What Medical Conditions Qualify for Long Term Disability?

What Medical Conditions Qualify for Long Term Disability?

By Hogan Smith

Updated 02/26/2025


Long-term disability (LTD) benefits are designed to provide financial support for individuals who are unable to work for an extended period due to a serious medical condition. These benefits can help replace lost income and provide financial stability while you focus on recovery. However, not all medical conditions qualify for long-term disability benefits, and the conditions that qualify can vary based on your insurance policy or the disability program you are applying for. Below is an overview of the medical conditions that typically qualify for long-term disability.

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Musculoskeletal Disorders

Musculoskeletal conditions are among the most common causes of long-term disability. These conditions affect the muscles, bones, joints, and connective tissues, making it difficult or impossible for individuals to perform physical work.


Common Musculoskeletal Conditions Include:

  • Osteoarthritis: A degenerative joint disease that causes pain, swelling, and stiffness in the joints.
  • Rheumatoid Arthritis: An autoimmune disorder that causes chronic inflammation in the joints, leading to pain and deformity.
  • Chronic Back Pain: Conditions such as herniated discs, spinal stenosis, or degenerative disc disease can cause persistent pain and limit mobility.
  • Fibromyalgia: A condition characterized by widespread pain, fatigue, and tenderness in the muscles and joints.
  • Carpal Tunnel Syndrome: A condition that affects the hands and wrists, causing pain, numbness, and weakness, often due to repetitive motion.


Mental Health Conditions

Mental health disorders are another significant cause of long-term disability. These conditions can severely affect an individual's ability to perform day-to-day activities, including work.


Common Mental Health Conditions Include:

  • Depression: Major depressive disorder can make it difficult to perform daily tasks, concentrate, and maintain relationships.
  • Anxiety Disorders: Conditions such as generalized anxiety disorder (GAD), panic disorder, and post-traumatic stress disorder (PTSD) can be debilitating and interfere with daily functioning.
  • Bipolar Disorder: Individuals with bipolar disorder experience extreme mood swings that can affect their ability to maintain steady work.
  • Schizophrenia: A severe mental disorder that affects thinking, emotions, and behavior, often impairing a person's ability to work or care for themselves.
  • Obsessive-Compulsive Disorder (OCD): OCD can cause intrusive thoughts and compulsive behaviors that interfere with daily life.


Cardiovascular Conditions

Cardiovascular diseases affect the heart and blood vessels, and many of these conditions can prevent individuals from being able to work due to their severity.


Common Cardiovascular Conditions Include:

  • Heart Disease: Conditions such as coronary artery disease (CAD), heart attacks, and congestive heart failure (CHF) can limit a person's ability to engage in physical activities or work.
  • Arrhythmias: Abnormal heart rhythms, such as atrial fibrillation, can cause symptoms like dizziness, fatigue, and shortness of breath, which can affect job performance.
  • Stroke: A stroke can result in long-term physical and cognitive impairments that may qualify for long-term disability benefits.
  • Hypertension (High Blood Pressure): Severe hypertension can lead to other health issues like kidney damage or heart failure, which could render an individual unable to work.


Respiratory Conditions

Respiratory disorders affect the lungs and breathing, which can significantly hinder an individual's ability to perform physical tasks and work.


Common Respiratory Conditions Include:

  • Chronic Obstructive Pulmonary Disease (COPD): A group of lung diseases, including emphysema and chronic bronchitis, that make it difficult to breathe and perform physical activities.
  • Asthma: Severe or chronic asthma can cause difficulty breathing and frequent flare-ups that limit work capabilities.
  • Pulmonary Fibrosis: A progressive lung disease that causes scarring of lung tissue, which can make breathing and physical exertion difficult.
  • Sleep Apnea: Untreated sleep apnea can cause extreme fatigue and other health issues that impair an individual's ability to work.


Neurological Conditions

Neurological disorders affect the brain, spinal cord, and nerves, often leading to impairments in physical and cognitive abilities. These conditions are commonly covered under long-term disability policies.


Common Neurological Conditions Include:

  • Multiple Sclerosis (MS): MS is a chronic disease that affects the central nervous system, leading to symptoms such as fatigue, weakness, and difficulty walking.
  • Parkinson's Disease: A progressive disorder that affects movement and coordination, leading to tremors, stiffness, and balance issues.
  • Epilepsy: Seizure disorders can cause sudden, unpredictable loss of consciousness or control over body functions.
  • Alzheimer's Disease: A form of dementia that affects memory, thinking, and behavior, often making it impossible for individuals to work.
  • Migraine Headaches: Severe migraines can cause debilitating pain and symptoms like nausea and sensitivity to light, making it difficult to maintain regular employment.


Cancer

Cancer is one of the leading causes of long-term disability, particularly when the disease is advanced or treatment side effects are severe. Many cancer patients experience prolonged periods of illness and recovery that can prevent them from returning to work.


Types of Cancer that May Qualify for LTD:

  • Breast Cancer
  • Lung Cancer
  • Colorectal Cancer
  • Leukemia
  • Lymphoma
  • Prostate Cancer


Treatment such as chemotherapy, radiation, or surgery may cause debilitating side effects like fatigue, pain, and weakness, which can qualify an individual for long-term disability.


Autoimmune Disorders

Autoimmune diseases occur when the immune system mistakenly attacks the body’s own tissues, leading to chronic inflammation and other symptoms that can limit work ability.


Common Autoimmune Disorders Include:

  • Lupus: A chronic disease that causes inflammation and damage to organs, including the kidneys, skin, joints, and heart.
  • Multiple Sclerosis (MS): As mentioned above, MS is an autoimmune disorder that affects the central nervous system.
  • Rheumatoid Arthritis: A condition where the immune system attacks the joints, causing pain, stiffness, and eventual joint deformities.


Kidney Disease

Chronic kidney disease (CKD) and kidney failure can lead to serious complications, such as the need for dialysis or a kidney transplant, which may prevent an individual from working.


Common Kidney Conditions Include:

  • End-Stage Renal Disease (ESRD): The final stage of chronic kidney disease where kidneys no longer function adequately.
  • Chronic Kidney Disease: Progressive loss of kidney function that may require dialysis or a transplant.


Digestive Disorders

Certain digestive disorders can lead to chronic pain and complications that qualify for long-term disability benefits.


Common Digestive Disorders Include:

  • Crohn’s Disease: A chronic inflammatory bowel disease that can cause severe abdominal pain, fatigue, and malnutrition.
  • Ulcerative Colitis: An inflammatory bowel disease that causes long-lasting inflammation and ulcers in the digestive tract.
  • Celiac Disease: An autoimmune disorder where the ingestion of gluten damages the small intestine, causing various digestive and systemic symptoms.

How Hogan Smith Can Help

If you're considering applying for long-term disability benefits, Hogan Smith can assist you in understanding the eligibility requirements and help you navigate the application process. We provide guidance with:


  • Determining whether your condition qualifies for long-term disability.
  • Gathering necessary medical evidence to support your claim.
  • Filing your claim and ensuring all documentation is complete and accurate.
  • Handling appeals if your claim is denied.

Contact Hogan Smith Today

If you need assistance applying for long-term disability benefits or have questions about your eligibility, Hogan Smith is here to help. Contact us today for a free consultation to ensure you receive the benefits you deserve. Let us help you focus on your health while we take care of your claim.


Further Reading

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Updated February 10, 2025

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

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