Step 1: Understand the Eligibility Requirements

Before applying for disability benefits for epilepsy, you need to meet certain eligibility requirements for SSDI or SSI:

• SSDI: You must have worked and paid into the Social Security system for a sufficient number of years. The number of work credits required depends on your age when you became disabled.
• SSI: This program is based on financial need, and it doesn’t require a work history. If you have limited income and resources, you may qualify for SSI.

Step 2: Meet the Social Security Administration’s (SSA) Definition of Disability for Epilepsy

To qualify for disability benefits with epilepsy, you must show that your seizures significantly limit your ability to perform basic work tasks. The Social Security Administration (SSA) has specific criteria for epilepsy under its Listing of Impairments.

The SSA’s Listing of Impairments outlines two main categories for epilepsy:

• Convulsive Epilepsy: This includes generalized tonic-clonic seizures (previously called grand mal seizures). To qualify, you must have frequent seizures despite being on a prescribed treatment regimen.
• Non-Convulsive Epilepsy: This involves less noticeable seizures, such as absence seizures or complex partial seizures. To qualify, you must have documented seizures that interfere with your ability to function in the workplace.

In either case, to meet the SSA’s criteria, you will need to demonstrate that:

• Your seizures occur at least once a month despite following prescribed treatments, or
• You experience a severe limitation in your ability to perform work-related tasks due to your seizures.

Step 3: Gather Medical Documentation

The most critical part of your application is medical evidence. You will need to provide detailed medical documentation showing that your epilepsy is severe enough to prevent you from working. Key documents include:

• A diagnosis of epilepsy: A formal diagnosis from your doctor that explains the type of epilepsy you have and how it affects your daily life.
• Seizure records: Detailed records from your doctor documenting the frequency, duration, and type of seizures you experience.
• Treatment history: Information about the treatments you have tried (medications, therapy, surgery, etc.) and how well they have worked. If your seizures are resistant to treatment, this should be documented.
• Functional limitations: Letters from your doctors explaining how your seizures affect your ability to perform work-related tasks, such as staying alert, driving, or focusing for extended periods.

Step 4: Complete the SSDI or SSI Application

Once you have gathered your medical documentation, you can begin the application process. There are a few ways to apply:

• Online: The easiest and fastest way to apply is through the SSA’s website at www.ssa.gov. You can complete the application from the comfort of your home.
• By Phone: You can apply by calling the SSA at 1-800-772-1213. A representative will assist you in completing the application.
• In Person: You can apply in person at your local Social Security office. You will need to schedule an appointment in advance.

When completing your application, be sure to:

• Provide complete and accurate information about your medical history, seizures, treatments, and work history.
• Include any supporting documentation from your doctors, including medical records and letters that describe how epilepsy affects your daily life.

Step 5: Be Prepared for a Possible Denial

It’s common for Social Security Disability claims to be denied initially, even if you meet the medical criteria. If your claim is denied, you have the right to appeal the decision. The appeals process involves several stages:

• Reconsideration: You can request the SSA to review your claim again if it is denied. At this stage, you can submit additional evidence to support your case.
• Hearing: If your claim is denied at reconsideration, you can request a hearing before an Administrative Law Judge (ALJ). During the hearing, you or your attorney can present your case, and additional evidence may be presented.
• Appeals Council: If the ALJ denies your claim, you can request a review from the SSA Appeals Council. If they agree with the decision, you may have the option to take your case to federal court.

Step 6: Follow Up on Your Claim

Once you’ve submitted your application, you can track its progress online through the SSA’s portal or by calling the SSA at 1-800-772-1213. Be sure to respond promptly to any requests for additional information to avoid delays.