Does mental illness qualify for long-term disability?

Asked by: Stanford Kozey  |  Last update: August 15, 2025
Score: 4.4/5 (18 votes)

Yes. If you have been provided long term disability (“LTD”) insurance via your employer or through a privately purchased policy, you may be eligible to receive benefits for a mental illness. LTD benefits are typically designed to provide financial support if you're unable to work due to a disabling medical condition.

Is it hard to get long term disability for mental health?

The process of getting long-term disability (LTD) benefits for a mental health condition such as depression or anxiety is not always easy, and wrongful denials are often made by the insurance company.

What not to say to a long term disability company when they call?

Talk about your disability as much as you want but never discuss a family member's illness. You don't want the disability claim examiner to assume you need time off work to care for someone else or that you are caring for anyone else including grandchildren.

What qualifies as a long term disability?

In order to be deemed disabled, you must have a medical condition that meets the Social Security Act (SSA) definition of disability, which is “having an illness or injury that is expected to last at least 12 months or if your condition may be considered terminal.” Learn about the disability process through our free ...

Is it hard to get approved for long term disability?

There are a few factors that can make disability insurance claim approval an uphill battle. One of the biggest factors is also one of the most basic – how the disability insurance policy defines disability.

Mental Disorders and How to Collect Your Long Term Disability Benefits

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Why would long term disability be denied?

Missing or insufficient medical evidence: Long-term disability claims often get denied if they lack sufficient information to justify an approval, like medical records and medical statements from your doctor.

What illness automatically qualifies for disability?

Neurological disorders (e.g., epilepsy, benign brain tumors) Mental disorders (e.g., bipolar disorder, anxiety, depression) Cancer (malignant neoplastic diseases) Immune system disorders (e.g., HIV infection, lupus, inflammatory arthritis)

What is the most approved disability?

Overall, however, the most approved disability for Social Security is disabilities involving the musculoskeletal system and/or connective tissues. According to the World Health Organization (WHO), such conditions include arthritis, back pain, and lupus.

How much does long-term disability pay?

The benefit amounts and benefits periods for these state disability insurance programs are as follows: California State Disability Insurance. Benefit: 60-70% of wages to a maximum of $1,620 per week. Benefit period: Up to 52 weeks.

What is the most common cause of long-term disability?

Musculoskeletal disorders like arthritis and back pain are the leading cause of long-term disability claims, according to the Council for Disability Awareness (CDA).

Can you lose your job on long term disability?

Those benefits and your disability status will generally not prevent your employer from terminating your job. However, it becomes more complicated if your employer terminates you for an improper reason or at the wrong time during your disability application process.

What not to tell a disability doctor?

Exaggerate Your Symptoms or Disabilities

While you should always be open and honest about your condition, do not exaggerate or claim to have symptoms that you do not. The doctor will likely see through it, which could make them doubt other things you tell them, ultimately harming your claim.

What do I say to get long term disability?

To receive disability benefits, you will have to show that you cannot work in your profession and continue to earn a living. Your physician will need to provide a detailed diagnosis of your condition along with a prognosis as to how your condition will prevent you from working in the future.

What is the hardest mental disability to live with?

Borderline Personality Disorder (BPD)

Characterized by difficulties in regulating emotions, which can lead to impulsive actions and unstable relationships with others. People with BPD often have an intense fear of abandonment or instability, and they may have a hard time tolerating being alone.

What happens if I can't work due to mental illness?

If you are unable to work due to a mental illness, you should consider applying for Social Security Disability Benefits. The Social Security Administration (SSA) will look at your case individually to determine if your condition is severe enough to qualify for benefits.

What is considered long term mental illness?

“Severe persistent mental illnesses (SPMIs) are those that are prolonged and recurrent, impair activities of daily living, and require long-term treatment (15). Common diagnoses include schizophrenia, bipolar disorder, and major depression (15).”

What are the cons of long-term disability?

Cons:
  • Disability insurance can be expensive. Coverage costs more the older you get or the more dangerous your job is. ...
  • Policies can come with exclusions that don't cover pre-existing conditions. ...
  • Waiting period. ...
  • If you never experience a disability, you won't receive benefits.

How much Social Security disability will I get if I make $60,000 a year?

Someone in their fifties who made $60,000 per year might expect a disability payment of $2,000 per month. You can check your annual Social Security Statement to see your covered earnings history. You'll need to set up an account to see your statement online at my Social Security.

How much does mental health disability pay?

The maximum mental health disability pay through SSDI in 2023 is $3,267, and the maximum is based on the maximum annual earnings that are subject to Social Security taxes. The average monthly SSDI mental health disability benefit, according to the Social Security Administration, is $1,483 in 2023.

What gives 100% disability?

The 100 percent disability rating is often awarded to veterans with two or more limbs that have been amputated or paralyzed or for veterans with active service-related diseases such as cancer, severe cardiac conditions, or psychiatric conditions such as PTSD, bipolar, depression, or schizophrenia.

What is the most overlooked disability?

Q: What Is the Most Commonly Overlooked Disability? A: Generally, the most overlooked disabilities are mental health disorders. These include depression, anxiety, PTSD, and bipolar disorder, to name a few. They are often overlooked and misunderstood.

What is the most approved mental illness for disability?

According to the SSA, the most commonly approved condition for DACs in 2021 was intellectual disorders, at 44.7%. About 29% of DAC receiving SSDI benefits in 2021 did so because of all other mental disorders, which includes mental illnesses.

Why do most people get denied for disability?

The most common nonmedical reason for denying a claim is insufficient number of recent work credits.

What happens when an employee goes on long-term disability?

In California, specific regulations prevent employers from setting a predetermined termination date based on a lengthy disability leave. Instead, the duration of LTD benefits and employment status while on leave is influenced by the individual's policy and the nature of their contract with the employer.