Understanding SSDI Re-Evaluation: What You Need to Know

When you receive Social Security Disability Insurance (SSDI) benefits, it’s important to understand that you will undergo periodic reviews to ensure continued eligibility. These reviews are known as Continuing Disability Reviews (CDRs).

What Triggers an SSDI Re-Evaluation?

It’s common to wonder when and why you might be subject to an SSDI re-evaluation. The frequency of these reviews can vary based on several factors:

Medical Improvement Expected: If your condition is expected to improve, you may be re-evaluated every 6 to 18 months. Medical Improvement Possible: Reviews typically occur every 3 years if improvement is possible. Medical Improvement Not Expected: If your condition is not expected to improve, reviews may occur every 5 to 7 years.

Since you received SSDI benefits nine years ago, you might be due for a re-evaluation if your case falls into the categories that require more frequent reviews. However, the Social Security Administration (SSA) will notify you well in advance.

What Happens During an SSDI Re-Evaluation?

During a re-evaluation, the SSA will assess your current condition and whether it still meets the eligibility criteria for SSDI benefits. They may request additional medical documentation or even schedule a physical examination to ensure continued relevance to your claim.

Why Haven't I Been Re-Evaluated?

There are a few reasons why you might not have been re-evaluated so far:

You might be closer to your full retirement age, and CDRs may become less frequent. If your medical impairment is not expected to improve, you may have fewer CDRs.

The key to maintaining your benefits is to continue receiving regular medical treatment and comply with any recommended therapies. Social Security will assume that if you are not getting treatment, you must have improved significantly, which may not always be fair.

What Should You Do?

If you haven’t received a letter from the Social Security Administration (SSA) regarding a re-evaluation, it’s important to stay informed:

Check your mail regularly for any correspondence from the SSA. Contact the SSA directly if you are unsure whether you have been re-evaluated. Maintain a record of all medical treatment and any changes in your condition.

Regular communications with your healthcare providers and the SSA can help ensure that you maintain your SSDI benefits and address any potential issues before they become critical.

Conclusion

SSDI benefits are a valuable resource for those who are disabled and unable to work. Understanding the re-evaluation process and staying informed can help you maintain your benefits and navigate any potential changes. Always stay vigilant, and don’t hesitate to reach out to the SSA for clarification on your specific situation.