Cancer and Social Security Disability benefits: Not as easy as you think

Posted on February 16, 2010 by Anthony Reeves
Posted in Social Security 

Today, I was going through my normal surfing like most people do and realized that Bo Griffin, former TV Host of HGTV’s “The Big Reveal” passed away due to Cancer.  She was experiencing pain in her back and was unaware that she had cancer.  Unfortunately, her bought with cancer was fairly short as she died with a few weeks of its discovery.   She was diagnosed with intestinal cancer.   The news of her death spread fairly quickly (thanks to the advent of social media, twitter, and you tube).

However, upon hearing of her death, I instantly thought about Roger Ebert, noted movie critic, and his widely publicized bought with Thyroid Cancer.  He was successful in his fight but it left him with the inability to speak.

The thing that really resonated to me was the distinctive difference between the two types of cancer.   In Ms. Griffin’s case, she had no knowledge of the cancer and it overwhelmed her quickly.  In Mr. Ebert’s case, a radical procedure saved his life yet the possibility of it returning still remains.

I’ve represented a number of people who have had different types of cancers over the years and I have found that each one presents a unique set of circumstances as they relate to Social Security Disability benefits:

1) Suspected Cancer versus Cancer
The word “Cancer” is a terrifying word.   Like HIV and AIDS, there is no known cure for cancer.  As such, you can use chemo, surgery and radiation but you may not totally keep it from reoccurring.   For purposes of Social Security, it’s important to know the difference between being diagnosed with Cancer and being ’suspected’ of having cancer.   Usually ’suspected’ comes into play when the doctor has a reason to believe that some type of nodule or growth or something that has alerted them to the possibility of cancer.   However, for Social Security purposes, this doesn’t not guarantee the receipt of disability benefits.

2) No two cancers are the same
Under the Social Security regulations, individuals may be found disabled if they meet the criteria for certain medical impairments that are listed in the regulations (The listings).  Most people don’t realize that Social Security maintains several listings of different types of cancers.    As such, just merely being diagnosed with cancer by itself doesn’t guarantee an immediate favorable result.

3) Remission  sometimes means Recovered
Cancer is a devastating condition.  The treatment that people have to go through in order to combat cancer can be painful and traumatic.  However, most people don’t realize that it is not uncommon for people who have gone through the treatment to go back to their normal lives.  As such, Social Security can be tough on some cases where the person has completed the treatment and their doctor has given them a clean bill of health.

4) Remission and BEYOND:  How are you doing now?
Most people have to follow an aggressive follow up routine to make sure that the cancer doesn’t come back.  Some people come out of the treatment with no problems or any residual problems.  The key is ‘how are you doing now’?    Most people don’t understand that Social Security wants to know if you are still having problems and MORE IMPORTANTLY, does your doctor know that you are still having problems?

5) Cancer and the TERI case
TERI stands for Terminally Ill.  These cases are usually expedited because the person has a high likelihood of dying in a short period of time.  I had the opportunity to represent my client’s mother when her cancer returned.   Due to the aggressive nature of the cancer, she received disability benefits in less than a month.  Unfortunately (god rest her soul), she passed a few months later.

I’ve had a few cases where I’ve literally watched someone deteriorate before my very eyes and so I take Cancer very seriously when clients complain that they believe they are disabled due to cancer.  The word, by itself, doesn’t guarantee a result.  Keep in mind that even though cancer is devastating, you must realize that you may need to provide SSA more in order to demonstrate that cancer is disabling to you.

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