COPD and SSA Disability Benefits
Ian C. Langtree - Writer/Editor for Disabled World (DW)
Published: 2010/10/14 - Updated: 2024/09/07
Publication Type: Informative
Topic: Disability Insurance - Publications List
Page Content: Synopsis - Introduction - Main
Synopsis: For those with severe COPD who can no longer work Social Security Disability Insurance becomes an important financial option.
• COPD refers to a group of diseases that cause airflow blockage and breathing-related problems. The disease category includes emphysema, chronic bronchitis and some cases of asthma.
• The Social Security Administration (SSA) uses a medical listing for COPD to determine if someone is disabled and qualifies for Social Security disability benefits.
Introduction
Chronic obstructive pulmonary disease (COPD) is a leading cause of death, illness and disability in the United States, according to the Centers for Disease Control and Prevention (CDC). Early detection of COPD may alter its course and progress. But for thousands with severe COPD who can no longer work, Social Security Disability Insurance (SSDI) becomes an important financial option.
Main Item
The National Heart, Lung and Blood Institute reports that more than 12 million people are diagnosed with COPD, and an additional 12 million may have COPD and not know it. In addition, 8 million cases of hospital outpatient treatment or treatment by personal physicians were linked to COPD in 2000.
COPD refers to a group of diseases that cause airflow blockage and breathing-related problems, according to the CDC. The disease category includes emphysema, chronic bronchitis and some cases of asthma. Typically, the disease is caused by long-term smoking and can be prevented by not smoking or quitting soon after someone starts. Lung damage can't be reversed, so treatment focuses on controlling symptoms and minimizing further damage. Treatment requires a careful and thorough evaluation by a physician.
"Medical treatment has a critical role in someone's application for Social Security disability benefits," said Ed Swierczek, senior claims representative at Allsup. "Documenting the existence of the disease or impairment is important, but it's one of several factors evaluated with an SSDI application."
When COPD is severe, shortness of breath and other symptoms of COPD can get in the way of even the most basic tasks, such as doing light housework, taking a walk, washing and dressing. The Social Security Administration (SSA) uses a medical listing for COPD to determine if someone is disabled and qualifies for Social Security disability benefits.
SSDI is a mandatory, tax-funded, federal insurance program designed to provide individuals with income if they are unable to work for 12 months or longer because of a severe disability, or if they have a terminal condition. Individuals must have paid FICA taxes to be eligible.
"If SSA examiners determine someone does not meet the COPD listing, then additional factors are examined," Swierczek said. "Social Security disability examiners will evaluate the effects of the disease on your abilities and daily functioning, plus they review work history and education as part of the adjudication process."
The process of applying for SSDI benefits is complex, and it can be difficult to receive benefits. Two-thirds of initial SSDI applications typically are denied.
For COPD sufferers, the most important aspect of treatment is avoiding tobacco smoke and removing other air pollutants from the patient's home or workplace, according to the CDC. Symptoms such as coughing or wheezing can be treated with medication. Respiratory infections should be treated with antibiotics, if appropriate. Patients who have low blood oxygen levels in their blood often are given supplemental oxygen.