Is Cystic Fibrosis a Disability?

Yes, cystic fibrosis is a disability. This genetic condition affects around 40,000 individuals across the United States, with around 1,000 new cases diagnosed each year. Cystic fibrosis can significantly impact a person’s health and ability to engage in daily activities. 

If you are suffering from cystic fibrosis, making a disability claim can be crucial. In order to receive benefits, you will need to understand Social Security’s disability requirements, the types of benefits available, and how to apply for benefits.

Can You Get Disability Benefits for Cystic Fibrosis?

You may be eligible for disability benefits if you have cystic fibrosis. To receive benefits, you will need to meet Social Security’s cystic fibrosis disability requirements. The SSA considers cystic fibrosis to be a respiratory disorder. Therefore, the disability criteria is based on a person’s respiratory function.

Eligibility criteria include a person meeting a threshold FEV1 measurement, which indicates how much air they can forcefully exhale in one second. Before filing a disability claim, individuals will want to speak to their doctor to determine whether their illness meets these criteria and to get necessary spirometry or other testing. 

What is Cystic Fibrosis?

Cystic fibrosis is a recessive genetic condition. The condition will only present if an individual has the CF gene mutation on both chromosomes. In other words, both parents must carry the CF gene for the child to inherit the illness. 

Due to a dysregulation of the CF transmembrane regulator (CFTR), this illness causes the body to produce a thick mucus that damages organs, leading to serious and life-threatening health complications. In some cases, cystic fibrosis may cause pancreatic insufficiency, respiratory failure, and digestive problems. 

Types of Cystic Fibrosis

There are two types of cystic fibrosis: classic and atypical. Additionally, there are thousands of different types of mutations of the CF gene. Doctors can determine the type of cystic fibrosis through a sweat chloride test and arterial blood gas test. 

• Classic Cystic Fibrosis: This type of cystic fibrosis is more severe and is usually diagnosed in the first few years of life. It typically affects multiple organs.

• Atypical Cystic Fibrosis: This is a milder type of cystic fibrosis and is usually not diagnosed until later in childhood or in early adulthood. It may only affect one organ and symptoms may fluctuate in presence and severity.

Cystic fibrosis is further classified into five classes. These classifications are based on the amount of protein produced by the CFTR. The less protein produced, the more severe the symptoms of the illness. Classes I-III are the more severe, while Classes IV-V are milder.

Symptoms of Cystic Fibrosis

Due to the nature of cystic fibrosis and the mucus buildup, there are several different symptoms. Some of the most common symptoms include:

• Weight loss due to nutritional deficiencies 
• Belly pain and nausea
• Breathing difficulties due to limited lung function, lung infections, or collapsed lung
• Nasal congestion and chronic cough
• Fatigue
• Infertility

The symptoms of cystic fibrosis can make it challenging to engage in daily activities or work, and often lead to hospitalization. The functional limitations and work limitations associated with the illness may make people living with cystic fibrosis eligible for SSDI or SSI benefits.

Eligibility Criteria for Getting Disability With Cystic Fibrosis

Before you start the application process you will need to determine whether you are eligible for disability benefits. Disability for cystic fibrosis is available if:

1. You have significant lung impairment, meeting the criteria set forth by the SSA including:
   1. Low FEV1 levels
   2. Frequent hospitalization
   3. Respiratory failure
   4. Pulmonary hemorrhage
   5. Chest tube placement
   6. CF-related diabetes
2. You are unable to participate in substantial gainful activity due to your illness.
3. You have sufficient work credits or limited financial resources.

A Philadelphia disability lawyer can assist with the disability application process. They can explain the criteria, determine your eligibility for Social Security benefits, and help you file a claim for benefits.

SSDI vs. SSI with Cystic Fibrosis

The SSA offers two types of Social Security disability benefits: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). Eligibility criteria and the benefits amount differ.

SSDI is available to individuals with a work history. A person seeking Social Security disability cystic fibrosis benefits will need to have paid into Social Security through their payroll taxes and earned a sufficient amount of work credits. The number of work credits required is based on a person’s age.

SSI is available to individuals aged 65 or older, who are blind, or who have a recognized disability. Additionally, individuals seeking SSI must have limited income or limited financial resources. Unlike SSDI, there is no work history requirement. 

The type of benefits will also dictate your cystic fibrosis disability allowance. Your lawyer can help explain your options and the amount of benefits you may receive with SSDI or SSI.

How Do I Apply for Cystic Fibrosis Disability Benefits?

Applying for Social Security benefits can be a lengthy and complex process. This can become more challenging if your initial application is denied and you need to navigate the appeals process. 

To apply for cystic fibrosis disability benefits you will need to:

1. Gather evidence and supporting documentation like medical records and identifying information.
2. Determine your eligibility for SSI or SSDI. 
3. Fill out the application for benefits.
4. Submit the application online or at your local SSA office. 
5. Submit any additional documentation as requested by the SSA and attend medical evaluation, if requested.
6. Wait for a decision from the SSA, approving or denying your claim.

If your application is denied, it is vital to take quick action. You must file a Request for Reconsideration within 60 days of the decision to start the appeals process. If you need assistance with your cystic fibrosis appeal don’t hesitate to contact our experienced legal team.

Disability Benefits Denied? Contact Chermol & Fishman, LLC Today!

Were your disability benefits denied? Do you need assistance with your initial application? Questions about eligibility? Call a lawyer now at 1-888-774-7243 for a free evaluation. 

At Chermol & Fishman, LLC, we provide dedicated support to our clients. Our experienced team can help you navigate the complexities of the disability application and appeals process, fighting for the benefits you are owed.