How to Qualify for Social Security Disability (SSDI) Benefits
Author: Attorney Lloyd Bemis
Updated: 1/10/2025
Summary:
The Social Security Administration has a number of requirements you must meet before qualifying for Disability Benefits.
You must satisfy both the basic financial and medical requirements.
- Financial Requirements:
You must first be insured for disability benefits on the date that you become disabled.
There is a two-part test for determining whether you are insured:- The “Duration of work test” Social Security will want to know if you have worked long enough to be covered under SSDI (the “duration of work test”);
- The “Recent work test” Social Security will check to determine whether you worked recently enough for the work to actually count toward coverage.
and
- Medical Eligibility Requirements:
- Are You Working?
- Is Your Medical Condition Severe?
- Is Your Medical Condition on the List of Impairments?
- Can You Do the Work You Did Before?
- Can You Do Any Other Type of Work?
How do you Qualify for Social Security Disability (SSDI) Benefits?
Social Security Disability Insurance (SSDI) is a federal program that pays you monthly benefits if you are insured under the program and become disabled before you reach retirement age and cannot work.
In order to qualify, an individual must satisfy both the Social Security Administration’s basic financial and medical requirements.
A. Financial Requirements:
You must first be insured for disability benefits on the date that you become disabled.
There is a two-part test for determining whether you are insured:
1. The “Duration of work test”:
Social Security will want to know if you have worked long enough to be covered under SSDI (the “duration of work test”); and
2. The “Recent work test”:
Social Security will check to determine whether you worked recently enough for the work to actually count toward coverage .
If you have not worked recently enough or long enough to satisfy their requirements Social Security will deny your claim.
1. Duration of Work Test
Instead of using “years worked” to determine whether you have earned enough to be covered, SSDI uses a system based on “credits.” You must have earned the required number of credits while you were working in order to qualify for disability benefits.
- What are work credits?
- How many work credits do I need?
SSDI work credits are calculated based on your earnings, as long as those earnings were subject to Social Security payroll taxes (FICA) or Social Security self-employment taxes. The dollar amount it takes to earn one credit is calculated annually. For 2025, you must earn $1,810 to be awarded one work credit or $7,240 to earn the yearly maximum allowed four credits. You can earn these four credits at any time during the year. You earn one credit at $1,810 of earnings, two credits at $3,620 of earnings, three credits at $5,430 of earnings, and four credits at $7,240 of earnings.
The SSA has established a sliding scale for the number of credits you must earn in order to be covered under the SSDI program. Based on the scale, the older you are at the time you become disabled, the more credits you must have earned for SSDI eligibility purposes. Under the duration of work test, you must have earned a certain number of credits by the time you became disabled.
2. Recent Work Test
In addition to having earned the necessary number of total work credits, SSDI requires that a certain number of the credits must be earned “recently.”
This “recent work test” is complicated and based on your age when you became disabled.
The SSA determines how much recent work you need to have based on the “calendar quarter” in which your birthday falls. The four quarters are defined as being from (1) January 1 through March 31; (2) April 1 through June 30; (3) July 1 through September 30; and (4) October 1 through December 31.
The rules are as follows:
- Before age 24 – You may be eligible if you have 6 credits earned in the 3-year period ending when your disability starts.
- Age 24 to 31 – In general, you may be eligible if you have credit for working half the time between age 21 and the time your disability began. As an example, if you develop a disability at age 27, you would need 3 years of work (12 credits) out of the past 6 years (between ages 21 and 27).
- Age 31 or older – In general, you must have at least 20 credits in the 10-year period immediately before your disability began.
Work years you will need based on your age.
Became Disabled At Age | Work years you need |
---|---|
Before age 28 | 1.5 years |
30 years old | 2 years |
34 years old | 3 years |
38 years old | 4 years |
42 years old | 5 years |
44 years old | 5.5 years |
46 years old | 6 years |
48 years old | 6.5 years |
50 years old | 7 years |
52 years old | 7.5 years |
54 years old | 8 years |
56 years old | 8.5 years |
58 years old | 9 years |
60 years old | 9.5 years |
62 years old or older | 10 years |
If you have not earned enough while working your claim will be denied,
and if you have not worked recently enough Social Security will deny your claim.
“Once Social Security determines the limitations caused by your condition, they will employ a vocational expert to assess whether a person with these limitations is employable. Most vocational experts will find a person to be unemployable if their condition or the treatment rendered for the condition causes the person to regularly be absent two or more days a month or be “off-task” 15% or more of the workday.”
B. Medical Eligibility Requirements:
If you satisfy the financial requirements the SSA will next determine if you satisfy their medical requirements.
Social Security requires that you have a severe, long-term disability and uses a five-step process to determine if you are impaired enough to qualify for benefits.
- Are You Working?
- Is Your Medical Condition Severe?
- Is Your Medical Condition on the List of Impairments?
- Can You Do the Work You Did Before?
- Can You Do Any Other Type of Work?
To qualify for SSDI, your disability must be “total,” such that you are not able to perform “substantial gainful activity” (SGA) for at least one year. SGA is a term used by the SSA to describe a level of work activity and earnings. In 2025, the SGA earning level is set at $1,620 per month for nonblind applicants and $2,700 for those who are blind. So, if you are disabled non-blind but currently working and you make over $1,620/month, you are not considered disabled enough to qualify for SSDI benefits. If you are blind and working, you must not make over $2,700 per month.
Under SSDI rules, your disability must be “severe” enough to interfere with your ability to perform basic work-related activities, such as walking, sitting, understanding and remembering. The medical condition must also be “long term,” in that: (1) it has already existed for 12 months, or (2) is expected to last for at least 12 months or result in your death.
Social Security has created a manual called the Blue Book which lists impairments Social Security considers disabling and may automatically qualify for benefits. If your condition is on this list, you will be considered disabled for SSDI purposes, provided you meet the requirements of the listing. Also, if your condition (or the combination of your conditions if you have more than one) is as severe or worse than the conditions on this “list,” then you will be considered disabled for SSDI purposes
If your medical condition is not in the Blue Book list of impairments, or did not meet or exceed the severity of conditions on the list, Social Security will consider whether your medical condition prevents you from doing the work you did prior to developing the condition. If it does not, then you are not considered disabled “enough” for SSDI purposes. If you cannot do your prior work, they will then determine if you can do any other type of work.
If you cannot perform your prior job, Social Security will evaluate whether you can perform any other kind of work, taking into consideration your medical condition, your age, and your educational background, as well as any past work experiences or skills that you may have that could transfer to any other type of work. If you cannot do other work, you will be considered sufficiently disabled for SSDI purposes.
FAQs Section
What is the Duration of Work Test?
Instead of using “years worked” to determine whether you have earned enough to be covered, SSDI uses a system based on “credits.” You must have earned the required number of credits while you were working in order to qualify for disability benefits.
What is the Recent Work Test?
In addition to having earned the necessary number of total work credits, SSDI requires that a certain number of the credits must be earned “recently.”
Before age 24 – You may be eligible if you have 6 credits earned in the 3-year period ending when your disability starts.
Age 24 to 31 – In general, you may be eligible if you have credit for working half the time between age 21 and the time your disability began.
Age 31 or older – In general, you must have at least 20 credits in the 10-year period immediately before your disability began.
What are the Medical Eligibility Requirements to qualify for disability?
Social Security requires that you have a severe, long-term disability and uses a five-step process to determine if you are impaired enough to qualify for benefits. 1.) Are You Working? 2.) Is Your Medical Condition Severe? 3.) Is Your Medical Condition on the List of Impairments? 4.) Can You Do the Work You Did Before? 5.) Can You Do Any Other Type of Work?
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Disability Benefits FAQs
Social Security has some basic financial requirements.
Before you are eligible for Social Security disability benefits, you must satisfy some basic financial requirements. You must: 1) have a disability that has lasted or is expected to last 12 months; and 2) you must have worked in a job where you paid Social Security taxes long enough and recently enough; and 3) you must not earn more than Substantial Gainful Activity (SGA), which is $1,620 per month in 2025 for nonblind applicants and $2,700 per month for blind applicants.
Basic SSDI Requirements –>
You may also be eligible for Social Security Disability benefits if you have another medical condition.
One disorder alone may not meet the criteria of an impairment as stated in Social Security’s Blue Book, but if you have more than one medical condition, Social Security must consider how those health issues combined limit your ability to hold a job and perform necessary daily tasks.
Disability for Multiple Impairments –>
If you are 55 or older or have another medical condition you may get approval.
Applicants who are 55 or older often fall under a grid rule, which means they are not expected to learn a new job.
Disability for those over 55 –>
You may also be eligible for Social Security Disability benefits if you have another medical condition.
One disorder alone may not meet the criteria of an impairment as stated in Social Security’s Blue Book, but if you have more than one medical condition, Social Security must consider how those health issues combined limit your ability to hold a job and perform necessary daily tasks.
Disability for Multiple Impairments –>
Should you file a claim?
If you believe that you meet Social Security’s medical and financial requirements, you should apply for benefits. If you are still unsure or would like to talk to someone, please contact us at 512-454-4000. We are always ready to take your call and discuss your options with you free of charge. We are happy to help folks just like you find the best solution for their personal situation.
How do I file for Social Security Disability benefits?
Once you have decided to file a claim, you can take the first step and apply for Social Security Disability benefits in person at your local Social Security Administration office, online, or over the phone.
How to Apply for SSDI –>
Appealing denied benefits
Most who file are denied initially. That doesn’t mean you won’t qualify; you just need to file an appeal.
There are four steps to the Social Security appeal process.
SSDI Appeals Process –>
Do I need a disability attorney for SSDI?
You may certainly file a claim on your own, but evidence shows that your chances for approval are increased significantly if you have legal representation.
Do I need an SSDI attorney–>
What if I don’t qualify for SSDI?
If you haven’t worked long enough to earn enough work credits, or if you earn too much income, you may be eligible for disability benefits through another Social Security program, such as Supplemental Security Income (SSI), or from a long-term disability insurance plan through your employer or a privately purchased policy.
What is Supplemental Security Income or SSI?–>
I have long-term disability insurance – should I file a claim?
Absolutely – you should file a claim as soon as you become disabled.
LTD Disability Appeals Process–>
Disabling Diseases
Bemis, Roach & Reed has helped clients who are disabled from a wide variety of medical conditions. If you are unable to work due to any of the following conditions and have been denied disability benefits, contact us. We would like to help.
- Acid Reflux
- AIDS / HIV
- Alcohol Dependence
- Alzheimer's Disease
- Amputation
- Amyotrophic Lateral Sclerosis ("ALS")
- Anemia
- Anxiety
- Arthritis
- Asthma
- Autism
- Autoimmune Disorder
- Back Pain
- Bipolar Disorder
- Bladder Control
- Blindness
- Blood Disorder
- Brain Aneurysm
- Brain Injuries
- Brain Tumor
- Breast Cancer
- Bronchiectasis
- Bulging / Herniated Disc
- Burns
- Cancer (all kinds)
- Car Accident
- Carpal Tunnel Syndrome
- Cerebral Atrophy
- Cerebral Palsy
- Cervical Disc Disease
- Chronic Fatigue Syndrome
- Chronic Obstructive Pulmonary Diseases (COPD)
- Chronic Pain Syndrome
- Cirrhosis
- Complex Regional Pain Syndrome (CRPS)
- Cognitive Dysfunction
- Congestive Heart Disease
- Coronary Dysfunction
- COVID-19
- Crime Injury
- Crohn’s Disease
- Cystic Fibrosis
- Degenerative Disc Disease
- Dementia
- Depression
- Diabetes
- Down Syndrome
- Endometriosis
- Epilepsy
- Epstein-Barr Virus
- Essential Tremor
- Falls and disability
- Fibromyalgia
- Gastrointestinal Reflux
- Glaucoma
- Headaches
- Hearing Impairment
- Heart Arrhythmias
- Heart Failure
- Hemophilia
- Hepatitis C
- Herniated / Bulging Disc
- High Blood Pressure/Hypertension
- Hip Replacement
- HIV
- Hodgkin’s Disease
- Huntington’s Disease
- Incontinence
- Interstitial Cystitis
- Irritable Bowel Syndrome (IBS)
- Ischemic Heart Disease Disability
- Kidney Disease
- Knee Disorder/Replacement
- Leukemia
- Liver Cancer
- Liver Disease
- Long-COVID
- Lumbar Disc Disease
- Lumbar Radiculopathy
- Lung Cancer
- Lupus
- Lyme Disease
- Macular Edema/Degeneration
- Memory Disorder
- Meniere's Disease
- Meningitis
- Mental Illness
- Migraine Headaches
- Multiple Myeloma
- Multiple Sclerosis
- Muscular Dystrophy
- Myofascial Pain Syndrome
- Neurocognitive Disorder
- Neuropathy
- Obesity
- Osteoarthritis
- Pancreatitis
- Paralysis
- Parkinsons Disease
- Peripheral Neuropathy
- Post-polio Syndrome
- Post-Traumatic Stress Disorder (“PTSD”)
- Prostate Cancer
- Psoriasis
- Psychosis
- Reflex Sympathetic Dystrophy (“RSD”)
- Rheumatoid Arthritis (RA)
- Schizophrenia
- Scleroderma
- Scoliosis
- Seizure Disorder
- Sjorgen's Syndrome
- Skin Cancer
- Sleep Apnea
- Speech Disorders
- Spinal Stenosis
- Spondylosis
- Stroke
- Syringomyelia
- Systemic Sclerosis
- Temporal Mandibular Joint Dysfunction (TMJ)
- Throat Cancer
- Thyroid Disorders
- Traumatic Brain Injuries
- Vision Impairment
Disability benefits are an important source of income for those who are unable to work. If you are not able to work due to accident or illness, you may be eligible for Social Security Disability or Long Term Disability benefits. If you have applied for benefits and been denied, contact the attorneys at Bemis, Roach and Reed for a free consultation. Call 512-454-4000 and get help NOW.
Author: Attorney Lloyd Bemis has been practicing law for over 35 years. He is Superlawyers rated by Thomson Reuters and is Top AV Preeminent® and Client Champion Gold rated by Martindale Hubbell. Through his extensive litigation Mr. Bemis obtained dual board certifications from the Texas Board of Legal Specialization. Lloyd is admitted to practice in the United States District Court – all Texas Districts and has argued before the U.S. Court of Appeals, Fifth Circuit. Mr. Bemis is a member of the Travis County Bar Association. He has been active in the American Association for Justice and is a past Director of the Capital Area Trial Lawyers Association. Mr. Bemis and all the members of Bemis, Roach & Reed have been active participants in the Travis County Lawyer referral service.
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