Short Term Disability or FMLA

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CatLady18
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Date Joined Oct 2017
Total Posts : 86
   Posted 12/14/2017 2:57 AM (GMT -6)   
I'd like to hear from anyone who was approved for FMLA or short-term disability at work, what was the diagnosis that your doctor listed? My doctor's intern was unsure of whether referencing Lyme would hinder my chances of getting approved, and if so, is there a better diagnoses or symptom?

Thanks!

Kct
Regular Member


Date Joined May 2016
Total Posts : 219
   Posted 12/14/2017 10:12 AM (GMT -6)   
You should and can use FMLA they have to hold your job for you legally.
I unfortunately have and presently dealing with depression, that would work, there are others like chronic fatigue, fibromyalgia etc.. As I understand it STD is easier to get covered than LTD. I'm trying to contact an attorney to find out what the best choice is for both. I hear some LTD plans only cover a year for depression and I need 4 1/2 years until I'm 65.

PeteZa
Veteran Member


Date Joined Jul 2015
Total Posts : 9729
   Posted 12/14/2017 11:43 AM (GMT -6)   
Someone put this on the forum about a year ago. I copied it to my bookmarks. I don't know if it is useful to you or not.

www.ssdrc.com/ssd-lyme-disease.html

PDXtransplant
Regular Member


Date Joined Jun 2017
Total Posts : 237
   Posted 12/14/2017 10:50 PM (GMT -6)   
I used FMLA. I didn't have lyme listed bc I didn't know lyme was what was causing my issues.

The Dude Abides
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Date Joined May 2017
Total Posts : 1157
   Posted 12/15/2017 1:44 AM (GMT -6)   
I've used the Family and Medical Leave Act (FMLA) and Short-Term Disability (STD).

My Doctor kept the answers as vague as possible, while still providing the requested information. He felt the details of my illness were none of their business. He listed that my symptoms were still under investigation, affected my ability to perform my job, and I needed the time to work with several medical practitioners in-state and out-of-state -- all true. I knew FMLA would be approved, as it's a legal right. But, two years later, when I applied for STD, I was surprised that I got approved for two months.

I suggest applying for STD first, so you will have income. If it's not approved, for whatever reason, I would try to appeal the decision. If denied again, you could try to go the legal route -- or, just file for FMLA...which will be approved, but is unpaid. With FMLA, in order to maintain your health care coverage (medical, dental, vision), you'll have to continue paying your premiums.

Good luck.

CatLady18
Regular Member


Date Joined Oct 2017
Total Posts : 86
   Posted 12/18/2017 7:49 PM (GMT -6)   
You guys are great, thanks for the replies! Interesting that most of you did not list Lyme as the diagnosis. STD does request a release to review your medical chart, so I'm curious as to how you avoid that.

The Dude Abides
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Date Joined May 2017
Total Posts : 1157
   Posted 12/18/2017 9:03 PM (GMT -6)   
In my case, I had my Primary Care Physician (not LLMD) complete the FMLA and STD paperwork.

Most of the providers I've seen have been private pay. That is, I paid out-out-pocket and did not go through my insurance. (But, I always file for out-of-network reimbursement. I've had a good bit reimbursed.) Some of the test results obtained through these alternate Doctors I would give to my PCP, so he could put them in my patient file.

My PCP oversees my general health and the out-of-network Doctors (LLMD, Chiropractor, etc.) are what I would consider specialists. The in-network Specialists that I've seen (Cardiologist, Neurologist, etc.) were referred by my PCP, so any test results obtained were automatically sent back to my PCP.

To my knowledge, the Staff Nurse at my employer only reviewed the STD forms they sent me to have my Doctor complete. They approved it the same day, so I don't think there's any way they would have had time to obtain and review my medical record. My medical record is well over 100 pages.

Perhaps the criteria for getting approved for STD varies by company? I'm not sure.

CatLady18
Regular Member


Date Joined Oct 2017
Total Posts : 86
   Posted 12/18/2017 11:42 PM (GMT -6)   
Thank you for the replies, Dude. It sounds like the consent to release medical records is just a formality then. My employer doesn't have a staff nurse, so I imagine HR will be the one reviewing it, which may be a good thing because I doubt she knows anything about Lyme.

gfields
Veteran Member


Date Joined Oct 2015
Total Posts : 967
   Posted 12/19/2017 4:52 AM (GMT -6)   
Dude, what state do you live in?

The Dude Abides
Veteran Member


Date Joined May 2017
Total Posts : 1157
   Posted 12/19/2017 7:48 AM (GMT -6)   
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