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Your step-by-step guide to understanding Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) in the United States.
Living with EDS can mean facing unpredictable symptoms, debilitating pain, and a loss of reliable function. If your condition makes it impossible to maintain full-time employment, you may qualify for disability benefits through the Social Security Administration (SSA).
But the process isn’t easy. Here’s what to expect—and how to improve your chances.
To qualify for SSDI or SSI, you must meet the SSA’s definition of disability:
“The inability to engage in any substantial gainful activity (SGA) due to a medically determinable physical or mental impairment that has lasted or is expected to last at least 12 continuous months or result in death.”
EDS is not explicitly listed in the SSA’s “Blue Book” of impairments, but you can still qualify by proving that your symptoms meet equivalent functional limitations under other listings, such as:
Musculoskeletal Disorders
Neurological Conditions (POTS, chronic migraines)
Cardiovascular Issues
Autoimmune/Immune disorders (if MCAS overlaps)
Mental health impacts (anxiety, PTSD, depression)
For those who have worked and paid into Social Security for 5 out of the last 10 years
Based on your work history and earnings
Includes Medicare eligibility after 24 months
For low-income individuals with limited resources and no work history
Income and asset limits apply
Includes Medicaid eligibility
You may qualify for both SSDI and SSI depending on your situation.
You must have documented diagnosis and symptoms from licensed healthcare providers. For EDS, this includes:
Official diagnosis (ideally from a geneticist, rheumatologist, or specialist)
Clinical evidence of joint instability, pain, fatigue, organ dysfunction
Co-occurring diagnoses (POTS, MCAS, fibromyalgia, etc.)
You need to prove how your condition prevents you from working. This can include:
Inability to sit or stand for long periods
Needing frequent unscheduled breaks
Pain interfering with concentration (cognitive dysfunction or “brain fog”)
Missed work due to flares, ER visits, or doctor’s appointments
Functional reports from physical therapists, occupational therapists, and your own statements matter.
At least 12 months of detailed documentation
Include diagnoses, symptoms, test results (e.g., tilt table for POTS, MRIs)
Get letters from doctors explaining your limitations in daily function
Or call SSA at 1-800-772-1213 to start the process
This is a written questionnaire where you explain how your condition affects daily living, work, memory, fatigue, and ability to care for yourself.
Take your time and be specific and honest.
Most first-time applications are denied. If this happens, don’t panic—you have appeal rights.
The appeal process includes:
Reconsideration
Administrative Law Judge (ALJ) hearing
Appeals Council
Federal Court
Hiring a disability attorney is strongly recommended (they only get paid if you win, from your back pay).
Include co-occurring diagnoses (POTS, MCAS, IBS, migraines, ADHD, PTSD)
Ask your provider for a Residual Functional Capacity (RFC) form
Keep a symptom and flare journal
Track missed workdays, medical visits, and functional limitations
Be consistent across all forms and interviews
Social Security Disability Blue Book
https://www.ssa.gov/disability/professionals/bluebook/
Apply for SSDI and SSI
https://www.ssa.gov/applyfordisability/
Nolo’s Disability Secrets (Plain language legal advice)
https://www.disabilitysecrets.com
Legal Aid or Disability Attorneys
Search https://www.nosscr.org for a disability law expert in your area
Filing for disability is not giving up. It’s getting the support you’re entitled to so you can focus on managing your health. EDS is often misunderstood by systems that weren’t designed for fluctuating or invisible illnesses—but you don’t have to go through the process alone. Let this be your starting point. And if you’re denied—fight back. Many EDS patients win on appeal with the right documentation and advocacy.
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