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Do I Have To See A Doctor To Keep SSDI?

Last updated: August 4, 2023

As a recipient of Social Security Disability Insurance (SSDI), you may wonder if you need to continue seeing a doctor to keep your benefits. The short answer is yes, but some important nuances must be considered. 

This article will explore the importance of medical documentation for SSDI recipients, the requirements for continuing disability reviews, and what happens if you fail to comply.

Importance Of Medical Documentation

Medical documentation is crucial for SSDI recipients because it provides evidence of their disability and helps the Social Security Administration (SSA) determine their eligibility for benefits. 

The SSA requires medical evidence to establish the existence and severity of your medical condition and assess the extent to which your condition limits your ability to work. Without proper medical documentation, it may be difficult to prove that you are still disabled and entitled to benefits.

Continuing Disability Reviews

To ensure that only eligible individuals receive SSDI benefits, the SSA conducts periodic reviews of recipients' medical conditions. These reviews are called Continuing Disability Reviews (CDRs), and they typically occur every three to seven years, depending on the severity of your condition and the likelihood of improvement. 

During a CDR, the SSA will review your medical records to determine if your condition has improved enough to allow you to return to work. If the SSA determines that you are no longer disabled, your benefits may be terminated.

Requirements For CDRs

To undergo a CDR, you must continue to see a doctor and receive ongoing medical treatment for your disability. The SSA requires that you provide medical documentation that supports your disability and that you cooperate with the review process. This includes providing updated medical records, attending medical examinations, and responding to requests for information in a timely manner.

Consequences Of Failing To Comply

If you fail to comply with the requirements for CDRs, your benefits may be suspended or terminated. Failure to provide requested medical documentation or attend medical examinations may be interpreted as a refusal to cooperate, which can result in suspending your benefits. 

If the SSA determines that you are no longer disabled and have not complied with the review process, your benefits may be terminated.

Frequently Asked Questions

1. Can I choose any doctor for my medical treatment?

Yes, you can choose any doctor or healthcare provider for your medical treatment as long as they are licensed and qualified to provide the necessary care.

2. How often do I need to undergo a Continuing Disability Review?

The frequency of CDRs depends on the severity of your condition and the likelihood of improvement. Typically, reviews occur every three to seven years.

3. What if I cannot afford medical treatment?

If you cannot afford medical treatment, resources may be available to help. Contact your local Social Security office or a disability advocacy organization for assistance.

4. What if I disagree with the outcome of my CDR?

If you disagree with the outcome of your CDR, you have the right to appeal the decision. Contact your local Social Security office for information on how to file an appeal.

5. Can my benefits be reinstated after they have been terminated?

In some cases, benefits may be reinstated if you can provide new medical evidence that supports your disability. Contact your local Social Security office for more information. 

To wrap up, SSDI recipients need to continue seeing a doctor and receiving ongoing medical treatment to maintain their eligibility for benefits. Medical documentation is crucial for proving the existence and severity of your disability, and failure to comply with CDR requirements can result in the suspension or termination of your benefits.

By staying on top of your medical care and cooperating with the review process, you can ensure that you continue to receive the benefits you need. If you are interested in more articles like this, here’s one about how to get VA disability rating.

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Victor Traylor
An expert to the field of Social Justice, Victor formed Disability Help to connect ideas and expertise from the US with rising global cultural leadership, building networks, fostering collaboration, long-term results, mutual benefit, and more extensive international perception.
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