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Jasmine Hernandez

Can I get EDD SDI benefits for carpal tunnel surgery recovery? Restaurant worker needs advice

I've been diagnosed with severe carpal tunnel syndrome and have to get surgery on both wrists plus a cyst removal from my thumb joint. My surgeon says I'll need 4-6 weeks off work minimum since I'm a line cook and can't chop/prep with bandaged hands. My restaurant doesn't offer paid medical leave and I'm freaking out about bills while I'm recovering. Does anyone know if I qualify for California SDI for this type of surgery/recovery? I've been at this restaurant for 3+ years full-time with taxes taken out of every paycheck. My surgery is likely happening next month (waiting for final approval) and I have no clue what steps to take or when to apply for disability. Do I need special forms from my surgeon? Any advice would be seriously appreciated!

Yes, you definitely qualify for SDI benefits! Carpal tunnel surgery with a recovery period preventing you from doing your regular job duties is exactly the type of situation disability insurance covers. Here's what you need to do: 1. Talk to your surgeon's office ASAP and tell them you'll need them to complete the medical certification portion of your disability claim. They'll need to confirm your diagnosis, surgery date, and estimated recovery time. 2. You can file your claim online through SDI Online (https://edd.ca.gov/disability/). You can submit your claim up to 49 days before your surgery, so start the process now. 3. Your employer will need to complete their portion with your last day worked and wage information. I had a similar surgery last year and received benefits for 8 weeks while recovering. The weekly benefit is roughly 60-70% of your regular wages.

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Thank you so much for this info!! I had no idea I could apply before the surgery - that's a huge relief. Do you know if there's a waiting period before benefits start? And do I need to do anything special because it's both hands being operated on (like will they understand I literally can't use a computer/phone easily during early recovery)?

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u should def apply NOW not later!!! there's a 7 day waiting period so u don't get paid for the 1st week u miss work. and edd is SLOW af right now so get that paperwork in early!!!

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Thanks for the heads up about the waiting period! Gotta budget for that first week then. Appreciate it!

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Make sure your doctor fills out the medical certification form ACCURATELY with the correct recovery time. My doctor initially only put 3 weeks for my hand surgery and I ended up needing 6 weeks before I could return to work. Had to get him to submit ANOTHER form for the extension which delayed my payments. Also document EVERYTHING because EDD makes mistakes all the time. Keep notes of when you call, who you speak with, what they tell you, etc.

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This is excellent advice. I'd also recommend asking your surgeon to consider the specific demands of your job when estimating recovery time. Being a line cook requires significant hand strength and dexterity - make sure the doctor understands your job functions require more than just basic hand mobility.

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good luck gettin anyone on the phone at EDD lmaooo i spent 3 days calling nonstop and kept getting disconnected

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I had the same problem but found this service called Claimyr that got me through to an actual EDD rep in about 20 minutes. You might want to check out their demo video at https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd. They basically call EDD for you and connect you when they get through. Saved me days of frustration when I had questions about my medical certification form. Their website is claimyr.com - definitely worth it when you're dealing with hand surgery and can't spend hours redialing!

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I second this. Trying to get through to EDD is a nightmare, especially for disability claims because those go through a separate department than regular unemployment. If you have specific questions about your case, it's worth using a service rather than getting frustrated for days.

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I went thru this exact situation with double wrist surgery last year. Make sure you get your claim started BEFORE surgery because afterward you'll have trouble typing/writing. The first payment will take about 10-14 days to process after your waiting period (7 days from your last day worked). One thing nobody told me: if you try to go back to work part-time during recovery (which I did after 4 weeks), you MUST report your partial return on your certification forms or they'll consider it fraud. I almost got in trouble for this! Also, SDI and PFL are different - don't confuse them like I did. SDI is for YOUR medical condition, PFL is if you need to care for a family member.

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Thank you for sharing your experience! That's really good to know about partial return to work. My surgeon mentioned I might be able to do limited prep work after 4 weeks - definitely don't want to mess up my benefits by not reporting correctly.

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my cousin had the wrist surgery thing and MAKE SURE ur doctor puts the right dates!!!!! they messed up hers and she had to wait extra 2 weeks for $$$

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From a technical standpoint, there are a few important details to understand about SDI for surgical recovery: 1. Your benefit amount is based on wages earned during a 12-month base period, starting 5-18 months before your claim begins. With 3+ years at your job, you should have a solid earnings history for maximum benefits. 2. For 2025, the maximum weekly benefit amount is $1,642, minimum is $54 (depending on your qualifying wages). 3. The medical certification (form DE 2501) must include: - Diagnosis code(s) (ICD-10) for carpal tunnel and ganglion cyst - Surgery date - Estimated recovery period - Certification that you cannot perform your regular work duties 4. Restaurant workers often qualify for higher benefit amounts than expected because tips reported as income count toward your benefit calculation. 5. Your claim effective date should be the first day you stop working due to your disability, not your surgery date (if you stop working before surgery for pre-op reasons).

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This is incredibly helpful, thank you! I didn't realize tips could factor into the benefit amount calculation - that's a relief since about 30% of my income is from reported tips. I'll definitely check with my surgeon about getting all those diagnosis codes correct.

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i know somebody who got denied cuz they said carpal tunnel wasnt serious enough but that was probly cuz her doctor didnt explain it right on the forms

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That's unusual because carpal tunnel requiring surgery is definitely a qualifying condition. You're right that it was probably due to insufficient medical documentation. OP: Make sure your doctor clearly explains why you cannot perform your specific job duties (chopping, food prep, lifting heavy pots/pans) during recovery.

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dont surgeons offices usually have somebody who helps with disability paperwork? mine did

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I'll definitely ask! I have a pre-op appointment next week so that's the perfect time to bring up all this paperwork stuff. Thanks for the suggestion.

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EDD's website is constantly glitching these days so if you can't get through online, you might need to request paper forms as backup. Call your local office and ask them to mail you a DE 2501 claim form packet just in case. You'd be surprised how often their "improved" online system fails when you need it most. Also, take screenshots of EVERYTHING you submit online - I learned this the hard way when they claimed they never received my certification even though I had confirmation numbers.

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One more thing I forgot to mention from my experience: if your recovery takes longer than initially estimated, have your doctor submit a supplemental medical certification BEFORE your original recovery period ends. This prevents gaps in payment. I made the mistake of waiting until my original certification expired and had a 3-week gap with no benefits while they processed the extension.

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Really appreciate this advice! I'll mark my calendar to check in with my doctor a week before the estimated recovery period ends. Better safe than sorry!

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As someone who's been through the SDI process for work-related injuries, I wanted to add a few practical tips for your situation: 1. When you're filling out your application, be very specific about your job duties. Don't just put "line cook" - describe that you need to grip knives for extended periods, lift heavy pots/pans, and perform repetitive chopping motions. This helps EDD understand why you can't work during recovery. 2. Keep copies of ALL your medical records related to the carpal tunnel diagnosis, not just the surgery forms. Sometimes they ask for additional documentation showing the progression of your condition. 3. If your restaurant uses a payroll service like ADP, give them a heads up that EDD might contact them for wage verification. This can speed up the process. 4. Since you mentioned a cyst removal too, make sure your surgeon includes both procedures on the medical certification - don't let them forget the "minor" procedure since it all affects your recovery time. You've got this! The fact that you're planning ahead puts you way ahead of most people. With 3+ years of steady employment and a legitimate medical need, you should have no issues qualifying.

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This is incredibly thorough advice - thank you so much! I never would have thought to be that specific about job duties, but you're absolutely right that "line cook" doesn't really capture how physical and hand-intensive the work is. I'm constantly using my hands for knife work, carrying heavy stock pots, and doing repetitive prep motions for 8+ hours a day. I'll definitely mention both the carpal tunnel surgery AND the cyst removal - good catch on making sure they don't overlook anything. Really appreciate you taking the time to share all these details!

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I went through SDI for carpal tunnel surgery about 6 months ago and wanted to share a few things that really helped me navigate the process smoothly: First, when you talk to your surgeon about the medical certification, ask them to schedule a follow-up appointment about 2 weeks post-surgery. This gives them a chance to reassess your actual recovery progress and adjust the timeline if needed - way better than guessing at the initial appointment. Second, since you're in food service, make sure to mention to EDD that you'll likely need both hands fully functional before returning. Unlike office workers who might be able to work with one hand in a brace, kitchen work requires bilateral hand strength and coordination for safety reasons. Also, a heads up - your first certification form will arrive about 10 days after your claim is processed, and then you'll get them every 2 weeks after that. Set reminders on your phone because late submissions can delay payments. One last thing: if your restaurant has workers comp insurance, double-check that this isn't considered a work-related injury. If it is, you might need to file through workers comp instead of SDI, which could actually get you better benefits. Just something to consider! Good luck with your surgery - you're being smart by planning ahead!

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