If you have been diagnosed with schizophrenia, you may qualify for disability benefits through the Social Security Administration (SSA).
You’ll need to meet the medical, work, and financial criteria by the SSA in order to receive benefits.
Discussed below is the full process on how to apply for benefits with schizophrenia, how to get connected with a disability lawyer for a better chance of approval, and how much you’re eligible to earn with schizophrenia benefits.
How to Apply for Disability Benefits with Schizophrenia
1. Qualify for Schizophrenia Disability Benefits
To qualify for disability benefits with schizophrenia, you must meet the criteria set by the Social Security Administration (SSA). According to the SSA's Blue Book, schizophrenia is listed under section 12.03, which details the requirements for "Schizophrenic, Paranoid, and Other Psychotic Disorders."
You must be able to prove, with medical documentation, that your symptoms severely limit your ability to engage in normal daily activities.
If your symptoms are not severe enough for you to require full time care, but are still severe enough to keep you from working, the SSA lists a second set of requirements that make you eligible to get disability benefits. Beyond medical requirements, applicants must also meet specific work and financial criteria.
For Social Security Disability Insurance (SSDI), you must have earned sufficient work credits, which are based on work history and age. Generally, 20 work credits are needed, with at least half earned in the last 10 years before the disability began.
Financially, SSDI candidates must demonstrate an inability to engage in substantial gainful activity (SGA), meaning they cannot earn more than $1,550 per month due to their condition. For Supplemental Security Income (SSI), you must have limited income and resources, typically less than $2,000 in assets for an individual or $3,000 for a couple.
2. Collect Documentation & Medical Records
Collecting medical records and other documentation is an important step when applying for disability benefits. This involves gathering detailed medical evidence that supports your diagnosis and the severity of your condition.
Essential documents include medical records from all healthcare providers who have treated you, which should include physician notes, psychiatric evaluations, hospital records, lab results, and imaging studies.
Additionally, obtaining statements from your doctors about how your condition limits your ability to work can increase your chance of approval. It's also important to include documentation of any prescribed medications and therapies, as well as records of hospitalizations or emergency room visits related to your condition.
Besides medical records, you will need to gather employment records, such as recent pay stubs, W-2 forms, and a detailed work history that outlines your work history and any difficulties you experienced due to your condition.
Financial documents, such as bank statements, proof of other income, and living expenses, are also necessary to demonstrate your financial need.
A disability lawyer can assist in gathering all required documents and medical evidence you need.
They can also help by getting detailed statements from your healthcare providers and will also know how to present your medical and employment records in the most favorable way for approval.
Consulting a disability attorney can significantly increase your chances of approval and provide you with a well-prepared and thorough application.
3. Apply & Submit Application
Completing and submitting your disability benefits application requires careful attention to detail. You can obtain the application form online through the SSA website, over the phone, or by visiting a local SSA office.
When filling out the application, it is important to provide accurate and thorough information about your medical condition, work history, and financial situation. Make sure to double-check all entries for accuracy and completeness to avoid any delays or denials.
If you are struggling with a serious disability, the process can be overwhelming, which is where a disability lawyer can be helpful.
A lawyer can guide you through each step of the application, help gather and organize your supporting documents, and ensure that all forms are correctly completed and submitted on time.
A professional can simplify the process, reduce the stress of applying, and significantly improve your chances of approval.
4. Track Application & Follow Up
Once you have submitted your application, make sure to stay in regular contact with the SSA to monitor its status.
You can track your application easiest online through the SSA’s website. Staying in communication with your disability lawyer is equally important, as they can provide updates, interpret any confusion from the SSA, and advise on next steps. If your application is denied, your lawyer can help you understand the reasons for the denial.
5. Appeal if Necessary
If you get denied disability benefits, don’t be discouraged—it’s very common to be denied benefits initially.
Most applicants are denied benefits on their first application and then granted benefits after an appeal. Upon receiving a denial, it’s important to understand the reasons behind it, which will be detailed in the denial letter from the SSA.
Immediately contact your disability lawyer, who can guide you through the appeals process. Your lawyer will help you gather additional medical evidence, correct any errors in your initial application, and represent you during hearings.
The appeals process can be complex and time-consuming, but having a disability lawyer by your side significantly increases your chances of overturning the denial and securing the benefits you need. Maintain close communication with both the SSA and your lawyer to file an appeal.
Connect with a Disability Attorney Today
Getting connected with a disability attorney today for your schizophrenia case can significantly increase your chances of receiving the benefits you need. Schizophrenia cases require detailed documentation and a thorough understanding of the SSA’s criteria.
Disability lawyers specialize in helping people receive benefits and will greatly increase your chances of approval.
They will ensure your application is completed accurately and submitted on time, and if your initial claim is denied, they can help manage the appeals process.
Contact a disability lawyer today to have an advocate dedicated to your case, providing you with the support and expertise necessary to improve your chances of receiving disability benefits.
How Much Disability Can You Receive for Schizophrenia?
The maximum amount you can earn per month from SSDI benefits in 2024 is $3,882, with the average being around $1600.
For SSDI, your monthly payment is based on your average lifetime earnings before your disability began. For SSI, the maximum you can earn for 2024 is $943 per month for an individual, but this amount can vary depending on your income, living situation, and state supplements.
It’s important to note that both SSDI and SSI benefits come with access to health care programs, such as Medicare or Medicaid, which can help cover medical expenses related to your schizophrenia.
A disability lawyer will also be able to tell you how much money you can receive per month from disability benefits.
Take our free evaluation today and use our benefits calculator to see how much disability you may be entitled to.
Additional Resources
- Can I Continue Working with Schizophrenia?
- Schizoaffective Disorder and Disability Benefits
- Is Mental Illness a Disability? Learn How to Qualify
- 5 Mental Health Conditions That Qualify For SSD
- How Can You Prove a Mental Disability to the SSA?
- Denied Disability Benefits With a Mental Illness
- Tips on Qualifying For Disability With a Mental Health
- Can My Psychiatrist Help Me Get Disability Benefits?
- 3 Reasons the SSA Will Deny Your Mental Illness Claim
- Is Bipolar A Disability? Learn How To Qualify For Benefits