The loss of a limb marks a significant shift in the affected person’s life, as it means having to cope with new realities, including physical limitations, emotional adjustments and potential financial challenges. If you are an amputee, you may be wondering whether you automatically qualify for disability benefits.
However, the Social Security Administration (SSA) does not consider amputations an automatic qualification for disability benefits. In order to qualify, the amputation has to satisfy several criteria.
What are the eligibility requirements for amputees?
The Social Security Administration (SSA) outlines specific criteria that an amputee must meet to qualify for disability benefits. These include:
- Amputation of both upper extremities: This refers to the loss of both arms at or above the wrists, up to and including the shoulders. To qualify, medical documentation must demonstrate how the amputation limits the ability to perform work-related tasks.
- Hemipelvectomy or hip disarticulation: This involves the removal of a lower extremity at or above the hip joint. Detailed medical records should show how this severe amputation affects mobility, daily activities and the capacity to sustain employment.
- Amputation of one upper and one lower extremity: Eligibility requires the loss of one arm at or above the wrist and one leg at or above the ankle. In addition, medical evidence must confirm significant mobility challenges, such as the documented need for assistive devices like a walker, crutches or a wheelchair, and the inability to use the remaining extremities for essential tasks.
- Amputation of one or both lower extremities with documented complications: For this category, the amputation must occur at or above the ankle and involve complications such as the inability to use a prosthesis. Medical documentation must also verify the necessity of mobility aids, and confirm that these limitations have lasted or are expected to last for at least 12 months.
It is important to consider getting legal guidance to help you prepare a thorough application, gather the necessary medical documentation and present evidence that clearly demonstrates how your condition meets the SSA’s criteria for disability benefits.