If you're undergoing hemodialysis or dialysis treatment due to chronic kidney disease (CKD), you are eligible for Social Security Disability benefits. If you are earning below Substantial Gainful Activity, then the Social Security Administration (SSA) outlines specific criteria in its Blue Book under Listing 6.03 for individuals to receive SSI and/or SSDI benefits while receiving dialysis. This guide aims to clarify those criteria and explain how Disability Services of America (DSA) can support you in securing SSI and/or SSDI benefits while maximizing your financial and medical benefits.
What Is Listing 6.03 and How Does It Apply to Dialysis Patients?
Listing 6.03 pertains to chronic kidney disease requiring chronic hemodialysis or peritoneal dialysis. To meet this listing, your dialysis treatment must have lasted, or be expected to last, for a continuous period of at least 12 months. This includes both hemodialysis and peritoneal dialysis treatments.
What Medical Evidence Is Required to Qualify for Disability If I Am Undergoing Dialysis?
To qualify under Listing 6.03, you must provide medical documentation from an acceptable medical source that:
- Diagnosis of Chronic Kidney Disease (CKD).
- Confirms that you are undergoing chronic dialysis including evidence of dialysis treatment.
- Indicates that your severe medical impairment along with dialysis is expected to continue for at least 12 months.
This documentation should include clinical examinations, treatment records, and laboratory findings that support your claim.
How Does the SSA Determine the Onset of Disability for Dialysis Patients?
If you are undergoing chronic dialysis, the SSA may determine that your CKD met the definition of disability before you started dialysis. The onset date of your disability will be based on the facts in your case record, including medical evidence and treatment history.
Other Ways You May Qualify for Disability Benefits
The conditions listed under Section 6.00 of the SSA Blue Book represent some of the more common and severe kidney disorders. However, these are not the only qualifying medical conditions. If you’re dealing with another genitourinary disorder that doesn't match these exact listings, you may still qualify for disability benefits if:
- Your condition is recognized under another section of the Listing of Impairments.
- Your condition is determined to be medically equivalent in severity to a listed impairment.
- Your medical condition limits your ability to perform basic work tasks, preventing you from engaging in Substantial Gainful Activity (SGA).
You only need to meet one of these three criteria to potentially qualify for benefits.
Can I Work While Receiving Disability Benefits for Dialysis?
Yes, you can work while receiving disability benefits. The SSA's Ticket to Work program is designed to help beneficiaries transition back into the workforce without immediately losing their benefits. This program provides support and resources to help you achieve financial independence through full-time employment. If you have to work to pay for medical treatment related to your severe disabling medical impairment you can use money earned to pay for Impairment Related Work Expenses.
How Do I Get Started?
If you're receiving SSDI or SSI and undergoing dialysis, you may already be eligible for the Ticket to Work program. DSA can help you:
- Determine your eligibility.
- Understand your rights and options.
- Coordinate services with your local VR agency.
Whether you're ready to return to work now or need additional support first, you have options—and DSA is here to support you every step of the way.