting a Blue Book listing, you may still be able eligible to receive benefits under something called a medical vocational allowance.

To qualify under a medical vocational allowance, your functional abilities, your age, and your previous job training must indicate that you are unable to perform any type of work. After evaluating each of these factors, the SSA will decide whether or not you can work. If it is determined that you are capable of holding a job, your application will be denied. If the SSA determines that you cannot hold a job, you will likely be approved to receive benefits.

Preparing to Submit Your Application

Prior to submitting your application for disability benefits, you will have to collect medical and non-medical records to validate your claim. Medical records may include the following:

·       Findings of physical and mental examinations

·       Records of your diagnosis

·       History of your hospitalizations, treatments, and surgeries

·       Pathology reports

·       CTs, X-rays, and MRIs

·       Notes concerning the malignancy, location, and growth of your cancer

·       Written statements from your doctors about your condition and your inability to work

Non-medical records may include different forms of identification, financial statements, and employment records. For a complete list of non-medical document requirements, visit the following page:

Once you are ready to begin the application process, you can do so in one of two ways: you can fill out the required forms online or you can schedule an interview with a representative from the SSA. Which method you choose depends on how comfortable with the process you are and how clearly you can present your claim.

Regardless of how you submit your claim, you will need to take your time when filling out the application paperwork. The information you provide should be accurate, detailed, and consistent throughout all forms. Any missing, inaccurate, or inconsistent information could potentially harm the outcome of your claim.

Receiving a decision

Typically, it can take several months to receive the SSA’s decision on an initial application. Fortunately, breast cancer qualifies for expedited application processing through the Compassionate Allowance program. The Compassionate Allowance program allows individuals with serious disabilities to be approved for benefits in as little as two weeks.

If you are approved for benefits, you will receive a letter outlining your award and payment schedule. However, many initial applications are denied. If your claim is denied, do not panic. You can appeal the SSA’s decision within 60 days of receiving your notice of denial. Although it is discouraging to be denied, the appeals process is often a necessary step toward being approved for disability benefits.  In fact, many more applicants are approved during appeals proceedings than during the initial application process.

For more information about applying for disability benefits with breast cancer, visit the following page:

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