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Pennsylvania • Neurological/Developmental
People with epilepsy in Pennsylvania may qualify for federal disability benefits like SSI and SSDI, as well as state programs such as Medicaid for Workers with Disabilities (MAWD). Eligibility depends on the severity of seizures, work history, income, and resources. This guide explains how to apply and what support is available.
To qualify for federal disability benefits with epilepsy, you must have a medically determinable impairment that prevents you from doing substantial gainful activity (SGA). In 2025, SGA is earning more than $1,640 per month for non-blind individuals or $2,700 for blind individuals. Your epilepsy must be expected to last at least 12 months or result in death. The Social Security Administration (SSA) uses its Listing of Impairments (Blue Book) to evaluate conditions, including epilepsy. If your seizures are frequent and severe enough to meet the listing, or if they limit your ability to work, you may qualify for SSDI or SSI[1][2].
In Pennsylvania, both SSDI and SSI use the same medical eligibility rules as the federal SSA. The Bureau of Disability Determination Services (BDD) reviews medical evidence to decide if your epilepsy is severe enough to prevent work. You must provide medical records showing your diagnosis, seizure frequency, and how your condition affects daily activities. If you are working, your income and resources may affect eligibility for SSI and Medicaid programs. Pennsylvania also offers Medicaid for Workers with Disabilities (MAWD), which allows people with epilepsy to work and keep health coverage as long as their income is below 250% of the Federal Poverty Level and they meet SSA disability standards[2][4][5].
Federal programs for epilepsy in Pennsylvania include Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). SSDI is for people who have worked and paid Social Security taxes. SSI is for those with limited income and resources. Both programs require that your epilepsy prevents you from doing substantial work and is expected to last at least 12 months or result in death. The SSA uses its Listing of Impairments to evaluate epilepsy claims[1][2].
Pennsylvania offers Medicaid for Workers with Disabilities (MAWD), which helps people with epilepsy keep health coverage while working. To qualify, you must be between 16 and 64, have a disability that meets SSA standards, be employed, and have income below 250% of the Federal Poverty Level. MAWD covers doctor visits, prescriptions, mental health services, and more. You can apply online through COMPASS, by phone, or in person at your local County Assistance Office. Proof of work and disability (such as an SSDI award letter) is required[4][5].
ABLE accounts let people with epilepsy in Pennsylvania save money without losing access to SSI, Medicaid, or other benefits. You can use ABLE funds for qualified disability expenses like medical care, housing, and transportation. The account has tax advantages, and you can save up to $17,000 per year (2025 limit). To open an account, you must have a disability that began before age 26. ABLE accounts are available through the PA ABLE program[6].
For SSI, your income and resources must be below strict limits. In 2025, the resource limit is $2,000 for an individual and $3,000 for a couple. For MAWD, your countable income must be below 250% of the Federal Poverty Level. The exact amount depends on your household size. You can use the SSI Income Estimator to check your eligibility[4][5].
If your income or resources change, you must report it to the SSA or your local County Assistance Office. Not reporting changes can lead to overpayments and penalties. Keep records of all payments and changes. If you get an overpayment notice, contact the agency right away to discuss repayment options[3].
Contact your local County Assistance Office or a disability attorney for help with your application. They can guide you through the process and help you gather the right documents.
Yes, epilepsy can qualify for SSI and SSDI if it prevents you from working and meets SSA medical criteria. You must provide medical evidence of your diagnosis and how it affects your daily life[1][2].
You need medical records, seizure logs, EEG reports, and doctor’s notes that show your diagnosis, seizure frequency, and how your epilepsy limits your ability to work or do daily activities[2].
You can apply online at SSA.gov, by phone, or in person at a Social Security office. You will need to submit medical records and proof of income or work history[2][5].
Yes, you can work and get benefits if your earnings are below the SGA limit. MAWD also lets you work and keep Medicaid coverage as long as your income is below 250% of the Federal Poverty Level[4][5].
In 2025, the resource limit for SSI is $2,000 for an individual and $3,000 for a couple. Your income must also be below the SGA limit of $1,640 per month for non-blind individuals[1][2].
Yes, Medicaid for Workers with Disabilities (MAWD) lets people with epilepsy keep health coverage while working, as long as their income is below 250% of the Federal Poverty Level and they meet SSA disability standards[4][5].
Disclaimer: This guide is for informational purposes only and does not constitute legal or financial advice. Always consult with a qualified professional for your specific situation.
You can prove your disability with medical records, seizure logs, EEG reports, and a letter from your doctor. If you get SSDI, your award letter can also serve as proof[2][5].
An ABLE account lets people with epilepsy save money without losing SSI or Medicaid benefits. You can use it for qualified disability expenses and get tax advantages. You must have a disability that began before age 26[6].
If your claim is denied, you can appeal within 60 days. You may need to provide more medical evidence or attend a hearing. Contact a disability attorney for help[1][2].
Yes, you must report any changes in your condition or income to the SSA or your local County Assistance Office. Not reporting changes can lead to overpayments and penalties[3].
