Qualifying for Social Security Disability with Down Syndrome

Social SecurityIf you have Down Syndrome and it keeps you from earning a substantial income, you might be eligible to receive Social Security Disability benefits. Whether you have Trisomy 21 or Mosaic Down Syndrome can come into play with disability benefits approval.

How to Qualify for Social Security Disability with Down Syndrome

How to Qualify for Social Security Disability with Down Syndrome

If you are applying for disability benefits with non-mosaic Down Syndrome, you can get automatic approval using the Social Security Administration (SSA) listing in the medical guide, which is also called the Blue Book, under the listing that is for Down Bills and changeSyndrome if you can prove you are diagnosed with non-mosaic Down Syndrome. The required evidence is dependent on whether or not a karyotype chromosomal analysis has been done. Blue Book Listing 10.06 specifies the evidence that will be accepted by the SSA to confirm non-mosaic Down Syndrome in both adults and children:

  • A karyotype analysis laboratory report signed off by a physician.
  • An unsigned karyotype laboratory report accompanied by a statement signed by a doctor declaring that the patient has Down Syndrome.
  • A report from a physician indicating that the patient has chromosome 21 translocation or chromosome 21 trisomy that is consistent with a previous karyotype analysis, showing Down Syndrome's distinctive physical appearance and features.
  • A report from a physician indicating that there is evidence that the applicant's level of functioning is consistent with non-mosaic Down Syndrome and that the applicant has those same physical traits as well.

Mosaic Down Syndrome doesn't have a specific SSA listing for children or adults. Just being diagnosed with mosaic Down Syndrome doesn't meet the requirements for benefits approval. With this condition, the impairments can vary greatly from one individual to another, so the individual must prove that his or her impairments are indeed disabling. Your mosaic Down Syndrome will be considered using the Blue Book listings for your mental or physical impairments.

Some examples of impairments caused by this form of Down Syndrome include:

  • thyroid problems
  • low IQ or intellectual disabilities
  • congenital heart disorders or diseases
  • sleep apnea or other breathing disorders while sleeping
  • hearing loss
  • other conditions

You will need medical records and documentation to support your claim and to show your limitations and restrictions.

Qualifying with A Medical-Vocational Allowance

If your Down Syndrome diagnosis doesn't meet the requirements of a Blue Book listing, you can still qualify for disability benefits using a medical-vocational allowance. With a medical-vocational allowance, all of your medical conditions, your work history, skills, educational background, and age. A residual functional capacity (RFC) will be completed to determine what kinds of limitations or restrictions that an applicant faces and if the applicant can still work at all despite the condition and the limitations. It the RFC allows the SSA to determine that a simple or sedentary job can be done, the disability claim might be denied. If the RFC reveals that no work can be performed, disability benefits can be awarded using a medical-vocational allowance. All of your medical conditions and symptoms are considered when a medical-vocational allowance is being pursued.

Applying for Benefits

If you are ready to apply for Social Security Disability, you have three options for getting your application underway. You can start your application online, by calling 1-800-772-1213, or by scheduling an appointment to meet a representative at your local SSA office. Documentation is the key to a successful disability claim, so gather up medical records including physician statements, laboratory results, X-ray and scan reports, treatment records, prescription records, and other documentation that shows how your condition affects you and your ability to work.


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