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How to Apply for Disability with a Malignant Neoplastic Disease?

The Social Security Administration provides a detailed definition of malignant neoplastic diseases in the Blue Book. A malignant neoplastic disease (MND) is cancer or a cancer related condition. The SSA recognizes malignant neoplasms as causing disabilities qualifying for disability benefits (both SSDI and SSI). When someone with malignant neoplastic disease files a claim for benefits, the SSA will examine the case to determine if the health consequences of individualized cancer treatments and/or the cancer may last for one year or eventually cause death to the claimant.

Malignant Neoplastic Diseases

What Types of Malignant Neoplastic Diseases are Included in the SSA’s Blue Book?

Subsections detailing MNDs found in the Blue Book involve the following areas of the body:

  • Kidneys/adrenal glands
  • Liver/gall bladder
  • Lungs
  • Nervous system
  • Pancreas
  • Large and small intestines
  • Prostrate gland
  • Skeletal system
  • Esophagus
  • Stomach
  • Thyroid

Leukemia, lymphomas, multiple myeloma and soft tissue sarcoma are also listed under malignant neoplastic disease in the SSA Blue Book of qualifying conditions.

What are Compassionate Allowance Benefits?

People diagnosed with an advanced type of cancer are usually eligible for “compassionate allowance“. If an applicant is approved for CAL, they will immediately begin receiving disability benefits without delay. Metastatic cancers, or cancers that have spread throughout the body, are always approved for compassionate allowance benefits. According to the SSA website, their board of physicians use cutting-edge technology to quickly identify CALs and expedite benefits. However, the SSA employs the same rules for evaluating CAL conditions that they use to evaluate SSI and SSDI applications.

What Information is Needed to Apply for Disability Benefits for Malignant Neoplastic Disease?

The Social Security Administration requires the following documentation completed by medical professionals and/or specialists:

  • Origin of the malignancy
  • Stage at which the malignancy has been diagnosed (Stage 0 and I cancers have not yet metastized)
  • Treatments implemented (surgery, radiation, chemotherapy, etc)
  • Patient response to treatments
  • Residual effects of all cancer treatments administered to the patient

The SSA will want copies of any surgery and/or pathology reports as well. If the applicant is unable to retrieve these documents, the SSA will accept summaries of medical or hospitalization reports. In some cases, applicants may need to provide evidence of their cancer’s progression, persistence or recurrence.

If you or someone you know has been diagnosed with a malignant neoplastic disease and would like legal assistance with applying for disability benefits, call our NY disability attorneys today to schedule an appointment.

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