Sure, fibromyalgia can qualify as a incapacity that will entitle you to Social Safety advantages and ADA lodging, however proving that your situation is extreme sufficient to have an effect on your potential to earn substantial earnings may be troublesome.
You’ll want to indicate that you’ve been evaluated by a health care provider, wouldn’t have different circumstances that would trigger your signs, have signs that restrict your job efficiency and are unable to carry out duties for any job that can give you sufficient earnings.
Does fibromyalgia qualify as a incapacity for SSDI?
Sure, SSDI acknowledges fibromyalgia as a incapacity. Though the situation is troublesome to categorise, the Social Safety Administration (SSA) views it as associated to immune system and musculoskeletal problems. As a result of it doesn’t match neatly right into a class, you will not discover it within the SSA’s checklist of acknowledged impairments which are often permitted for advantages. However you possibly can qualify for SSDI if you’ll be able to present that your situation meets the factors for incapacity.
The best way to get SSDI advantages for fibromyalgia
1. Present that you’ve a prognosis.
The SSA requires documentation proving the qualifying incapacity. To diagnose fibromyalgia correctly, docs should present that you simply:
Have had ache for a minimum of three months on each side of the physique, above and under the waist and alongside your axial skeleton (your core and again), resembling along with your cervical or thoracic backbone or decrease again.
Don’t have different circumstances that would trigger the signs.
Moreover, one of many following should be true:
You’ve recurring bouts of a minimum of six signs or indicators of fibromyalgia, together with issues remembering issues, feeling foggy-headed, being fatigued, feeling drained after sleeping, being depressed or anxious, and experiencing irritable bowel syndrome.
You’ve ache in a minimum of 11 of 18 potential tender factors when the physician assessments your physique utilizing a particular technique.
If in case you have a qualifying situation moreover fibromyalgia, embrace that data in your SSDI software. Your odds of qualifying for advantages might enhance in the event you can present you have got a coexisting situation that additionally impacts your potential to earn earnings.
2. Present documentation.
Forms of proof you may have to submit embrace:
Medical data displaying that you simply’ve been looking for medical evaluations and remedy for the situation. Some circumstances require 12 months or extra of documentation.
Data from medical professionals aside from your specialist, resembling therapists or psychologists, that debate the severity of your situation and its results in your day-to-day actions.
Statements from nonmedical sources who’re aware of your situation and its results in your life. Examples embrace household, associates, earlier employers, lecturers and Social Safety Administration (SSA) personnel who’ve spoken with you about your situation.
If the SSA can not decide when you’ve got a qualifying incapacity by reviewing your submitted data, it will possibly request that you simply go to a doctor for a consultative examination. The SSA pays for this appointment to make sure that an unbiased physician performs the examination.
3. Show fibromyalgia retains you from incomes a dwelling.
It’s essential to be capable of present that your signs intervene with you maintaining a job and incomes substantial earnings. This isn’t at all times clearly acknowledged in a doc however may be confirmed by a historical past of being unable to work due to your situation or its therapies.
The SSA additionally considers whether or not your ache or signs are extreme sufficient to have an effect on your potential to do primary work duties. This contains the SSA evaluating your “residual purposeful capability” — how a lot you’ll be able to do regardless of your signs.
Do you know…
SSDI is for individuals with disabilities who can not carry out any job that gives substantial earnings. You might be unlikely to qualify for advantages in the event you can carry out a job that offers you sufficient earnings, even when that job is unrelated to your earlier profession or coaching.
SSDI advantages for fibromyalgia
SSDI offers disabled staff month-to-month funds to switch the earnings they’ll now not earn. How a lot the SSA pays is dependent upon how a lot of their lifetime earnings have been coated by Social Safety and whether or not they obtain different authorities advantages or pension funds.
The typical SSDI fee was $1,486 in June 2023, which is $17,832 yearly. That quantity is simply $3,252 a 12 months greater than the 2023 federal poverty degree.
Does fibromyalgia qualify as a incapacity underneath the ADA?
To qualify for lodging at work underneath the Individuals with Disabilities Act, your situation must restrict a serious life exercise severely, and performing your job qualifies as a type of actions.
Your employer has the correct to ask for medical documentation that states that you’ve a incapacity that requires lodging — however an employer can not require you to supply documentation that’s unrelated to your lodging request (i.e., your entire medical data).
In some circumstances, a letter out of your specialist stating you have got a incapacity and itemizing the lodging that can enable you at your job is all you’ll have to submit.
The lodging rely upon the kind of job you carry out. For instance, somebody who works at a pc whereas sitting at a desk will want completely different lodging than an individual who works in a warehouse or automotive store. Listed here are examples of lodging that may assist at varied sorts of jobs
An ergonomic workspace, resembling a extra supportive chair to can help you sit in several positions.
Frequent breaks to offer your joints and muscle groups time to recuperate.
Headsets or phone holders to cut back stress on neck, wrist, elbow and shoulder muscle groups.
Chilly-resistant or heated gloves to keep away from temperatures that irritate signs.
Electrical scissors, web page turners, reachers and different tools to reduce using sure joints.
Anti-fatigue matting to ease stress in your joints when you must stand for lengthy intervals.
Pneumatic instruments to lower the energy required to make use of them.
Versatile schedule or activity rotation to allow you to work on sure duties when your physique is almost definitely to reply extra positively to them.
The best way to enhance your possibilities of qualifying for SSDI
Know what’s required for a qualifying fibromyalgia prognosis. The SSA has necessities for what a health care provider should do and present in medical data earlier than it’ll settle for a fibromyalgia prognosis. Make sure that your physician is conscious of those necessities.
Embrace any coexisting circumstances. If in case you have coexisting circumstances, particularly ones which are associated to or attributable to fibromyalgia, embrace these in your SSDI declare. Generally a single situation isn’t sufficient for an approval, however the results of a number of circumstances may be sufficient to indicate that you’re unable to earn substantial earnings.
Don’t cease remedy. The SSA needs to see constant remedy in your half to find out if continued remedy is probably going to enhance your situation. If a sure remedy isn’t working, speak along with your physician about making an attempt a unique remedy so you possibly can present the SSA that you simply’ve given every part an opportunity earlier than making use of for SSDI.