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Rami Samuels

Will my SSDI and survivor benefits stop immediately if my cancer goes into remission?

I'm currently 58 and was just approved for SSDI and survivor benefits after my stage 4 lymphoma diagnosis back in January. My situation has been a real rollercoaster - when SSA did my medical review 3 months ago, things looked pretty grim. But I've been responding incredibly well to the new treatment protocol they put me on! My oncologist is actually using the words 'promising outlook' which wasn't even on the table before. I'm scheduled for surgery next month followed by one more round of chemo, and there's a very real possibility I could be in remission by spring 2025. Which brings me to my concern - what happens to my benefits if my health improves significantly? Does SSA automatically cut off both streams of payments once I'm declared cancer-free? Is there some kind of grace period? I honestly have no idea how this works and the paperwork they sent doesn't really address what happens in recovery situations. Anyone been through something similar?

congrats on the good news with your treatment! i had a similiar situation with kidney disease that improved. SSA doesn't automatically stop anything there's a whole review process. they'll send notice about a continuing disability review at some point

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That's a relief to hear. Do you know roughly how long the review process takes? I'm trying to plan ahead financially.

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When your medical condition improves, SSA doesn't immediately terminate benefits. They conduct what's called a Continuing Disability Review (CDR) to determine if your medical improvement is related to your ability to work. The process includes: 1. Medical review of your current condition 2. Assessment of your ability to engage in substantial gainful activity (SGA) 3. Determination if the improvement affects your ability to work You'll receive advance notice of this review. In many cases, SSA also provides a 9-month Trial Work Period (TWP) where you can test your ability to work while still receiving full benefits. This is followed by a 36-month Extended Period of Eligibility. Since your benefit situation involves both SSDI and survivors benefits, the reviews might occur separately since they're governed by different program rules.

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Thank you for the detailed information. I had no idea about the Trial Work Period - that's really good to know. My survivors benefits are from my late spouse's record, so I assume those would continue regardless since they're not health-dependent? Or do they get reviewed separately?

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I think you're getting SSDI confused with SSI. Disability doesn't just automatically stop. My sister had breast cancer and went through something similar. They do these things called medical reviews where they check if you're still disabled. Worst case, you can always appeal if they try to cut you off too soon.

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Actually, the original poster correctly identified SSDI (Social Security Disability Insurance), not SSI (Supplemental Security Income). They're different programs. SSDI is based on work credits, while SSI is needs-based. But you're right about the medical reviews - they don't automatically stop benefits without a review process.

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To clarify about your survivor benefits specifically - those are separate from your disability benefits. If you're receiving survivor benefits as a disabled widow/widower, your medical improvement could affect those too. However, if you're receiving them because you're caring for a child of the deceased worker under 16, or if you're over the minimum age requirement (which varies), they may continue regardless of medical improvement. For the SSDI, as others mentioned, there's a structured review process. What's most important is keeping all your medical documentation organized. SSA will want to see the full progression of your treatment and your doctor's assessment of your ongoing limitations, even in remission. I'd recommend scheduling an appointment with SSA to discuss your specific situation once you have a clearer picture of your medical outlook. Unfortunately, getting through on the phone can be extremely frustrating.

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Speaking of getting through to SSA on the phone - I was in a similar situation trying to discuss my benefits after my condition improved. I was getting disconnected after hours on hold. I finally used this service called Claimyr (claimyr.com) that got me connected to an agent in about 20 minutes instead of spending all day trying. There's a video showing how it works: https://youtu.be/Z-BRbJw3puU It made a huge difference because I actually got to speak with someone who explained exactly how the medical improvement review would affect my specific benefit combination.

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my aunt went thru cancer similar to yours and got better thank god. she kept getting her checks for almost a year after she was in remission before they even contacted her for a review! dont worry too much about it yet, focus on healing

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That's actually really comforting to hear. I am trying to focus on getting better first, but the financial stuff keeps me up at night. Thank you for sharing that.

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THE WHOLE SYSTEM IS RIGGED!! I was on disability for back problems for 3 years, then had ONE GOOD DAY at my review appointment and they cut me off completely!!! FIGHT THEM with appeals and get a lawyer!! They'll try to say you're fine when you're NOT! Even in "remission" cancer causes long term problems they IGNORE!!

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While I understand your frustration, each case is different. The SSA does have established guidelines for evaluating medical improvement, and cancer cases specifically have protocols based on the type of cancer, treatments, and ongoing effects. It's always good to know your rights and the appeals process, but many reviews are conducted fairly according to the medical evidence.

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also forgot to mention u should look into the ticket to work program if u decide to go back to work later. its designed to help ppl transition off benefits without losing everything at once

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I hadn't heard of that program - will definitely look into it! Thanks for the tip.

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when they do the review they'll look at whether ur still meeting the listing requirements for cancer. my moms friend had leukemia and even tho she was in remission they continued her benefits for like 2 yrs because of the after effects of chemo and stuff

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That's an important point. The SSA recognizes that even after cancer goes into remission, there can be significant ongoing impairments from the treatments themselves. Things like neuropathy, cognitive effects, fatigue, and immune system complications can all be considered in the disability determination, even when the cancer itself is in remission. Make sure your doctors document all of these ongoing effects thoroughly.

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I'm really happy to hear your treatment is going so well! That's wonderful news. Just wanted to add something that might be helpful - make sure you keep detailed records of all your medical appointments, test results, and any ongoing symptoms or side effects you experience, even as you improve. This documentation will be crucial if/when SSA does their review. Also, don't hesitate to ask your oncologist and other doctors to be thorough in their notes about any lingering effects from treatment. Even if you go into remission, things like fatigue, cognitive issues from chemo, or other treatment-related complications can still impact your ability to work. The more complete medical picture you have documented, the better prepared you'll be for any future reviews. Wishing you continued success with your treatment!

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This is such great advice! I've been pretty good about keeping my medical records organized, but I hadn't thought about specifically asking my doctors to document the ongoing effects in detail. That's really smart - I'll make sure to bring this up at my next appointment. Even though I'm feeling so much better, I definitely still have some lingering fatigue and brain fog from the chemo that I hadn't really connected to my work capacity. Thank you for the well wishes and the practical tips!

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First off, congratulations on your positive response to treatment - that's incredible news! I wanted to share some insight from my experience working with disability cases. One thing that's often overlooked is that SSA's medical improvement reviews aren't just about whether your cancer is in remission, but about your residual functional capacity (RFC). Even if you achieve remission, you may still have significant limitations from treatment effects like peripheral neuropathy, reduced stamina, cognitive impacts, or immune system compromise that could support continued disability status. The key is having your medical team document these ongoing impairments thoroughly. For your survivor benefits specifically - if you're receiving them as a disabled widow/widower, they're tied to your disability status. But if you qualify based on age (50+ with disability, or 60+ without), the medical improvement may not affect those benefits the same way. I'd also suggest requesting a copy of your complete SSA file now while things are stable, so you have baseline documentation of what they approved you for originally. This can be helpful context during any future reviews. Keep focusing on your health - the bureaucratic stuff will sort itself out with proper documentation and advance planning!

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This is incredibly helpful information, thank you! I hadn't thought about requesting my complete SSA file - that's such a smart idea to have that baseline documentation. You're absolutely right about the residual functional capacity aspect too. I'm definitely still dealing with some cognitive fog and fatigue that I hadn't fully connected to my work ability, but when you put it that way, it makes total sense that those would be important factors in any review. I'm going to ask my oncologist about documenting these ongoing effects at my next appointment. Really appreciate you taking the time to share your expertise!

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Rami, I'm so glad to hear your treatment is going well! That's truly amazing news. I wanted to add a perspective from someone who went through a similar situation with a different condition. When my autoimmune disease went into remission about 3 years ago, I was terrified about losing my benefits too. What I learned is that SSA really does follow a structured process - they don't just cut you off the moment your medical records show improvement. The Continuing Disability Review process typically takes several months, and they look at the whole picture, not just whether your primary condition is "cured." One thing that really helped me was being proactive about communication with SSA. I actually sent them updates about my treatment progress myself, rather than waiting for them to find out through routine reviews. This showed I wasn't trying to hide anything and gave me more control over the narrative. Also, don't underestimate the long-term effects of cancer treatment. Even if you achieve remission, chemo and other treatments can leave lasting impacts on your energy, immune system, and cognitive function that may still qualify as disabling conditions. Make sure all of these are well-documented. You've got time to plan and prepare - focus on getting healthy first, but it's smart that you're thinking ahead!

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This is really reassuring to hear from someone who's actually been through it! I love your point about being proactive with communication - that's such a smart approach to stay ahead of the process rather than just waiting for them to contact me. I hadn't thought about reaching out to them myself with updates, but that makes so much sense to maintain some control over how the information is presented. And you're absolutely right about focusing on getting healthy first - I think I've been getting a bit ahead of myself with worry when I should be celebrating this progress. Thank you for sharing your experience and for the encouragement!

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Rami, this is such wonderful news about your treatment response! I'm really happy for you. I wanted to share something that might ease your concerns a bit - I work as a benefits counselor and see cases like yours fairly regularly. The key thing to understand is that SSA distinguishes between "medical improvement" and "medical improvement related to ability to work." Even if your cancer goes into remission, they have to prove that this improvement means you can now perform substantial gainful activity. For cancer cases specifically, they recognize that treatments often leave lasting effects that can continue to be disabling. Also, there's something called "medical improvement review standard" which means they compare your current condition to what it was when you were first approved. Since you were just approved recently with stage 4 lymphoma, they'd need to show significant improvement from that baseline. One practical tip: start keeping a symptom diary now. Document fatigue levels, cognitive issues, physical limitations, etc. This creates a record of your ongoing functional limitations that goes beyond just whether the cancer is detectable. Many of my clients find this incredibly helpful during reviews. You're right to plan ahead, but try not to stress too much about it right now. Focus on your recovery - you've got time and options!

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This is incredibly valuable information, thank you so much Zoe! The distinction between "medical improvement" and "medical improvement related to ability to work" is something I hadn't fully grasped before. That really helps put things in perspective - just because the cancer might be gone doesn't automatically mean I can jump back into full-time work capacity. The symptom diary is such a practical idea too. I've been so focused on the big picture medical stuff that I wasn't really tracking the day-to-day functional impacts. Starting that documentation now while I'm still in treatment makes a lot of sense. I really appreciate you taking the time to explain this from your professional perspective - it's given me a much clearer understanding of how the process actually works!

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Rami, first off, congratulations on your amazing response to treatment! That's incredible news and you should definitely celebrate that progress. I wanted to add something from my own experience - I'm a cancer survivor (colon cancer, now 5 years in remission) and went through the SSDI review process about 2 years after my treatment ended. What surprised me was how thorough SSA was in considering not just whether my cancer was gone, but how the entire experience had affected my overall health and work capacity. Even though I was cancer-free, I was still dealing with significant neuropathy in my hands and feet from chemo, chronic fatigue that was way beyond normal tiredness, and some cognitive issues that my oncologist called "chemo brain." All of these were documented and considered during my review. I actually continued receiving benefits for another 18 months while I gradually transitioned back to part-time work through the Trial Work Period program others mentioned. The biggest piece of advice I can give you is to be completely honest with all your doctors about every symptom you're experiencing, no matter how minor it seems. Things like difficulty concentrating, getting winded easily, or needing more sleep than before are all legitimate ongoing effects of cancer treatment that can impact your ability to work. You're asking all the right questions and planning ahead, which puts you in a good position. Focus on healing first - the rest will follow!

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Javier, thank you so much for sharing your personal experience - it really means a lot to hear from someone who's actually walked this path! Your story gives me a lot of hope, especially knowing that SSA took such a comprehensive look at all the ongoing effects rather than just the cancer status itself. The "chemo brain" thing really resonates with me - I've been experiencing that but hadn't really thought of it as something that would be relevant to my work capacity evaluation. It's reassuring to know that these seemingly smaller issues are actually taken seriously in the review process. The fact that you were able to transition gradually through the Trial Work Period sounds like exactly the kind of support system I was hoping existed. I'm definitely going to start being more detailed with my doctors about all these lingering effects. Thank you for the encouragement and for taking the time to share such detailed insights from your journey!

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Rami, what fantastic news about your treatment progress! As someone who's navigated the SSA system, I wanted to share a few key points that might help ease your concerns: The good news is that SSA has specific protocols for cancer cases that recognize the complexity of treatment and recovery. They use something called the "Blue Book" listings, and for lymphoma specifically, they understand that even successful treatment can leave lasting functional limitations. A few important things to keep in mind: - Your recent approval means SSA already has your baseline documented as stage 4 lymphoma, so any review will compare against that severe starting point - Remission doesn't equal full functional recovery - treatment effects like fatigue, neuropathy, immune suppression, and cognitive changes are all legitimate ongoing impairments - The review process typically takes 6-12 months from start to finish, giving you time to prepare For your survivor benefits, those have different rules depending on whether you qualified as a disabled widow/widower or based on age criteria. It's worth clarifying which category you fall under since the medical review may affect them differently. My advice: start documenting everything now - energy levels, concentration issues, physical limitations, medication side effects. This creates a paper trail of your functional capacity that goes beyond just cancer markers. And definitely keep celebrating this amazing treatment response - you deserve to focus on healing first!

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This is such comprehensive and helpful information! I really appreciate you breaking down the specifics about the Blue Book listings and how they apply to lymphoma cases. Knowing that they'll compare against my stage 4 baseline rather than some arbitrary standard of "normal" health is actually really reassuring. I hadn't realized the review process could take that long either - that definitely gives me more time to get my documentation in order. Your point about survivor benefits having different rules is something I definitely need to clarify. I think I qualified as a disabled widow since I'm only 58, but I should probably confirm exactly which category I'm in and how that might be affected. The idea of documenting everything starting now is coming up in several comments and it's clearly important advice I need to take seriously. Thank you for taking the time to lay all this out so clearly - it's helping me feel much more prepared and less anxious about the whole process!

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Congratulations on your incredible response to treatment! That's such wonderful and hopeful news. I can absolutely understand your anxiety about what happens to your benefits if you continue to improve - it's natural to worry about financial security while you're focused on healing. From what I understand, SSA has specific review processes in place precisely because they recognize that medical improvement doesn't automatically equal the ability to return to full work capacity. Cancer treatment, especially for something as serious as stage 4 lymphoma, often leaves lasting effects that can continue to impact your functional abilities even after achieving remission. The fact that you were just recently approved means SSA has your severe baseline condition well documented. Any future review would need to show significant improvement from that starting point, and they'd have to demonstrate that any improvement actually translates to your ability to perform substantial gainful activity. I'd suggest starting to document all your ongoing symptoms and limitations now - things like fatigue levels, cognitive effects, physical stamina, etc. Even as you improve, these treatment-related effects can be significant and relevant to any future disability determination. Most importantly though, focus on your recovery first. You're dealing with something incredibly challenging and the fact that you're responding so well to treatment is cause for celebration. The administrative side can be managed when the time comes, and you'll have advance notice and options if/when any review happens. Sending you best wishes for continued progress with your treatment!

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