Transitioning from pregnancy SDI to regular disability extension - need PCP form help!

You don't need to open a new claim. This is considered a continuous disability but with a different medical condition. Your PCP needs to complete the "Physician/Practitioner's Supplementary Certificate" (DE 2525XX) form to extend your existing claim. Make sure your doctor clearly indicates the new diagnosis code that's different from your pregnancy condition. Give your doctor a heads-up that they need to submit this at least 5-7 days before your current certification expires on June 15th to prevent payment delays.

happened to me last year! my obgyn wouldnt extend either but my benefits continued no problem when my regular dr took over. just make sure theres no gap between the end date from one dr and start date from the other

I went through this exact thing after having my baby. Your PCP will need to file what's called a "supplementary certificate" (form DE 2525XX) to continue your disability claim under the new medical conditions. The key is timing - your PCP should submit their certification BEFORE your current OB certification ends to prevent any payment gaps. You should also login to your SDI Online account and go to the "Contact EDD" section. Send them a message explaining that your disability is continuing but with a different doctor and different medical condition. This creates a record in case there are any issues. One thing to note - while pregnancy disability has a fairly standard approval duration, your PCP-certified disability might require more documentation and could be subject to more scrutiny. Make sure your doctor is very clear about your limitations and why you cannot perform your regular work duties.

I work in a doctor's office that deals with this all the time. Your doctor needs to submit the DE 2525XX form (Supplementary Certificate). This MUST be received by EDD before your current certification expires. The form requires your claim number, so make sure your PCP has that information. Here's what often causes problems: 1. The diagnoses codes must be different from your pregnancy claim 2. Your new doctor must clearly document why you cannot perform your regular work 3. There can't be ANY gap in dates between when your OB coverage ends and PCP begins If you're worried about delays (which do happen), I recommend using Claimyr to reach an EDD representative directly. You can schedule a callback instead of waiting on hold for hours. Their site is claimyr.com and they have a video demo at https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd showing how it works. I've had multiple patients use it when their transitions between doctors caused payment delays and they needed to speak to someone at EDD urgently.

THE MOST IMPORTANT THING IS MAKING SURE THERE'S NO GAP!!!! I had my disability extended when I went from pregnancy to postpartum anxiety, and EDD STILL messed it up and stopped my payments for almost 3 WEEKS!!! They said it was because my OB's end date and my psychiatrist's start date weren't exactly matching. Make sure your PCP dates the form to start THE EXACT SAME DAY your OB's certification ends. Not a day later!!! And save yourself the headache - CALL THEM as soon as your doctor submits the form to make sure they received it. Don't trust the online system to update correctly. I wish someone had told me this before I went three weeks without pay while caring for a newborn.

quick question - is your job holding your position? cuz thats diff from FMLA/CFRA and when I did this last yr my hr got all confused about the paperwork when i switched from pregnancy to mental health reasons. might wanna check with ur work too

Just following up to answer your question about your doctor certifying for only 4 weeks at a time - yes, that's actually pretty common for non-pregnancy disability claims. It means you and your doctor will need to do regular check-ins, and they'll need to submit a new DE 2525XX form each time to extend further. Each extension keeps the same claim number, but it does mean more paperwork and potential for delays between certifications. One tip: set calendar reminders for yourself about 10 days before each certification period ends so you can proactively schedule appointments with your PCP. The system works much better when you stay ahead of the deadlines.

@user4 yes i did get a check for the missed weeks but it took like a month. soooo stressful with bills due!!

Since your case involves transitioning from pregnancy disability to a different condition, you might want to call EDD directly to make sure everything transitions smoothly. Based on my experience, the online system doesn't always handle these transitions perfectly, and a quick call can prevent weeks of payment delays. The EDD disability phone line is 1-800-480-3287, but as many here have experienced, it can be nearly impossible to get through during busy periods. You might want to try calling right when they open at 8:00 AM, or consider using a service to help you get through.

I'm going through something similar right now! I'm currently on pregnancy disability and worried about what happens next since I'm also dealing with postpartum anxiety. Reading through all these responses is super helpful - I had no idea about the DE 2525XX form or how important the timing is with the dates. Quick question for everyone - has anyone dealt with EDD being extra strict about mental health conditions compared to physical ones? My therapist mentioned that postpartum mental health claims sometimes get more scrutiny than physical disabilities. Just wondering if I should expect additional hoops to jump through when my PCP takes over my case. Thanks for sharing your experience with this - it's so stressful trying to navigate all this while dealing with recovery and new baby stuff!

Yes, mental health disabilities often do face more scrutiny unfortunately. I went through this exact transition from pregnancy to postpartum depression/anxiety last year. EDD required additional documentation from my psychiatrist including specific functional limitations (like concentration issues, inability to handle work stress, etc.) that they didn't ask for during my pregnancy claim. My doctor had to be very detailed about how my symptoms specifically prevented me from doing my job duties. They also requested a follow-up review after just 2 weeks instead of the usual 4-week certifications. It was frustrating but my claim was approved - just took longer than expected. One thing that helped was having my doctor include references to established medical guidelines for postpartum mental health conditions. Also make sure your PCP is comfortable certifying mental health disabilities - some primary care doctors prefer to refer to specialists for these types of claims, which could complicate your transition timeline. Stay strong - the extra paperwork is worth it to get the support you need during recovery! And definitely prepare for the possibility of shorter certification periods initially.

I'm currently going through a similar transition right now - from pregnancy SDI to continuing disability for chronic pain and depression. My experience so far has been that the key is really staying on top of the timing like everyone mentioned. I actually had my PCP submit the DE 2525XX form about 10 days before my OB's certification expired, and I called EDD the day after to confirm they received it. The rep I spoke to said that was smart because it gives them time to process it before any gap occurs. One thing I learned that might help - when you talk to your PCP, ask them to be as specific as possible about your functional limitations. Don't just say "back pain" - have them document things like "unable to sit for more than 30 minutes" or "cannot lift more than 10 pounds." The more detailed they are about how your conditions prevent you from doing your specific job duties, the smoother the approval process seems to go. Also, I'd recommend keeping copies of everything - your claim number, the dates from your OB's certification, and confirmation that your PCP submitted their forms. Having all that info handy made my follow-up calls with EDD much easier. Good luck with your transition!