California Disability

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Used this service a couple times now. Before I'd call 200 times in less than a weak frustrated as can be. But using claimyr with a couple hours of waiting i was on the line with an representative or on hold. Dropped a couple times but each reconnected not long after and was mission accomplished, thanks to Claimyr.


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Ask the community...

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As someone who just went through this process last month, I can't stress enough how important it is to report immediately! I was on SDI for 8 weeks after a workplace injury and made the mistake of waiting 3 days after returning to work before calling EDD. Even though it was just a few days, they flagged it as potential fraud and I had to go through weeks of paperwork and phone calls to prove it wasn't intentional. The messaging feature through SDI Online that Ashley discovered is definitely the way to go if you can access it. I wish I had known about that option! For anyone reading this who's in a similar situation - also make sure your doctor's return-to-work paperwork is crystal clear about any restrictions. My initial form just said "light duty" which caused confusion, but when I got a more detailed form specifying "no lifting over 25 lbs, frequent breaks allowed" it made everything much smoother with both EDD and my employer. One more tip - if you're doing light duty or part-time hours, keep detailed records of your actual hours worked and wages earned. EDD will want exact numbers for calculating any partial benefits you might still be eligible for.

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Wow, thank you for sharing this Zoey - this is exactly the kind of real-world experience that's so helpful! The fact that even a 3-day delay caused fraud flags is pretty scary. I'm definitely going to use the messaging system Ashley found rather than risk the phone lines. Your point about getting detailed doctor paperwork is spot on too. My doctor just wrote "light duty" on my initial clearance form, so I should probably go back and get something more specific before I start. Did you have to pay any penalties or fees during that fraud investigation process, or was it just the hassle of proving your intent? Really appreciate you taking the time to warn others about the pitfalls!

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This thread has been incredibly helpful! I'm actually dealing with a similar situation right now - been on SDI for 7 weeks due to a knee injury from a slip at work, and my orthopedic surgeon just cleared me for desk work only (no walking/standing for extended periods). Reading everyone's experiences, it sounds like the messaging feature through SDI Online is definitely the way to go instead of trying to call. I've been dreading having to get through on the phone since every time I've tried calling EDD it's been a complete nightmare. One question for those who've been through this - when you reported through the online messaging system, did you need to upload any documentation from your doctor, or just include the details in the message? My return-to-work form specifies "sedentary duties only, no prolonged standing/walking" so hopefully that's detailed enough. Also really appreciate the heads up about keeping detailed records of hours and wages if you're doing modified duties. Sounds like partial benefits might be possible since I'll likely be working reduced hours initially. Better to be over-prepared with EDD than caught off guard!

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Hey Diego! For the online messaging system, I just included all the details in the message itself - didn't need to upload any attachments. I wrote something like "Returning to work on [date] for light duty as specified by my doctor: sedentary work only, no prolonged standing/walking, reduced hours." The level of detail you have from your doctor sounds perfect! Since you mentioned you'll likely be working reduced hours, definitely ask about partial benefits when you report. Make sure to track your exact hours and earnings each week because EDD will need those specifics to calculate any remaining benefits you're eligible for. The partial benefit calculation can actually be pretty generous if your wages are significantly reduced from your pre-injury income. One thing I learned - when you do return, make sure your employer has a clear understanding of your restrictions too. My workplace initially tried to have me do tasks that weren't within my medical limitations, so having that doctor's note with specific restrictions really helped advocate for appropriate accommodations. Good luck with your return to work!

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i had surgery in october and my payment situation was a complete mess. they paid me for some days, not others, then sent an overpayment notice?? took months to sort out. good luck lol

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Oh no, that sounds awful! Did you ever get it resolved correctly? I'm worried about getting hit with an overpayment notice too.

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Yeah eventually got it sorted but it took like 4 months and multiple appeals. The overpayment was because they counted some days twice in their system - total nightmare. Just keep all your paperwork and document everything. If you get any weird notices don't panic, just appeal immediately.

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I went through something similar last month! You should definitely get paid for March 2-7 since those were days you were still disabled before returning to work. The payment will be prorated at 6/7 of your weekly benefit amount. From my experience, it took about 2 weeks for the partial week payment to show up after I submitted my final certification - longer than regular payments but it did come through. Make sure you keep checking your payment history online and don't worry if it seems delayed, that's normal for partial weeks according to what I've seen in this community.

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Thank you so much for sharing your recent experience! It's really reassuring to hear from someone who just went through this exact situation. Two weeks for the partial payment doesn't sound too bad compared to what others have mentioned. I'll definitely keep monitoring my payment history online and try to be patient. Did you have to do anything special when you submitted your final certification, or was it just a matter of making sure the return-to-work date was correct?

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I'm new to this community but wanted to share something that really helped me during my SDI-to-SSDI transition gap last year. Have you considered applying for Temporary Cash Aid for Families (TCAF) or General Assistance through your county's social services department? Many counties have emergency cash assistance programs specifically for adults with disabilities facing benefit interruptions that can provide a small monthly payment to help with basic needs. Also, if you're dealing with chronic pain from your spinal injury, look into your county's Adult Day Health Care programs - even though they're primarily designed for seniors, many accept younger adults with disabilities and can provide medical oversight, meals, and sometimes transportation assistance at very low cost. One thing I wish I had known earlier is that many hospitals have "charity care" programs that can retroactively forgive medical bills if you apply within a certain timeframe after treatment. Since you mentioned ongoing treatment needs, it might be worth asking about this at any facilities where you receive care. The gap between SDI ending and other benefits starting is genuinely one of the most stressful experiences imaginable, but reading through all the advice in this thread shows there are way more resources available than I knew about when I was going through it. You're being really smart by planning ahead instead of waiting until the last minute like I did. Don't hesitate to apply for multiple programs simultaneously - the worst they can say is no, and you might qualify for things you didn't expect.

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I'm new to this community but wanted to share something that helped me during a similar transition period last year. Have you looked into applying for emergency assistance through your local Community Services Block Grant (CSBG) programs? These are federally funded but administered locally, and many have specific emergency funds for people with disabilities facing benefit gaps that aren't widely advertised. Also, if you're dealing with medication costs during the transition, check if your doctors can provide free samples or if there are state pharmacy assistance programs beyond the manufacturer programs others mentioned. California has some lesser-known medication assistance programs through county health departments. One thing that really saved me was reaching out to spinal injury support groups in my area - not just for emotional support, but because other members often know about local resources and can share practical tips about navigating the system with your specific type of injury. Many of these groups meet virtually now, so you can access support from groups outside your immediate area. The financial stress of this transition is overwhelming when you're already dealing with chronic pain, but you're being incredibly proactive by researching options now. That preparation is going to make a real difference. This community has shared so many resources I wish I had known about - definitely take advantage of all the knowledge here while you're planning your next steps.

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I'm currently going through this same situation and wanted to share what I've learned from calling EDD multiple times. The payment suspension during DE 2546 exams is unfortunately standard procedure - they won't resume payments just from confirming your appointment. You have to wait for the actual exam AND the processing of results. However, I did find one potentially helpful option: if you can demonstrate severe financial hardship, some EDD reps said they might be able to process a partial payment while you wait. It's not guaranteed and seems to vary by who you talk to, but worth trying. I'd recommend calling first thing in the morning when wait times are shorter. Also, make sure to bring not just your medical records to the exam, but also a detailed list of how your condition specifically prevents you from working. The examining doctors often focus on functional limitations rather than just the diagnosis itself. Document things like how long you can sit/stand, lifting restrictions, concentration issues, etc. The whole process is incredibly stressful when you're already dealing with a disability, but from what I'm reading here, most people do get approved if their condition is legitimate. Hang in there and keep pushing through the system!

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This is really helpful advice about documenting functional limitations! I hadn't thought about making a specific list of how my back injury affects my daily work activities. That's a great point about the doctors focusing on what you can't do rather than just the diagnosis itself. I'm going to write down everything - how long I can sit before the pain gets unbearable, my lifting restrictions, even how the pain medication affects my concentration. Thanks for the tip about calling early morning too - I've been trying to get through at random times and the wait has been brutal. It's encouraging to hear that most people with legitimate conditions do get approved. This whole process feels designed to make you give up, but I'm going to keep pushing through like you said!

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I'm dealing with this exact situation right now too and it's incredibly stressful! My DE 2546 exam is scheduled for next week and I've been without payments for almost two weeks already. What's helped me cope with the financial pressure is reaching out to local community resources - some food banks, utility assistance programs, and even my landlord about a temporary payment plan. One thing I learned from my doctor's office is that they can provide a "bridge letter" - basically a detailed update on your current condition and treatment plan specifically written for the EDD examining physician. It's different from regular medical records because it's tailored to address disability determination criteria. My doctor said this sometimes helps the EDD doctor understand the full scope of ongoing limitations. Also, if you haven't already, try contacting your local disability rights organization. They sometimes have advocates who can help navigate the EDD system or at least provide guidance on what to expect. The uncertainty is the worst part of this whole process, but reading everyone's experiences here gives me hope that we'll get through this!

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That's such a smart idea about the "bridge letter" from your doctor! I never would have thought to ask for something specifically tailored for the EDD examining physician. I'm definitely going to ask my doctor about that when I see her next week. The community resources tip is really practical too - I've been so focused on the EDD side that I hadn't thought about reaching out for temporary help with utilities and food. It's reassuring to know there are people like disability rights advocates who might be able to help navigate this confusing system. Thanks for sharing these resources - it helps to know we're all supporting each other through this stressful process!

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I just wanted to add my perspective as someone who's been on disability for about 6 months now. I received the DE2546 notice about 3 months into my claim for a spinal injury, and honestly, I was terrified they were going to find some reason to cut me off. But like everyone else has mentioned, my payments continued throughout the entire process. The examiner was actually more thorough than I expected - spent about an hour with me, asked detailed questions about my daily activities, pain levels, and how the injury has affected my work capacity. One thing that really helped was keeping a pain journal for the few weeks leading up to the exam, so I could give specific examples of how my condition affects me day to day. The whole experience was much less adversarial than I had feared. Got confirmation about 2 weeks later that my benefits would continue. It really seems like they're just doing their due diligence to make sure the claims are legitimate. Hang in there - from everything I've read here and experienced myself, as long as you're honest about your limitations, these exams are usually just a formality!

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Thank you for sharing that, @Felicity Bud! The pain journal idea is brilliant - I wish I had thought of that before my exam. Having specific examples of how your condition affects daily activities seems like it would really help paint an accurate picture for the examiner. It's so reassuring to hear from multiple people that these exams are generally just routine verification rather than attempts to deny legitimate claims. Your experience of the examiner being thorough but fair really matches what @Giovanni Conti described with his exam. This whole thread has been incredibly valuable for understanding what to expect with the DE2546 process!

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I'm new to this community and just wanted to thank everyone for sharing their experiences with the DE2546 process! I'm currently waiting for my own independent medical exam appointment (scheduled for next week) and was absolutely panicking until I found this thread. Reading through @Giovanni Conti's experience and all the helpful responses has really calmed my nerves. It's such a relief to know that payments typically continue during the evaluation and that most people here had professional, fair examiners. I'm definitely going to follow the advice about bringing medical records, being honest about limitations, and keeping that pain journal idea from @Felicity Bud. This community seems like such a supportive place for navigating these stressful situations!

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