Doctor refuses to extend SDI for hospitalized father - multiple facilities sending me in circles
My father has been on SDI for several weeks but his return-to-work date is approaching and he's nowhere near ready to go back. He's extremely ill and being transferred between hospitals constantly. I'm completely stuck in a bureaucratic nightmare trying to get his SDI extended: 1. His original doctor who filed the initial SDI claim now says they'll only process long-term disability claims and refuses to extend the SDI certification 2. The hospital where he's having procedures done says it's not their responsibility and I need to go through his primary doctor 3. His primary care physician won't help because my dad physically can't come in for an appointment (he can't walk and needs ambulance transport between facilities) 4. He's waiting for a bed at a long-term care facility once he's discharged from the current hospital I'm completely lost on what to do next. Has anyone dealt with this situation before? What happens when no doctor will sign the extension forms? His benefits will run out soon and he obviously can't return to work in his condition. Any advice appreciated!
23 comments


ThunderBolt7
omg this sounds EXACTLY like what happened with my mom last yr!!! its so frustrating when the drs all point fingers at eachother. have u tried asking for the hospital social worker? they sometimes can help navigate this stuff better than regular drs
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Zoe Papadakis
•Thank you - I didn't think about a social worker. Do you know if they're qualified to sign the disability extension forms? I'll definitely ask about this tomorrow when I visit him.
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Jamal Edwards
You need to speak with the attending physician at the long-term care facility once your father is transferred there. They're typically the ones who handle ongoing disability certifications for patients under their care. In the meantime, contact EDD directly to explain the situation - they sometimes can grant a short extension while you sort out the medical certification issues. Also, make sure you're using the correct form. For extensions, the doctor needs to complete a "Physician/Practitioner's Supplementary Certificate" (DE 2525XX). This is different from the initial claim certification.
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Zoe Papadakis
•Thank you for this information. I didn't realize there was a specific extension form. Do you know if there's any grace period if we can't get the form submitted before his current certification expires? I'm worried about his benefits getting cut off while we're trying to find a doctor to sign the paperwork.
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Mei Chen
I went thru hell with EDD when my husband was hospitalized last year!!! No one would extend his disability and we almost lost everything. The KEY is to get to an actual EDD REP asap!! After dozens of failed calls, I found this service called Claimyr (claimyr.com) - they got me connected to an actual EDD disability specialist in under 25 minutes when I'd been trying for weeks!! They have this demo video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd The rep was able to note our situation in the system and gave us a 2-week extension while we sorted out which doctor would sign the form. Seriously worth it when you're desperate.
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Liam O'Sullivan
•is this legit? I've never heard of this but i've been trying to get thru to EDD for over a week now. might try it if it actually works
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Mei Chen
•Totally legit. It bypasses the phone queue somehow. My sister used it too for her maternity disability issue last month. Just be ready with all your claim info when they connect you!
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Amara Okonkwo
I work in healthcare administration and deal with this frequently. Here's what you need to know: 1. The attending physician at the current hospital CAN complete the extension paperwork, even if your father is being transferred soon. They are legally qualified while he's under their care. 2. Ask to speak with the hospital's Patient Advocate or Case Manager (not just a social worker). Explain that you're being sent in circles and need their help. Their job is to solve these exact problems. 3. If still no success, call EDD and request a "Reasonable Accommodation" for your father's situation. They can sometimes make special arrangements for unusual circumstances, especially with hospitalized patients. 4. Document EVERYTHING - names, dates, who refused and why. This will be important if you need to file an appeal later. Don't give up! The system is designed to be difficult, but there are ways through it.
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Zoe Papadakis
•This is incredibly helpful, thank you. I didn't know about Patient Advocates or the Reasonable Accommodation option. I'll start documenting everything immediately and will speak with the hospital administration tomorrow morning.
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Giovanni Marino
u should file 4 Long Term Disability 2... not just SDI. if ur dad is that sick he probably qualifies and that's y the first dr mentioned it. SDI only last like 1 year max but LTD can go longer. also check if he has private disability thru his work benefits.
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Zoe Papadakis
•Yes, we're definitely considering long-term disability as well. My main concern right now is avoiding a gap in benefits while that application is processed. From what I understand, if his SDI stops before the LTD is approved, he'll have no income during that period. That's why I'm trying to get the extension sorted out first.
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Fatima Al-Sayed
Have you tryed contacting the EDD directly??? Sometimes they have specialists who can help with these kind of issues. My cousin had similar problem when she broke her back and couldnt go to doctors appointments. EDD told her which forms to fax where!!
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ThunderBolt7
•good luck actually getting through to them tho... took me 3 WEEKS of calling every day last time i had an issue with my claim!
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Dylan Hughes
This is EXACTLY why our healthcare system is broken!!! Doctors pass the buck and patients suffer. When my wife was going through cancer treatment last year, we ran into the same ridiculous situation with her SDI. Finally I had to THREATEN one of the doctors with a formal complaint to the medical board before they agreed to sign her extension paperwork. Sometimes you have to get tough with these people! Don't be afraid to escalate to hospital administration or even contact your state representative's office for help navigating the bureaucracy. THE SYSTEM IS DESIGNED TO MAKE YOU GIVE UP - DON'T!
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Zoe Papadakis
•I'm sorry you and your wife went through that. I'm definitely feeling the pressure to get more assertive with the medical staff. Did you find any specific phrasing or approach that worked when escalating to administration?
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Dylan Hughes
•Yes - specifically ask for the "Director of Patient Services" not just any administrator. And use the magic phrase "I need to file a formal complaint about patient abandonment" - that tends to get their attention FAST. Good luck!
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Jamal Edwards
One important thing I forgot to mention: if your father is transferred to a new facility, you have a 20-day window where the previous doctor's certification is still considered valid while you obtain a new one. This is per EDD's own rules, but many representatives don't know about it unless you specifically ask. In 2025, they actually extended this grace period from 15 to 20 days, which might help in your situation. Make sure to reference this policy when speaking with EDD.
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Zoe Papadakis
•That's extremely helpful information! Is there a specific section of the EDD website or policy number I can reference when discussing this with them? I want to make sure I have all the documentation ready.
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Jamal Edwards
•Yes, it's in their Disability Insurance Provisions (DE 2515) under section 2708(c) of the California Unemployment Insurance Code. The exact wording addresses "transition of care" situations. I recommend printing this section and having it ready when you call or visit any medical facility.
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Amara Okonkwo
Update us on what happens! I'm sure many others will face similar situations and your experience could help them navigate the process.
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Zoe Papadakis
•I definitely will. This community has been more helpful than any of the official channels so far. I'm meeting with the hospital case manager tomorrow and will update on how it goes.
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Klaus Schmidt
I'm so sorry you're dealing with this nightmare situation! I went through something similar when my mother was in the ICU for three months. Here's what finally worked for us: Contact the hospital's "Utilization Review" department - they're different from case managers and specifically handle insurance/disability coordination. They have more authority to get doctors to sign paperwork because it affects the hospital's discharge planning. Also, if your dad has a social worker assigned through the hospital (most do for long-term patients), they can often facilitate getting the attending physician to complete the forms. The key is explaining that his discharge is being delayed by the disability paperwork issue. One more tip - if he's being transferred to a long-term care facility, call them NOW and ask them to assign a physician before he even arrives. That way you'll have someone lined up to handle future extensions without the runaround. Hang in there - the system is absolutely broken but there are people within it who will help once you find the right ones!
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StarSurfer
•This is really solid advice - thank you Klaus! I hadn't heard of the "Utilization Review" department before. That makes a lot of sense that they'd have more pull with doctors since discharge planning is involved. I'm going to ask about both that department and whether he has a social worker assigned when I visit tomorrow. The tip about calling the long-term care facility ahead of time is brilliant too - getting that physician lined up in advance could save us from going through this whole mess again. Really appreciate you sharing what worked for your mom!
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