Immune System Disorders
Conditions where the immune system attacks the body or is deficient
What it covers
Autoimmune disorders (like lupus, vasculitis, scleroderma, rheumatoid arthritis, Sjögren's syndrome), immune deficiency disorders (excluding HIV), HIV infection.
What SSA looks for
Diagnosis confirmed by medical evidence (doctor reports, labs). Evidence of significant impact: Involvement of two or more organs/body systems with specific levels of severity, plus constitutional symptoms (severe fatigue, fever, malaise, weight loss). OR Repeated severe symptoms (flares) plus marked limits in daily living, social function, or task completion. Specific criteria exist for different disorders (like lupus, systemic sclerosis). For HIV: Diagnosis plus specific conditions (like certain infections, cancers) or functional limitations. Stem cell transplant automatically qualifies for 12 months.
