Can a medical facility refuse to extend my disability certification after 6 months despite EDD eligibility?

yep, happened to me last yr. My primary doc's office had the same policy! they wont extend beyond 6months no matter what. so frustrating. had to find a specialist willing to do the paperwork, took FOREVER to get an appt tho

Unfortunately, many medical facilities have implemented internal policies like this, but it has nothing to do with EDD eligibility. If you medically qualify, you qualify - however, physicians do have discretion over what they're willing to certify and for how long. The clinic is likely doing this to avoid what they see as disability dependence or to limit their administrative burden. You have several options: 1. Ask your doctor for a referral to a specialist who can take over your disability certification 2. Request your doctor document in your medical records that you're still disabled but they're refusing to certify due to clinic policy (this helps with appeals if needed) 3. Find a new primary care physician who doesn't have this restriction 4. If you have a specialist already involved in your care (orthopedist, neurologist, etc.), ask if they can take over certification Do this ASAP as you don't want a gap in your benefits.

This is completely BS! The clinic cant just make up rules that go against your rights when you're legitimately disabled! Your doctor even AGREES you're still disabled but won't sign the form?? That's ridiculous and probably illegal. I'd file a complaint with the medical board AND talk to an attorney. These clinics think they can just push disabled people around and it's NOT RIGHT.

I hit the same wall with Kaiser last year. Their policy is 6 months max for most conditions, then they push you to apply for long-term disability instead. What worked for me was getting my specialist (in my case rheumatologist) to take over the certification. My advice - call EDD directly to explain the situation and ask for guidance. They deal with this ALL the time. I spent days trying to get through to EDD with no luck - constant busy signals or disconnects. Then I found Claimyr (claimyr.com) which got me through to an actual EDD agent in about 25 minutes. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd. The agent told me exactly what to do to avoid interruption in my benefits while switching providers. Totally worth it when you're dealing with time-sensitive certification issues.

this is actually pretty common with bigger medical groups they dont want liability for extended disability claims my doc told me they had the same policy but she helped me anyways by referring me to pain management who took over my certification no problems have u asked ur doc if they can refer u somewhere?

What about going to a different primary care doctor? Can't you just switch doctors and get a new one to sign off? Seems like an easy fix.

I wanted to follow up on this thread - for anyone facing this issue, the most important thing is to prevent gaps in your certification. EDD allows for certification up to 20 days before your current certification expires. So even if you're looking for a new provider, have your current doctor complete one final certification form that covers at least 20-30 days into the future to give you time to establish with a new provider. Also, if you can't get an appointment in time, go to the ER if necessary - they can sometimes provide bridge certification if you explain your situation.