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Failure to Follow A Prescribed Treatment For Cause

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People receiving SSDI must follow treatment regiments unless there is "good cause."

"Prescribed Treatment"

A treatment must be prescribed, not just discussed or recommended 

  • It must be prescribed by a treating doctor.
  • It must be expected to restore the ability to work. Otherwise, failure to follow the prescribed treatment is not relevant to Social Security.
  • If you're prescribed alternate choices of treatment, choosing one over another is not failure to follow prescribed treatment.

"Good Cause" for failure to follow prescribed treatment

  • Inability to afford treatment.
  • Unavailability of treatment.
  • Riskiness or experimental nature of treatment.
  • Prescribed treatment was tried before and failed in the past.
  • Overwhelming fear of treatment -- which generally means that there must be some history to prove the fear.)
  • Other credible reason.

     


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