What Medical Conditions Qualify For Long-Term Disability?

What Medical Conditions Qualify For Long-Term Disability?

Are you suffering from a medical or a health condition and want to know if you are eligible to fetch long-term disability benefits? If you search “What medical conditions qualify for long-term disability?” on the internet, there is no doubt that you will get multiple results. However, they all lack the significant points that you are in search of.

To begin with, disability insurance does not cover any particular disease that you are diagnosed with. It covers your inability to work due to a specific illness or a medical condition. This is the fundamental confusion that you need to clear out if you are looking forward to getting disability insurance or want to know more about it.

Disability is one of the most powerful tools that may help you protect the financial well-being of you and your family. However, there are many things that you need to know if you are willing to apply for long-term disability insurance or plan on buying one.

In this article, we shall discuss all critical information about long-term disabilities and long-term disability insurance to help you get a better understanding before you apply for it.


What Medical Conditions Qualify For Long-Term Disability?

There is a wide range of medical conditions that are considered eligible for long-term disability insurance. It includes both mental and physical illnesses. However, these medical conditions have to be chronic enough to prevent you from working for an extended time period.

Generally, you will get these benefits after exhausting your short-term disability benefits. The exact conditions that apply for this type of insurance will depend on the type of policy and insurance.

Some of the widespread types of medical conditions that are eligible for a long-term disability may include:

  • Cancer
  • Diabetes
  • Chronic pain
  • Heart disease
  • Chronic obstructive pulmonary disease (COPD)
  • Crohn’s disease
  • Long COVID
  • Mental health-related disorders (anxiety, depression, etc.)
  • Traumatic brain injury
  • Multiple sclerosis (MS)
  • Musculoskeletal disorders
  • Stroke
  • Parkinson’s disease

Some of these policies may also offer benefits for disabilities in medical conditions that were caused due to occupational injuries or accidents. It is essential you check with your insurance provider to be sure of the conditions that your policy is covering.

How To Determine The Eligibility For Long-Term Disability?

How Long Will The Long Term Insurance Policy Cover For Your Disability

The eligibility criteria for long-term disability are generally decided by the combination of different factors, which include medical history, age, present mental and physical health status, and the ability to perform the essential duties of the job.

You must provide all the proof of your disability to the insurance company to portray that your illness is indeed preventing you from being functional at your workplace and meets the definition of disability on the policy.

What medical conditions qualify for long-term disability? And It’s Proof

What Medical Conditions Qualify For Long-Term Disability

Firstly, the disability insurance company will ask you to provide them with all the medical records that show your disability in medical condition. That will include every diagnostic test and medical evidence which are relevant to the disability claim.

Within the insurance policy, you may find this process outlined under a section which is titled “Proof of Claim.” You need to inform your insurance company and submit each of the necessary claim documentation and forms to be able to file an insurance claim. This also includes the medical records.

The process of claims may as well be quite involved. It might take anywhere from a couple of weeks to months to finish. It depends on how severe your illness is.

Definition Of The Disability 

In your query “What medical conditions qualify for long-term disability? and its definition The answer is: The insurance company will also take time to assess your ability to continue working in the same role or in a completely different capacity. It depends on your job duties and work history. The policy outlines the specific definition of long-term disabilities, which usually depends on whether you may work within your “own occupation” or “any occupation.”

Own occupation

You may be considered disabled if your medical conditions do not permit you to carry out the duties within your own job. This type of long-term disability coverage lasts for around 24 months under most of the policies.

Any Occupation

After the first 24 months, the insurance company will define your disability more narrowly. In most cases, you need to prove that you are actually unable to do the duties of any job or make even a selective percentage of the income you earned before you got disabled.

You may as well notice that for most of the long-term disability insurance policies, it gets even more challenging to qualify for the benefits after 24 months.

How Long Will The Long-Term Insurance Policy Cover For Your Disability? 

If you ask for what medical conditions qualify for long-term disability, The qualifying medical conditions will generally be covered for the entire life of the insurance policy as long as you are disabled. It is common for insurance policies to terminate the benefits at the age of 65 or the maximum Social Security Retirement Age – whichever goes longer.

Although, there are a couple of expectations.

Most of the long-term disability policies have “limitations to coverage” and “exclusions to coverage.”

Limitations To Coverage

The coverage for the condition is only for a limited time period

Exclusions to coverage

There is no cover for the condition.

For instance, most of the policies have a two-year coverage limit for disabilities related to mental health disabilities. They may also generally include a total exclusion for the conditions that are known to be pre-existing.

The legal battle over the exclusion or the limitation may become very detailed. You must never immediately accept anything that your insurance company suggests to be an exclusion or a limitation. Make sure to consult an attorney who can review the policy and make sure it suits you.

Frequently Asked Questions!! (FAQs)

Q1. What Is The Most Approved Disability?

Ans. Arthritis and other musculoskeletal system disabilities are some of the most common disabilities that receive easy approvals.

Q2. What Are The Conditions For Total And Permanent Disability?

Ans. A permanent or total disability is a condition where one goes through complete disability for the rest of their life because of an injury or an illness. When this disability restricts you from earning or making money, it is a disability. Permanent disabilities may include loss of eyesight, loss of arms or legs, paralysis, etc.

Q3. Is Diabetes Considered A Disability?

Ans. Yes. Diabetes is a long-term disability.

Hopefully, I have answered your question, “What medical conditions qualify for long-term disability?” There are multiple factors that you need to consider while making a decision for long-term disability insurance. These include the terms of the insurance, the coverage for how long you will be getting it, and what all the policy includes.

It is always better to reach out to a professional or an attorney who has acute knowledge and can help you the best while making a choice.

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