How does the SSA determine eligibility for a disabled worker?

The Social Security Administration (SSA) determines eligibility for a disabled worker primarily through a comprehensive evaluation of their work history, the medical condition they are claiming as a disability, and their ability to engage in substantial gainful activity (SGA). This process is designed to ensure that only those who meet specific criteria receive benefits.

To establish eligibility, the SSA first looks at the applicant's work history to confirm they have earned enough work credits through employment. Next, they assess the medical condition to ensure it meets the SSA's definition of disability, which generally entails a physical or mental impairment that significantly limits the ability to perform basic work activities. Finally, the SSA evaluates whether the individual can perform any work at all, considering their condition, skills, education, and past work experience.

This multifaceted approach allows the SSA to make informed and fair decisions regarding benefits, ensuring that assistance is provided to those who genuinely cannot work due to their disabilities.