Qualifying for Disability Benefits with Symptomatic Congenital Heart Disease

Congenital heart disease (CHD) is a defect in the heart’s structure that’s present at birth. It can be detected before birth, soon after birth or anytime throughout life. There are many kinds of CHD. Symptoms and treatment depend on the type of defect and its severity. A person with CHD should see a cardiologist regularly throughout life. To learn more about how the Social Security Administration (SSA) defines this disability, visit Section 4.00 of the Blue Book.

Does Symptomatic Congenital Heart Disease Qualify for Disability?

Yes, people with congenital heart disease do qualify, but they need to meet the requirements of the SSA’s guidelines for this disability. Here they are below:

  • Cyanosis (blue appearance due to insufficient oxygenation) at rest, and either hematocrit or arterial oxygen saturation levels of a predetermined level of severity, or
  • Intermittent right-to-left shunting (movement of blood within the heart) resulting in cyanosis when active and causing oxygenation disruptions of a pre-determined severity, OR
  • Obstruction of pulmonary resulting in elevated blood pressure in the pulmonary arteries of a predetermined level of severity.

In all cases, it is essential that the defect in question is documented by way of “appropriate medically acceptable imaging”; in other words, the presence of the diagnosed defect must be confirmed using either cardiac catheterization or other standard diagnostic imaging such as ultrasound, CT scan, or whatever is considered the standard technique for diagnosing that specific disabling condition.

How Do I Apply for Disability Benefits?

To apply for disability benefits, it’s important to understand the disability application process. If you’ve been diagnosed with symptomatic congenital heart disease and believe you may qualify, contact us today for a free disability case evaluation.

You could be entitled to $3,822 a month. See if you qualify today!

Step 1 of 2