Your SSDI Consultative Medical Examination: What Claimants Should Know

If you are unable to work at your job because of a medical condition, the SSA (Social Security Administration) might need additional information. Social Security Disability Insurance (SSDI) claimants that have not submitted enough proof of their condition can expect to receive a request for a consultative medical examination (CME) from the SSA. For more information on what to expect, read below.

Your Medical Condition Is Important

You can qualify for SSDI benefits if you have a medical or mental health condition. However, the SSA does not require those applying under mental health conditions to take a CME. In many cases, this exam follows an incomplete or inadequate application for benefits. For example, some applicants have not had any recent medical treatment, so they have little to no proof of their condition. In most cases, claimants submit medical records if they need to prove their conditions. The records might contain doctor's notes and letters, diagnostic test results, medications prescribed, and more.

What to Expect with This Exam

The SSA pays for and arranges for this exam to occur. It's not like a usual exam since claimants will receive no treatment or help as a result. The SSA is only interested in verifying that you have a condition and that it's severe enough to qualify for SSDI benefits. Your vitals will be checked, and you will be examined by an SSA contract doctor. In some cases, diagnostic tests will also be performed or ordered. You can expect to be questioned by the SSA doctor about your most recent job and how your medical conditions affected your ability to do the required tasks.

After the Examination

The SSA doctor will create a report to submit to the SSDI disability determination section that is covering your case. In many cases, however, it can take several weeks before claimants hear back from the SSA. Unfortunately, the results of many CME reports are not good. Many applicants are turned down after having a CME because the doctor was unable to establish that they suffered from a medical condition.

Speak to a Lawyer

Don't give up if you are turned down for SSDI—it happens to many people and it's very common. Get some legal help so that you can get your benefits approved at an appeal hearing. Speak to a disability attorney about your case to find out more information about what steps you can take.


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