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Austin Leonard

New doctor wants me to file separate PPD claim instead of extending existing one - will I face another waiting period?

I've been on disability for postpartum depression and my claim ends February 23rd. My OBGYN was handling my case initially, but due to scheduling issues, I now need to transition to my primary care doctor. Here's where I'm confused - when I tried to give my primary care doctor the receipt number for my current claim so she could extend it, she insisted that she can't extend a claim started by a different doctor. She said I have to file a completely new disability claim and provide her with that new receipt number instead. This seems really inefficient and I'm worried about gaps in my benefits. If I have to file a new claim: 1. Will I have to serve another 7-day waiting period? 2. Does this mean I'll lose a week of benefits during the transition? 3. Is my doctor correct that she can't extend a claim started by another doctor? I'm really stressed about potentially losing income while still dealing with my PPD. Has anyone dealt with changing doctors mid-claim before?

Your primary care doctor is wrong about this. They absolutely CAN extend a disability claim started by another doctor - it happens all the time. The extension process (form DE 2525XX) can be completed by any licensed physician, not just the original one. The receipt number is for the same medical condition (PPD), so it doesn't matter which doctor started it. I'd go back to your PCP and show them the EDD website section about disability extensions. Your doctor might be confusing the rules with something else. You definitely shouldn't have to start a new claim with another waiting period for the same condition.

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Thank you so much! This is what I thought too, but she seemed so confident. I'll try bringing the website information when I see her next week. Do you know if there's a specific page on the EDD site I should reference? I want to be prepared.

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omg i had the EXACT same thing happen with my ppd claim last year!!! my obgyn went on maternity leave (ironic right?) and my new dr was like "nope gotta start fresh" but i called edd and they said thats BS. u dont need a new claim for same condition, just new medical certification. my new dr filled out the form after i explained this and it worked fine no waiting period

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That gives me so much hope! Did you have to educate your doctor about the form they needed to fill out? I'm worried mine will still insist on the new claim.

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ya i literally had to show her on my phone which form to use! doctors know medical stuff but not always the edd paperwork stuff. just be nice but firm about it and most docs will listen

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As someone who processes these claims, I can confirm that your doctor is incorrect. For the same medical condition (postpartum depression), you do NOT need to file a new claim when switching physicians. The correct process is: 1. Your new doctor should complete a "Physician/Practitioner's Supplementary Certificate" (DE 2525XX) 2. This form requires your current claim ID/receipt number 3. No new waiting period is required 4. Benefits continue seamlessly if submitted before your current claim expires Many medical offices aren't familiar with EDD procedures. Print the DE 2525XX form from the EDD website and bring it to your appointment - sometimes seeing the actual form helps doctors understand.

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This is super helpful, thank you! I'll download the DE 2525XX form tonight and bring it to my next appointment. I was so worried about losing that week of benefits when I'm already struggling financially.

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EDD is THE WORST with their confusing instructions!!! I swear they make this stuff complicated on purpose. When I had my baby in 2024, I went through 3 different doctors for my disability period and EACH TIME I was told different things. The whole system is designed to make people give up on getting their benefits. Your doctor probably isn't being difficult on purpose - EDD just doesn't explain their processes well to medical providers. WHATEVER YOU DO - don't file a new claim!!! You'll definitely lose that week to another waiting period if you do!!

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This is why I always tell people to call EDD directly to confirm what their doctor says about claim procedures. But good luck getting through to them LOL

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EXACTLY!!! I spent 4 days straight trying to get through to an actual human at EDD. By the time someone picked up I had memorized their hold music 🤦‍♀️

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@Isla Fischer I went to my OB for my 3 wk PP appt and told her I was having s/s of PPD she gave me meds but stated she didn’t extend for PPD that I needed to see a psychiatrist. I went to psychiatrist and my last payment for my claim was 10/14 even tho my six weeks ended 10/4. My psychiatrist office told me I needed to file for a new claim and they couldn’t extend original one? Is this right

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When I couldn't get through to EDD for weeks about my extension issue (similar to yours), I used a service called Claimyr (claimyr.com) that got me connected to an EDD agent in about 20 minutes instead of spending days redialing. They have a video that shows how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd The agent confirmed what others here said - for the same medical condition, your doctor just needs to submit the extension form with your existing claim number. I'd try explaining this again to your doctor, but if they still refuse, calling EDD directly might be your best option to get official clarification you can pass along to your doctor.

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Thank you for this suggestion! I've been trying to call EDD for days without success. I'll check out that service if I can't get my doctor to understand the extension process.

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have u tried just going back to ur obgyn and asking them to extend it again until ur pcp figures out what theyre doing? might be easiest solution

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My OBGYN is completely booked for the next month unfortunately. She only agreed to the last extension because I had an upcoming PCP appointment. I really need to make this work with my primary care doctor.

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I work at a medical office (not a doctor) and I can tell you this happens ALL THE TIME. Doctors get almost zero training on EDD paperwork and most offices have one person who kind of knows how it works. Your doctor might legitimately not know they can extend someone else's claim. Instead of arguing, maybe say something like "I spoke with EDD and they said for continuing the same condition, you just need to fill out form DE 2525XX rather than starting a new claim. I brought a copy of the form with me." Most doctors will appreciate you making it easier for them!

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This is such a good perspective, thank you! I never thought about it that way. I'll definitely take this approach instead of making it confrontational.

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Just to follow up on what everyone has said - the law is clear that for the same disability (postpartum depression), you have ONE benefit period regardless of how many doctors treat you during that time. Starting a new claim would actually be improper since you're continuing treatment for the same condition. If your doctor still refuses after you provide the DE 2525XX form, ask to speak with the office manager or medical records department, as they often have more experience with disability paperwork. As a last resort, you can have EDD contact your doctor's office directly to explain the process.

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Thank you for this additional information! Everyone has been so helpful. I feel much more confident about handling this situation now. I'll update once I talk to my doctor again.

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I went through something similar with my anxiety/depression claim a few months ago. My psychiatrist moved practices and the new office initially told me the same thing - that they couldn't extend a claim started elsewhere. What worked for me was printing out the EDD FAQ page that specifically addresses this situation. There's a section that says "Any licensed physician can complete disability forms for your claim, regardless of who started it." I brought that page along with the DE 2525XX form to my appointment. The medical assistant actually thanked me because she said they get these situations all the time but weren't sure of the correct procedure. Now they know for future patients! Sometimes it's just a matter of the office staff not being familiar with EDD rules rather than the doctor being difficult. Hang in there with your PPD recovery - the stress of dealing with paperwork definitely doesn't help, but you've got this! 💙

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Thank you so much for sharing your experience! It's really reassuring to hear that you went through something similar and found a solution. I love that you mentioned the medical assistant thanked you - it shows that most office staff genuinely want to help but just need the right information. I'm definitely going to look for that specific FAQ page you mentioned along with the DE 2525XX form. The support from everyone here has been amazing and really helps with the stress of dealing with all this paperwork on top of everything else. Thank you for the encouragement! 💙

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I'm dealing with a similar situation right now with my maternity disability claim! My original doctor retired mid-claim and I was so worried about having to start over. What I learned is that you can actually call EDD's disability customer service line (1-800-480-3287) and ask them to send a letter directly to your new doctor's office explaining the extension process. The EDD rep I spoke with said they do this regularly when there are misunderstandings between patients and medical offices about claim procedures. They'll fax or mail official documentation to your doctor explaining that they can absolutely extend an existing claim for the same medical condition using form DE 2525XX. This might be helpful if bringing the forms yourself doesn't work - sometimes doctors are more receptive when the information comes directly from the government agency rather than from patients. The waiting time to get through can be brutal, but it might save you from having to file an unnecessary new claim and losing that week of benefits. Hope this helps and wishing you the best with your PPD recovery! ❤️

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This is such a helpful suggestion! I had no idea EDD could send documentation directly to the doctor's office. That sounds like it might carry more weight than me bringing printed pages from their website. I'm definitely going to try the approach others suggested first (bringing the DE 2525XX form and being collaborative rather than confrontational), but it's really good to know this is an option if my doctor's office still pushes back. Having that official letter from EDD would probably clear up any confusion once and for all. Thank you for sharing this tip and for the well wishes! ❤️

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I'm so sorry you're dealing with this stress while managing PPD - the last thing you need is confusing paperwork adding to your worries! I just wanted to add that if you do end up needing to call EDD directly, try calling right when they open at 8am or during lunch hours (12-1pm) when call volume might be slightly lower. Also, keep detailed notes of any conversations you have with your doctor's office about this, including dates and who you spoke with. If there are any issues later, having that documentation can be really helpful. Everyone here has given you excellent advice about the DE 2525XX form - your doctor absolutely can and should be able to extend your existing claim for the same condition. You're advocating for yourself really well by asking these questions here first. Don't let anyone pressure you into filing a new claim when an extension is the correct procedure! Hope your appointment goes smoothly and you can get this sorted out quickly. 💪

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Thank you so much for the practical tips about calling EDD! I never would have thought about the timing - calling right at 8am makes total sense. And you're absolutely right about keeping detailed notes. I've been so focused on the medical side of things that I didn't think about documenting all these conversations, but that could definitely be important if there are any complications down the road. The support from everyone in this thread has honestly been incredible. I was feeling so overwhelmed and confused when my doctor first told me I'd need to file a new claim, but now I feel like I have a solid plan and know exactly what steps to take. It's amazing how much clearer everything becomes when you hear from people who have actually been through the same situation! I'm feeling much more confident about my appointment next week. Thanks for the encouragement - it really means a lot! 💪

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I'm a newcomer here but wanted to share that I just went through this exact situation last month! My therapist left her practice right in the middle of my disability claim for depression, and the new therapist initially said the same thing - that she couldn't extend someone else's claim. What finally worked was when I explained that I wasn't asking her to take over the original claim, but rather to provide medical certification that my condition was ongoing. I framed it as "I need you to confirm that I'm still unable to work due to the same condition" rather than "extend this claim." Sometimes it's just about the wording! I also brought a highlighted copy of the DE 2525XX form with the relevant sections marked, and she was much more comfortable once she could see exactly what information was being requested. The whole process ended up being really straightforward once we got past the initial confusion. Don't give up! Your doctor really can do this, and you definitely shouldn't have to start over with a new waiting period for the same ongoing condition. The fact that so many people here have dealt with this successfully shows it's absolutely doable.

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This is such great advice about the framing! I never thought about how the wording could make such a difference, but you're absolutely right - asking for "medical certification that my condition is ongoing" sounds much less complicated than "extending a claim." That takes the focus off the paperwork process and puts it back on the medical assessment, which is really what doctors are comfortable with. I love that you highlighted the relevant sections of the DE 2525XX form too - that's so smart! It probably made it much easier for your therapist to see exactly what she needed to do without having to wade through a bunch of unfamiliar bureaucratic language. Thank you for sharing your success story! It's really encouraging to hear from someone who just went through this recently. Between your approach and all the other great suggestions in this thread, I'm feeling really prepared for my appointment. It's amazing how much better this situation feels when you know other people have navigated it successfully! 😊

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I'm new to this community but wanted to share my recent experience since it sounds so similar to yours! I just went through a doctor transition during my anxiety/depression disability claim about 6 weeks ago. My original psychiatrist moved out of state and the new one at the clinic told me the exact same thing - that they couldn't extend a claim started by someone else. What really helped was when I called EDD first to get the official language, then went back to my doctor with a printed email confirmation from EDD stating that "any licensed physician treating the same medical condition can complete form DE 2525XX to extend benefits." Having it in writing from EDD themselves made all the difference - the doctor's office couldn't argue with the official source. I also made sure to schedule the appointment well before my claim expiration date to avoid any gaps. The whole process ended up taking less than 15 minutes once we had the correct information, and my benefits continued seamlessly. You're absolutely doing the right thing by questioning this! Don't let anyone pressure you into filing a new claim and losing that week of benefits when a simple extension is all you need. The stress of dealing with incorrect information while managing PPD is horrible, but you're advocating for yourself perfectly. Hang in there! 💜

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Thank you so much for sharing your experience! Getting that official confirmation from EDD in writing sounds like the perfect solution - I can see how that would eliminate any doubt from the doctor's office. That's such a smart approach to call EDD first and then bring their official response to the appointment. I really appreciate the tip about scheduling well before the claim expiration date too. I was getting worried about timing since my claim ends February 23rd, but hearing that your transition went smoothly gives me a lot of confidence. It's incredible how a 15-minute appointment can solve what initially seemed like such a complicated situation! The support from everyone in this community has been amazing. I came here feeling really stressed and confused, but now I have multiple strategies to try and so many success stories to reference. It's such a relief to know that other people have dealt with this exact same issue and found solutions. Thank you for the encouragement - it really helps during what's already a challenging time! 💜

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I'm new here but wanted to chime in since I literally just dealt with this exact situation two weeks ago! My primary care doctor said the same thing about not being able to extend another doctor's claim for my postpartum anxiety. What worked for me was printing out the EDD Disability Insurance handbook section that specifically talks about physician changes during a claim. There's a clear statement that says "You may receive treatment from different physicians during your disability period without affecting your claim." I highlighted that part along with the section explaining the DE 2525XX form. When I showed this to my doctor, she immediately understood and said "Oh! I thought you were asking me to take over someone else's medical decisions, but you just need me to assess your current condition." The whole thing was resolved in about 5 minutes once she realized what was actually being asked. Your doctor is definitely wrong about needing a new claim - you'd only file a new claim if you had completely recovered and then developed a different condition later. Since you're continuing treatment for the same PPD, it's absolutely just an extension. Don't let them talk you into losing that week of benefits! You've got enough to deal with without unnecessary bureaucratic hassles.

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