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Monique Byrd

Can I qualify for EDD SDI if I need surgery but don't have a job at the time?

So my situation is a bit complicated. I have a degenerative disc condition that's gotten so bad my doctor is recommending surgery in the next 2-3 months. The recovery period is expected to be around 4-5 months according to my surgeon. Here's the issue - I just left my job last week (completely unrelated to my medical condition) and planned to take some time off before job hunting again. Now I'm wondering if I'm even eligible for EDD SDI during my recovery period since I won't be employed when I have the surgery. Does anyone know if you can receive disability benefits if you're not currently working when you become disabled? Do I need to have a job to lose income from? I've paid into SDI for years at my previous jobs, so it feels like I should be eligible, but I'm not sure how the system works in this case. Any advice would be really appreciated!

Yes, you can potentially qualify for EDD SDI even without current employment, but there are specific requirements. You need to have been looking for work (essentially available to the labor market) when you became disabled. Since you mentioned you were planning to take time off before job hunting, this could be problematic. EDD will look at your base period earnings - typically 5-18 months before your disability claim - to determine eligibility. As long as you have sufficient wages in your base period and meet the minimum threshold (around $300 now), you could qualify. But the key is whether you're considered 'attached to the labor market' when your disability begins. I'd recommend filing anyway and explaining your situation truthfully. Sometimes EDD is more understanding with planned medical procedures.

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Monique Byrd

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Thank you for this detailed information! So does this mean I should start actively job hunting now, before my surgery date, to show I'm 'attached to the labor market'? Or would that be problematic since I know I'm going to need surgery soon? I definitely have enough wages in the base period since I worked full-time up until last week.

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Lia Quinn

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u might have a problem. when i had my shoulder surgery last year i had to have my doc fill out forms saying i couldnt do my JOB anymore. if u dont have a job how can u prove ur too disabled to work? just my 2 cents

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Haley Stokes

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This isn't entirely accurate. The doctor doesn't certify that you can't do your specific job - they certify that you have a medical condition that prevents you from performing your regular or customary work. If you were between jobs, your "regular or customary work" would be based on your training, education, and recent work history. For planned surgeries, the medical provider confirms the procedure is medically necessary and prevents you from working during recovery.

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Asher Levin

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I was in almost the EXACT same situation back in 2023!! Had to have major abdominal surgery but was between jobs. I DID qualify for SDI but there were some hoops to jump through. Here's what happened: I had to provide proof that I was actively seeking work (saved all my job applications). They asked for a phone interview to determine if I was "available to the labor market" when I became disabled. The key part was having my surgeon document exactly when my condition became disabling - which was before the actual surgery date (when he determined surgery was medically necessary and my pain was preventing normal functioning). It took about 6 weeks to get approved but I did eventually get benefits for my recovery period. Don't give up!!

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Monique Byrd

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This is so helpful! Thank you for sharing your experience. I think I might be in a similar situation since my condition is already affecting me (that's why they're recommending surgery), but I can still function somewhat normally right now. Did you have any issues with the base period earnings calculation? And did they backdate your claim to when your doctor first determined you needed surgery?

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Serene Snow

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When does ur doctor say u cant work anymore? Thats ur disability start date. If ur not working NOW but ur doctor says ur condition makes u unable to work starting TODAY then u can apply right now. U dont need to have a job to lose.

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I work for a disability advocacy organization, and this is a common question. The key factor is whether you're considered "attached to the labor market" when your disability begins. Since you recently left your job and hadn't yet started your job search, EDD might question this. Here's my advice: 1) Have your doctor document when your condition became disabling (even if it's before surgery), 2) If you've done any job searching activities since leaving your job, document those, 3) File your claim based on when your doctor certifies you became unable to work, not necessarily the surgery date. Also important: be prepared for additional questions from EDD. They'll likely want to determine if you were truly available for work when your disability began or if you were already planning time off. Be honest but make sure to emphasize that your job separation was unrelated to your medical condition.

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Monique Byrd

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Thank you for this detailed explanation! My doctor has already said my condition is affecting my ability to sit for long periods which would impact many jobs I'd be qualified for. Would it make sense to have him document this now, even though I'm planning surgery in 2-3 months? Or should I wait until closer to surgery?

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Romeo Barrett

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Have you tried calling EDD directly to ask about your specific situation? Their website has so much general info but doesn't cover unique cases like yours. I was trying to get through to them for weeks about my own disability claim and kept getting disconnected or waiting for hours. I finally used this service called Claimyr (claimyr.com) that got me connected to an EDD rep in about 20 minutes. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd. Worth it to get a definitive answer directly from EDD about your eligibility before surgery.

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Monique Byrd

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I hadn't thought about calling them directly, that's a good idea. I've heard their phone lines are terrible to get through. I'll check out that service if I can't get through on my own. Thanks!

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Lia Quinn

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those EDD phone lines are the WORST!! i spent 3 days trying to get thru last time

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SDI eligibility can be tricky in your situation. You don't necessarily need current employment, but you DO need to have been available for work when you became disabled. Your base period earnings will determine your weekly benefit amount. Since you worked until recently, you should have sufficient earnings in your base period. The real question is whether EDD will consider you "attached to the labor market" if you were planning to take time off. Honestly? It could go either way depending on who reviews your claim. I'd recommend filing as soon as your doctor says your condition prevents you from working, and be prepared to appeal if denied initially.

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Monique Byrd

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Thanks for the input. This seems to be the consensus - that I should file based on when my doctor says I'm unable to work, even if that's before the actual surgery. I'll talk to my doctor about documenting my current limitations.

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One important thing to note that I don't think others have mentioned: Even if you qualify based on labor market attachment and base period earnings, there's still the 7-day waiting period before benefits begin. So if your surgery is scheduled, plan for that week without benefits. Also, your weekly benefit amount will be based on your highest quarter of earnings during the base period, maxing out at around $1,560 per week in 2025 (though most people get less than the maximum). Make sure you understand what your financial situation will look like during recovery so you can plan accordingly.

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Monique Byrd

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Thank you for mentioning this! I hadn't even thought about the waiting period or calculating the actual benefit amount. Is there a way to estimate what I might receive before I apply? I should probably start budgeting now for the recovery period.

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Yes, there's a calculator on the EDD website where you can input your highest quarter earnings. Generally, SDI pays about 60-70% of your regular wages up to the maximum. Just search "EDD SDI benefit calculator" and you should find it easily.

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Asher Levin

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After reading all these responses, I think you should: 1) Talk to your doctor ASAP about documenting your current limitations (this establishes your disability start date), 2) File for SDI based on your doctor's assessment, not waiting until surgery, 3) Be prepared to show you were available for work when you became disabled (maybe start some job searching activity that you can document), 4) If you get denied, definitely appeal! Many claims are denied initially but approved on appeal. Good luck with your surgery and recovery!

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Monique Byrd

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Thank you! This is a great summary of action steps. I'll talk to my doctor this week and see what he says about my current limitations. I appreciate everyone's help!

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Keisha Taylor

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Just wanted to add another perspective as someone who went through a similar situation. I had to have knee surgery while unemployed and was initially denied SDI because they said I wasn't "available for work" when I became disabled. However, I appealed and won by providing evidence that: 1) My condition was progressively worsening (got documentation from my doctor showing the timeline), 2) I had been actively looking for work until my pain became too severe, and 3) My surgeon confirmed that my condition would have prevented me from performing any work duties even if I had a job. The appeal process took about 3 months but I eventually received retroactive benefits back to my disability start date. Don't let an initial denial discourage you - the appeals process exists for situations exactly like yours where the circumstances are more complex than the standard case.

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This is really encouraging to hear! I was worried that an initial denial would be the end of it, but knowing that appeals can be successful makes me feel more confident about moving forward. Your point about documenting the progressive worsening is especially helpful - my degenerative disc condition has definitely gotten worse over the past few months, so I should make sure my doctor documents that timeline. Did you have to get additional medical documentation during the appeals process, or was what you already had sufficient?

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Joshua Hellan

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I went through something very similar last year with a herniated disc surgery while between jobs. Here's what I learned: the timing of when your doctor says you became "unable to work" is crucial - not just the surgery date. My orthopedist documented that my condition became disabling 3 weeks before my actual surgery when the pain made it impossible to sit/stand for normal work periods. I filed my SDI claim based on that date, not the surgery date. Even though I wasn't employed at the time, I had been doing some light job searching (keep those application emails!). EDD initially questioned my "labor market attachment" but ultimately approved my claim because my doctor clearly documented that my medical condition, not personal choice, was preventing me from working. The key was showing that I WOULD have been available for work if not for the medical condition. Got approved for the full recovery period (about 16 weeks in my case). Start documenting everything with your doctor now!

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Ellie Kim

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This is exactly the kind of detailed experience I was hoping to hear about! Your situation sounds almost identical to mine. The timing point about when you became "unable to work" vs the surgery date is really important - I hadn't fully understood that distinction. My degenerative disc is already causing me significant pain when sitting for extended periods, which would definitely impact most office jobs I'd be qualified for. I should probably ask my doctor to document this current limitation rather than waiting until closer to surgery. Did you have any trouble with EDD questioning the gap between when you left your job and when you became disabled? That's one thing I'm worried about since I just left my job last week.

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StarSeeker

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I'm actually dealing with a very similar situation right now! I have a chronic back condition that's been getting worse, and my doctor is recommending surgery in the next few months. I've been nervous about the whole SDI process since I'm currently between jobs too. Reading through everyone's experiences here has been incredibly helpful - especially learning about the distinction between when you become "unable to work" versus the actual surgery date. I hadn't realized that the progressive worsening of a condition could establish your disability start date before the procedure itself. @Joshua Hellan your experience with the herniated disc sounds almost exactly like what I'm going through. Did you find that having documentation of job search activities was crucial, or was the medical documentation more important in your case? I'm trying to figure out how much I should focus on each aspect. Thanks to everyone for sharing their experiences - this community is amazing for navigating these complex situations!

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I'm so glad you found this thread helpful! It sounds like we're all in very similar boats with these back conditions and the timing challenges. From what I've been reading through everyone's experiences, it seems like the medical documentation is probably the most critical piece - having your doctor clearly document when your condition became disabling and how it prevents you from performing normal work activities. The job search documentation seems to be more of a supporting factor to show you were "attached to the labor market." @Joshua Hellan s'point about getting the doctor to document current limitations rather than waiting until surgery really resonates with me. I think I m'going to schedule an appointment this week to have my doctor assess and document how my degenerative disc condition is currently affecting my ability to work, especially with prolonged sitting. It sounds like being proactive with the medical documentation is key, and then having some evidence of job search activity helps support the case that you would be working if not for the medical condition. Good luck with your situation - hopefully we can both navigate this successfully!

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Naila Gordon

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I'm a newcomer to this community but going through something very similar! I have a shoulder condition that requires surgery in about 6 weeks, and I recently left my job (unrelated reasons). Reading through all these responses has been incredibly eye-opening - I had no idea that the disability start date could be based on when your doctor determines you're unable to work rather than the actual surgery date. This makes so much sense for progressive conditions that worsen over time. What I'm taking away from everyone's experiences is that documentation is absolutely crucial - both medical documentation showing the timeline of your condition worsening, and some evidence that you were available for work when you became disabled. It sounds like many of you successfully navigated this situation even without current employment. Thank you all for sharing your detailed experiences! It's given me hope that I might be able to qualify for SDI during my recovery period too. I'm planning to meet with my doctor next week to discuss documenting my current limitations and when he thinks my condition became disabling. This community is such a valuable resource for understanding these complex situations!

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Welcome to the community! Your situation with the shoulder surgery sounds really challenging, but you're definitely on the right track with planning to document everything with your doctor. I'm new here too but have been following this thread closely since I'm dealing with something similar. One thing that really stood out to me from everyone's experiences is how important it is to be proactive about getting that medical documentation - waiting until closer to surgery might actually hurt your case. It sounds like you have a good plan to meet with your doctor next week. I'd recommend asking specifically about how your current shoulder condition is already limiting your ability to perform work activities, even before the surgery. From what others have shared, that timeline of progressive limitation seems to be really important for EDD's evaluation. Good luck with your appointment and surgery! This thread has definitely shown that while the process can be complicated, many people do successfully get approved even when unemployed at the time of their disability.

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NebulaKnight

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I'm new to this community but facing a very similar situation with a spinal fusion surgery coming up in about 8 weeks. I left my job a few weeks ago for personal reasons (completely unrelated to my medical condition), and now I'm worried about SDI eligibility during my recovery. Reading through everyone's experiences here has been incredibly helpful and reassuring! The distinction between disability start date vs surgery date that several people mentioned is something I hadn't understood before. My chronic pain condition has definitely been getting worse over the past few months, affecting my ability to lift and stand for long periods. Based on what I'm learning here, I should probably get my doctor to document these current limitations ASAP rather than waiting. Has anyone dealt with spinal fusion specifically? I'm looking at a 3-4 month recovery period according to my surgeon. Also wondering - for those who were successful, did you file your SDI claim before your surgery date once your doctor documented you were unable to work? Thanks so much for all the detailed information everyone has shared!

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Welcome to the community! I'm also new here but have been learning so much from everyone's experiences. Your spinal fusion situation sounds really challenging - that's a major surgery with a long recovery period. From what I've been reading through all these responses, it seems like the key is getting your doctor to document your current limitations as soon as possible. Since your chronic pain is already affecting your ability to lift and stand, that could establish your disability start date before the actual surgery. Several people here mentioned filing their claims based on when their doctor certified they became unable to work, not waiting until the surgery date. @Joshua Hellan had great success with this approach for his disc surgery, and @Asher Levin also navigated a similar situation successfully. I d definitely'recommend scheduling an appointment with your doctor this week to discuss documenting how your current condition is already preventing you from performing normal work activities. The 3-4 month recovery timeline sounds similar to what others have shared, and it seems like many people do get approved even when unemployed at the time. Good luck with everything - this community has been such a great resource for understanding these complex situations!

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QuantumQueen

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I'm new to this community but currently dealing with a very similar situation! I have a cervical spine condition that requires surgery in about 10 weeks, and I recently became unemployed (also for reasons unrelated to my medical condition). Reading through all these detailed experiences has been incredibly enlightening and honestly quite reassuring. What really stands out to me from everyone's stories is how crucial the timing and documentation aspects are - particularly the distinction between when you become "unable to work" versus the actual surgery date. My neck condition has progressively worsened over the past several months, now causing numbness in my hands and making it difficult to maintain proper posture for desk work. Based on all the advice shared here, I think I need to get my doctor to document these current functional limitations immediately rather than waiting closer to surgery. The success stories from @Joshua Hellan with the herniated disc and @Asher Levin with their abdominal surgery give me hope that this can work out even when unemployed. I'm planning to schedule an appointment this week to discuss establishing a disability start date based on my current symptoms. Thank you all for sharing such detailed experiences - this thread has been invaluable for understanding how to navigate this complex situation!

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Welcome to the community! Your cervical spine situation sounds really challenging, especially with the numbness and posture issues affecting your ability to do desk work. I'm also new here but have been following this thread closely since I'm in a similar boat with upcoming surgery while unemployed. The experiences shared by @Joshua Hellan and @Asher Levin have been really encouraging - it s reassuring'to see that people have successfully navigated this even without current employment. Your plan to get documentation from your doctor this week sounds smart. From what I ve learned'reading through everyone s responses,'having your doctor clearly document how your current symptoms are already preventing normal work activities seems to be the key factor. The progressive worsening that you re describing'with the numbness and posture problems sounds like it could establish a solid medical basis for your disability start date. I hope your appointment goes well and that you re able'to get the documentation you need. This community has been such a valuable resource for understanding these complex situations! Good luck with your surgery and recovery when the time comes.

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