Congestive Heart Failure

Massachusetts Lawyers Guiding Individuals through Social Security Claims

Applicants for Social Security Disability Insurance (SSDI) may find it unsurprising to learn that there are many different types of heart-related disorders and diseases that can qualify an individual for benefits. One of these is congestive heart failure, which occurs, generally speaking, when an individual’s body cannot properly pump the amount of blood that it needs. The actual realities of heart failure are complicated. It can arise when the heart is unable to pump blood out to the body, or when the heart cannot take in enough blood to recirculate back out to the body. Either situation can have significant and long-term impacts on one’s health and ability to work. If you have recently been diagnosed with congestive failure and are experiencing life-threatening or disabling symptoms, you may qualify for benefits. The Social Security attorneys at Kantrovitz & Associates have worked with people throughout Massachusetts in pursuing the financial assistance that they need.

Seeking SSDI Based on Congestive Heart Failure

The simplest way for an applicant to qualify for benefits is to meet one of the listings provided by the Social Security Administration’s book of listings of impairments. Individuals who experience congestive heart failure sometimes may qualify under Listing 4.02, which addresses chronic heart failure. This listing requires that applicants first show that they are experiencing systolic failure of sufficient severity, which happens when the heart cannot pump enough blood, or diastolic failure of sufficient severity, which happens when the heart cannot fill up with blood. Additionally, applicants must also show that they meet at least one of three additional qualifying factors:

  • They have persistent symptoms of heart failure that affect their daily activities;
  • They have experienced three or more episodes of acute congestive heart failure within a 12-month period; or
  • They cannot perform an exercise test with a workload of 5 METS or less because of symptoms resulting from their heart failure.

If you believe you meet these requirements, you will need to provide extensive medical records to document the symptoms and episodes of heart failure you have experienced.

Many patients dealing with congestive heart failure will find that they qualify for SSDI based on a well-documented systolic or diastolic condition. However, in some instances, an applicant may receive notice that he or she has been denied benefits to which he or she should be entitled. This can happen because adequate documentation was not provided or because a mistake occurred in the review process. In such circumstances, applicants are entitled to appeal their SSDI denial. Appeals must be filed within 60 days of the denial, so it is critical that claimants act quickly. Additionally, it may be important to seek the assistance of a qualified attorney to help you evaluate your application and determine why it might have been denied and how any problems can be addressed on appeal.

Consult a Government Benefits Attorney in Massachusetts

Dealing with congestive heart failure can be overwhelming. Between hospital visits, medical tests, and dealing with loved ones, you may quickly find that your energy is exhausted as a result of the daily realities of your disease. Under such circumstances, SSDI is often a welcome relief that can help to ease financial burdens and give patients more time and energy to devote to their health. If you are considering applying for government benefits, the Massachusetts lawyers at Kantrovitz & Associates can assist you with the eligibility process and any appeals that you may need to make. Based in Boston, we offer guidance to claimants from Middlesex, Plymouth, Suffolk, and Norfolk Counties, as well as the Merrimack River area. Contact us for more information at (800) 367-0871 or online.