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Person with Disability (PwD) Explained: NEET 2019 Eligibility

MCI Guidelines for Admission of Persons with Specified Disabilities (as per 21 Benchmark Disabilities given under RPWD Act 2016) submitted by MCI, PH Reservation, Disability score for Visually, Speech, Limb, Multiple Disorder. Eligibility for MBBS Course, PH Reservation in State MBBS/ BDS Seats, 15% AIQ Rules.

The Medical Council of India has issued guidelines for the Person with Disabilities (PwD) to check their eligibility for Medical/ Dental course in India. The National Testing Agency (NTA) will conduct NEET (UG) 2019 on 5 May 2019. Here we are explaining eligibility and non-eligibility based on the Disability score (Physically Handicapped/ Lower Limb/ Upper Limb/ Visually impaired, hearing impairment, speed and language disability etc. If you fall under any of the PwD categories. Kindly check the disability percentage and your eligibility to pursue MBBS/ BDS admission 2019.

The guidelines given below is as per the range of disability given by MCI. The Rights of Persons with Disability Act, 2016 provides the mechanism for certification of specified disabilities. You are also requested to communicate the same to all Medical/ Dental Colleges of your state.

Types of disability

  1. Locomotor and Related Disabilities.
  2. Visual Impairment
  3. Impairment of Hearing & Speech
  4. Intellectual Disability and Mental Behaviour
  5. Chronic Neurological Conditions
  6. Chronic Blood Disorders
  7. Multiple Disabilities etc.

In the (RPWD Rights of Persons with Disabilities Act 2016, there were 21 disabilities were found that the candidates are eligible for Medical/ Dental course with the permissible disability score.

neet 2019 pwd disability and eligibility

Eligibility NEET 2019

  • In order to be eligible, the upper age limit for candidates appearing for National Eligibility Entrance Test and seeking admission to MBBS programme shall be 25 years on or before 31st December of year of examination with a relaxation of 5 years for candidates belonging to SC/ST/OBC category and persons with benchmark disabilities entitled for reservation under the Rights of Persons with Disabilities Act, 2016.
  • In respect of candidates with benchmark disabilities specified under the Plights of Persons with Disabilities Act, 2016, the minimum marks in qualifying examination in Physics, Chemistry and Biology (or Botany and Zoology)/Bio- technology? taken together in qualifying examination shall be 45% instead of 50%.
  • In order to he eligible for admission to MBBS course for an academic year, it shall be necessary for a candidate to obtain minimum of marks at 50th percentile in the National Eligibility-cum-Entrance Test to MBBS course ’ held for the said academic year. However, in respect of candidates belonging to Scheduled Castes, Schedules Tribes, and Other Backward Classes, the minimum marks shall be at 40th percentile. In respect of candidates with benchmark disabilities specified under the Rights of Persons with Disabilities Act, 2016, the minimum marks shall be at 45th percentile
  • 5% seats of the annual sanctioned intake capacity shall be filled up by candidates with benchmark disabilities in accordance with the provisions of the Rights of Persons with Disabilities Act, 2016, based on the merit list of ‘National Eligibility-cum-Entrance Test.

Locomotor Disability

The Physically handicapped or Locomotor disability (including Cerebral Palsy, Leprosy Cured, Dwarfism, Acid Attack Victims, Muscular Dystrophy).

The candidate who have such type of disability. Check the percentage of disability required for MBBS/ BDS admission eligibility and PH Reservation in State/ Central Medical/ Dental colleges.

  • Candidates having an extent of disability 40% to 80% only are ELIGIBLE for NEET-UG 2019
  • Candidates having more than 80% disability may be declared NOT ELIGIBLE for admission to Medical Courses.
  • Candidates having locomotor disability in relation to lower limb(s) may be considered ELIGIBLE.
  • Candidates having locomotor disability in relation to the spine may be considered ELIGIBLE.

The candidates with following locomotor disability are NOT ELIGIBLE for consideration for admission to Medical Courses when there is:

  1. Involvement of the whole body
  2. Involvement of three limbs in any combination (both lower limbs + one lower limb OR one lower limb + both upper limbs);
  3. Involvement of both upper limbs
  4. The extent of locomotor disability more than 80%
  5. Involvement of both lower limbs of such an extent that the candidate is unable to sit, stand, walk, and/or bend due to significant pain, stiffness, weakness, deformity etc.
  6. Involvement of a single upper limb which is the dominant UPPER LIMB (which is right upper limb in a majority of persons) to an extent that the candidate has loss of a thumb, cannot hold an object satisfactorily, has significant weakness/ deformity/ stiffness of joints, or the limb is lacking normal sensations.
  7. Involvement of SPINE with weakness and/or deformity to such an extent that the candidate is unable to sit steadily for long duration, and/or has significant pain, and/or cardio-respiratory compromise etc.

Some Disability Cases

In case of Leprosy cured persons as candidates, an important consideration will be the extent of involvement as per Guidelines notified by Govt, of India, especially extent of involvement of Eyes, and extent of involvement of Hands.

  • Cerebral Palsy: Consideration will be the extent of involvement as per Guidelines notified by Govt, of India, especially extent of involvement as per GMFCS and as per MACS. Also it is very important to consider presence and extent of associated problems such as vision, IQ, speech-language involvement etc.
  • Dwarfism: Consideration will be extent of involvement as per Guidelines notified by Govt, of India, especially extent of shortening, and presence of associated restriction of movements of joints of limb(s) and/or spine.
  • Muscular Dystrophy: Consideration will be extent of involvement as per Guidelines notified by Govt, of India, especially extent of weakness, and presence as well as the severity of spinal deformity (scoliosis), contracture, cardiac involvement etc. Generally, muscular dystrophy is a condition with the progressive weakness of muscles.
  • Acid Attack Victims:  Consideration will be the extent of involvement as per Guidelines notified by Govt, of India, especially extent of involvement of Byes, Eye-lids, Hands, Wrist, mouth etc.
  • General recommendations regarding the above mentioned specified disabilities (Leprosy cured person, Cerebral Palsy, Dwarfism, Muscular Dystrophy, Acid Attack Victims) included in the Locomotor Disability are the same as mentioned above.

Visual Impairment

Visual Disability is also considered in the eligibility for NEET 2019. You have to check the disability percentage.

A person with a visual disability of 40% or more shall not be eligible to pursue Graduate Medical Education. Persons with visual disability of less than 40%  are eligible to pursue Graduate Medical Education, but do not qualify for reservation as the extent of visual impairment is less than the benchmark definition of Low Vision.

CategoryBetter eyeWorse eyePercentage Impairment
Category 020/30 to 20/6020/80 to 20/12020
Category I20/60 to 20/12020/200 to Nil40
Category II20/130 to 20/300 or20/400 to Nil75
Category IIIfield of vision 10°-20° 20/400 to 20/1200 or20/8000 to Nil100
Category IVfield of vision 10° 20/8000 to Nil or20/8000 to Nil100
One-eyed person’sfield of vision 10° 20/2020/8000 to Nil or field of vision 10°30

Low-vision‘ refers to a condition in which a person has any of the following conditions, namely:

  • Visual acuity not exceeding 6/18 or 20/60 and less than 6/60 or 20/200 (Snellen) in the better eye with correcting lenses; or
  • Limitation of the field of vision subtending an angle of more than 20 degrees up to 40 degree.

Hearing & Speech Impairment

Persons with hearing disability of less than 40%, are eligible to pursue MBBS/ BDS course, but do not qualify for reservation as the extent of hearing impairment is less than the benchmark definition of hearing impaired.

Disability greater than the set benchmark of 40% are not entitled to pursue Graduate Medical Education

Hearing Disability:

  • Monaural Percentage of Hearing Disability
  • Calculate Pure tone average of ACT for 500 Hz, 1000 Hz, 2000 Hz, 4000 Hz for Right Ear and Left ear separately (whenever there is no response at any frequency ACT is to be considered as 95dB),
  • Monaural percentage of hearing disability is to be calculated as per the ready reckoner given below separately for Right Ear and Left Ear.
Monoaural Pure Tone Audiometry in dB% of disabilityMonoaural Pure Tone Audiometry in dB% of disability
0-2506141.71
2616243.42
2716345.13
2816446.84
2916548.55
3016650.26
3116751.97
3216853.68
3316955.39
3427057.1
3537158.81
3647260.52
3757362.23
3867463.94
3977565.65
4087667.36
4197769.07
42107870.78
43117972.49
44128074.2
45138175.91
46148277.62
47158379.33
48168481.04
4917oo82.75
50188684.46
51198786.17
52208887.88
53218989.59
54229091.3
55239193.01
56249294.72
57259396.43
58269498.14
592795100
6040

Percentage of Hearing Disability =  (Better ear % of hearing disability X 5) + (Poorer ear % of hearing disability)

Mental (Psychiatric) Behaviour Disability

The candidate suffering from Mental and Intellectual disability have equal opportunity as per the RPWD Act 2016. As per the MCI the candidate must have knowledge, skills, abilities, and attitudes for MBBS Courses.

In other words, the higher mental process is necessary to adjust and succeed in medical courses. Individual with Specific learning disabilities (SLD), Autism spectrum disorders (ASD) and Mental illness are different from individuals who have a Physical disability (e.g. locomotor disability, visual impairment, hearing impairment and speech and language disorders).

Till date there is no method/ technology to scales disability in SLD are not available till date that makes certification highly difficult.

The approved scale for assessment of disability for mental illness by Indian Disability Evaluation Assessment Scale (IDEAS) which is primarily used for certification of disability. The Medical Institute endeavor to make reasonable adjustments for candidates with a disability (SLD, ASD and mental illness).

Some parents demand for SLD or ASD certificate even when the child has dull average intelligence. Many cases were reported in clinical settings where child and his/her parents complained about false symptoms of SLD and ASD, so that they can get certificates and can send the child to professional courses by using quota.

  1. Specific Learning disability (SLD): At present, there is no method of quantifying the extent of disability in Learning Disability (LD).
    (a) Eligible for MBBS Course, not eligible for PH quota: Any person with LD deemed fit for MBBS course by an expert panel.
    (b) Eligible for MBBS Course, eligible for PH quota: Not recommended due to the above-mentioned lack of objective method/quantification.
    (c) Not eligible for MBBS: Cases of severe LD or serious dysfunction or disabling co-morbidity where reading and writing are impaired to such an extent as to hinder theoretical learning during the MBBS course or decided by the Expert panel.
  2. Autism Spectrum Disorders(a) Eligible for MBBS course, not eligible for PH quota: absence or Mild Disability, As per the syndrome (disability of 40-60% as per ISAA) where the individual is deemed fit for MBBS course by an expert panel.
    (b) Eligible for MBBS course, eligible for PH quota: Currently not recommended due to the above-mentioned lack of an objective method to establish presence and extent of mental illness. However, the benefit of reservation/quota may be considered in future after developing better methods of disability assessment.
    (c) Not eligible for MBBS course: greater than 60% disability or presence of a cognitive/intellectual disability and/or if the person is deemed unfit for perusing MBBS course by an expert panel.
  3. Mental illness:(a) Eligible for MBBS course, not eligible for PH quota: Absence or mild Disability <40% (under IDEAS)
    (b) Eligible for MBBS course, eligible for PH quota: Currently not recommended due to the above-mentioned lack of objective method to establish presence and extent of mental illness. However, the benefit of reservation/quota may be considered in future after developing better methods of disability assessment.
    (c) Not eligible for MBBS course: greater than 40% disability or if the person is deemed unfit to perform his/her duties.

Chronic Neurological Disability

In this section of disability – there are two different types of diseases with different patterns of progression. PD is a gradually progressive degenerative disease of older adult age group. It is highly unlikely that a student would come with this disease for admission to medical school. MS may occur in this age group however it has different types two of them being relapsing-remitting and primary progressive varieties.

PD has established disease severity scales like UPDRS part III (unified Parkinson’s disease Rating Scale) and Hoehn and Yahr staging for deciding the disability. Similarly, MS has EDSS a very good scale for deciding the stage and disability. These scales are very frequently used for drug trials world over. We do not have an equivalent of percent disability with these scales. However, we do have Indian guidelines published in the ‘The Gazette of India’ (Published on 5 Jan 2018) on the Chronic Neurological Disorders including PD and MS.

  • Eligible for MBBS Course: Less than 40% disability
  • Not-Eligible for MBBS Course: greater than 80% disability
  • Eligible for MBBS and PH Quota benefit: Disability within the range of 40% to 80%. (The segregation of the above into two groups; candidate with disability in the range of 61% – 80% will be given priority in admission under the said quota and incase seat remains vacant the candidates with 40% – 60% shall be admitted)

Chronic Blood Disorders

Hemophilia

  • Hemophilia is an X-linked congenital bleeding disorder caused by a deficiency of coagulation factor VIII (FVIII) (in hemophilia A) or factor IX (FIX) (in hemophilia B).
  • The deficiency is the result of mutations of the respective clotting factor genes. Hemophilia has an estimated frequency of approximately one in 10000 births.
  • The disability scoring will be done as per the recent notification in the Gazette of India, this may be modified from time to time with inputs from experts and patient groups. The diagnosis of severe Hemophilia A or B is considered a bench mark disability and will be graded as 40%.
DisabilityPercentage of normal factor in bloodClinical
10-20%>5%Asymptomatic but family history is positive and limitation of physical contact sport advised and abnormal aPTT
21-39%1-5%Above plus occasional spontaneous bleed
40-49%<1%Above plus symptomatic with 2 bleeds in joints with limitation of full movement-need to be assessed by orthopaedic surgeon/physiatrist
50-59%<1%Above plus bleeds at least 3 times in last 5 months and contracture in one joint
60-79%<1%Above plus intracranial bleed once or limitation/contracture in two joints
80-85%<1%Neurological sequelae, or with compartmental syndrome with Limb weakness

Persons with severe Hemophilia would be eligible for the course as long as their permanent disability did not severely compromise their Dominant upper arm (same as categorization given in Physical disability section), or their disability grade was not 80% or more as per table given below.

Eligibility to MBBS/ BDS course based on Disability score (Hemophilia)Disability Score
Less than 40%40-60%61-80%More than 80%
Eligible for Medical CourseYesYesYesNo
Eligible for Medical Course & {considered under PH quota unless seats remain unfilled by disability}NoYesYes
Eligible for Medical Course & PH QuotaNoNoYes

Hemoglobinopathies

Hemoglobinopathies are inherited blood disorders, some are mild but two categories Sickle cell diseases and Beta thalassemia major have been included in the new list of disabilities.

Thalassemias: Thalassemia Major, and Thalassemia Intermedia are the major disorders that require lifelong management and are to be considered for prevention. Untreated Thalassemia Major is invariably fatal by 2 to5 years of age. Commonly Thalassemia Major (TM) is managed by regular blood transfusions (Packed Red Blood Cells) and iron chelation therapy. Availability of leuko-depleted packed red blood cells (pRBC) and iron chelators are to be ensured for adequate management along with facilities for regular monitoring. Adequately treated patients can live a fulfilling life.

The diagnosis of Thalassemia major/intermedia must be confirmed by appropriate clinical examination and laboratory tests as specified in the Gazette of India notification. With progressive pallor with Hemoglobin persistently lower than <7g %, have failure to thrive and require a regular blood transfusion to maintain PH above 10g% should be entry point for disability eligibility and with passage of time, as and when new complications develop disability should be reassessed as mentioned above and higher score should be awarded.

At level 1<40%
At level 240-50%
At level 351-60%
At level 461-65%
At level 566-70%
At level 671-75%
At level 776-79%
At level 880-85%
At level 9>85%

Eligibility based on the % of disability for thalassemia major/intermedia

ELIGIBLE FOR MEDICAL COURSE [NOT ELIGIBLE FOR PH QUOTA]ELIGIBLE FOR MEDICAL COURSE [Not considered under PH quota unless seats remain unfilled by disability category 61-80%]ELIGIBLE FOR MEDICAL COURSE & (ELIGIBLE FOR PH OUOTA)NOT ELIGIBLE FOR MEDICAL COURSE
Less than 40%40- 60%61-80%More than 80%

Multiple Disabilities

As per the Specified Disability under the Rights of Persons with Disabilities Act 2016, Multiple Disabilities {more than one of the specified disabilities, namely
1. Physical Disability (A. Locomotor disability including (a) leprosy cured person, (b) cerebral palsy, (c) dwarfism, (d) muscular dystrophy and (e) acid attack victims; ), B. Visual Impairment – (a) Blindness (b) Low vision), C. Hearing Impairment – (a) Deaf, (b) Hard of hearing, D. Speech and language Disability,
2. Intellectual Disability: (a) specific learning disabilities, (b) autism spectrum disorders,
3. Mental Behaviour – Mental illness, and
4. Disability caused due to

  • (a) Chronic neurological (i) multiple sclerosis, (ii) Parkinson’s disease,
  • (b) Blood disorders (i) haemophilia, (ii) thalassemia, (iii) sickle cell disease)}, including deaf blindness which means a condition in which a person may have combination of hearing and visual impairments causing severe communication, developmental, and educational problems.

Disability formula= [a + b (90-a)]/90 (where a= higher value of disability % and b is the lower value of disability % as calculated for different disabilities).

We have tried to include all the disability and % of disability accepted for the MBBS Course. The candidate must download information bulletin/ MCI Guidelines for PwD and Rights of Persons with Disabilities Act 2016 to get complete information.

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10 comments

  1. How can a candidate apply for NEET having vusual disability of 40%

  2. Mam there are equallity of rights its not neccesity that he only become a gurgen he may do graduation n annesthesian and mci if not permit then theyhave to dennied locomoter diabled persons there is no useof locomotery organs in studyno race ok

  3. Hello sir, what about “speech and language disability”,,, plz explaine,,,
    my cousin has speaking difficultiey…. She is preparing for NEET….. Is there any reservation?????

    • Persons with hearing disability of less than 40%, are eligible to pursue MBBS/ BDS course, but do not qualify for reservation as the extent of hearing impairment is less than the benchmark definition of hearing impaired.
      If you need more details kindly reply

  4. Help sir what about aplastic anemia

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