Washington ESD medical unemployment benefits - what is this exactly?
I keep hearing people mention 'medical unemployment' but I'm not sure what this actually means in Washington state. Is this a separate program from regular UI benefits through Washington ESD? I have a chronic condition that makes it hard to work sometimes and I'm wondering if there's something I'm missing. My doctor says I might qualify for some kind of medical leave benefits but I'm confused about what's available through the unemployment system versus other programs. Can someone explain what medical unemployment actually is and how it works with Washington ESD?
59 comments


Felicity Bud
There's no specific 'medical unemployment' program through Washington ESD. What people usually mean is either: 1) Regular unemployment if you quit for medical reasons (which is tricky to qualify for), 2) Paid Family Medical Leave (PFML) which is separate from unemployment, or 3) Being 'able and available' for work while managing health issues. The key with regular UI is you still have to be actively seeking work.
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Felix Grigori
•So if I can't work due to my condition, I wouldn't qualify for regular unemployment benefits?
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Felicity Bud
•Correct - if you're unable to work due to medical reasons, you typically wouldn't meet the 'able and available' requirement for UI benefits. That's where PFML might be more appropriate.
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Max Reyes
i think ur talking about PFML - paid family medical leave. thats different from unemployment tho. PFML is for when you cant work because of ur own medical condition or to care for family. unemployment is for when you lose your job but can still work
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Felix Grigori
•Thanks! Where do I apply for PFML? Is that through Washington ESD too?
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Max Reyes
•no its through a different website - paidleave.wa.gov i think. not the same as the unemployment site
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Mikayla Davison
I had this same confusion last year. Washington has two separate systems: Washington ESD handles unemployment insurance (UI) for people who lost jobs but can work, and the Employment Security Department also oversees Paid Family Medical Leave (PFML) for medical situations. If you need time off work for your health condition, PFML is probably what you want. If you lost your job and can work despite your condition, then regular UI might apply.
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Felix Grigori
•This is really helpful! I think I need to look into PFML since my condition makes it hard to maintain regular employment.
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Adrian Connor
•Just heads up - PFML has its own application process and requirements. You'll need medical documentation from your doctor.
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Aisha Jackson
If you're having trouble getting through to anyone about this, I found this service called Claimyr (claimyr.com) that helps you actually reach Washington ESD agents by phone. They have this demo video at https://youtu.be/7DieNd3C7zQ that shows how it works. Really helped me when I was confused about different benefit types and couldn't get through the regular phone lines.
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Felix Grigori
•Interesting! How does that work exactly? Do they charge you?
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Aisha Jackson
•They help you get connected to an actual person at Washington ESD instead of being stuck on hold or getting disconnected. Way easier than trying to call yourself.
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Ryder Everingham
The terminology is super confusing! I spent weeks thinking I was applying for the wrong thing. There's also short-term disability through some employers, state disability programs, Social Security disability... it's a maze. What specific symptoms or limitations are you dealing with? That might help narrow down which program makes sense.
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Felix Grigori
•I have chronic fatigue that makes it really hard to work full-time consistently. Some days I'm fine, other days I can barely function.
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Ryder Everingham
•That sounds like PFML might be a good fit for intermittent leave. You can take it in chunks rather than all at once.
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Lilly Curtis
•Have you looked into ADA accommodations with your current employer first? Sometimes that's easier than taking leave.
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Leo Simmons
Wait I'm confused too. I thought if you quit your job for medical reasons you could get unemployment? My friend told me that but maybe she was wrong?
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Felicity Bud
•You CAN sometimes get UI if you quit for medical reasons, but it's really hard to prove. You have to show you had 'good cause' and that you tried other options first. Most people don't qualify.
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Leo Simmons
•oh that makes sense why my claim got denied then lol
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Lindsey Fry
Been through this whole process. Here's the deal: Washington ESD handles regular unemployment (UI) where you have to be able to work and actively job searching. They also oversee PFML but it's a completely different application and system. PFML is for when you literally cannot work due to medical issues - either your own health or caring for family. The 'medical unemployment' term is just people mixing up the two programs.
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Felix Grigori
•So I should probably be looking at PFML not regular unemployment benefits?
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Lindsey Fry
•Based on what you described, yes. PFML is designed for people with conditions that interfere with their ability to work consistently.
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Saleem Vaziri
ugh the washington esd website is SO confusing about this stuff. took me forever to figure out the difference between all these programs
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Kayla Morgan
•RIGHT?? Why can't they just explain it clearly instead of using all this bureaucratic language
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Saleem Vaziri
•exactly! and good luck getting anyone on the phone to explain it
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James Maki
There's also the factor of whether you've been paying into these systems. UI requires work history and paying unemployment taxes. PFML requires paying PFML premiums (which most employees have been doing since 2019 in Washington). Check your paystubs to see if you've been contributing to PFML.
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Felix Grigori
•Good point! I'll check my paystubs. I've been working in Washington for about 3 years so I should have been paying in.
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James Maki
•Yeah, if you've been working since 2019 or later, you've probably been contributing. The premiums are usually pretty small so easy to miss on your paystub.
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Jasmine Hancock
Another thing to consider is timing. PFML has a 7-day waiting period and you can only take it if you've worked enough hours. UI also has work requirements but they're different. Make sure you understand the eligibility requirements for whichever program you're considering.
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Felix Grigori
•How many hours do you need for PFML?
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Jasmine Hancock
•I think it's 820 hours in the past year, but don't quote me on that. You should verify on the official PFML website.
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Cole Roush
Just want to add that some people qualify for both programs at different times. Like you might use PFML when you first develop a medical condition, then later if you lose your job but are able to work again, you could potentially qualify for regular UI. They're not mutually exclusive over time.
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Felix Grigori
•That's actually really helpful to know! I wasn't sure if using one would affect the other.
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Cole Roush
•They're separate benefit calculations so using PFML shouldn't impact future UI eligibility as long as you meet the work requirements.
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Scarlett Forster
Has anyone actually successfully gotten UI after quitting for medical reasons? Seems like it would be nearly impossible to prove.
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Arnav Bengali
•I know someone who did but it took months and they had to appeal twice. They had extensive documentation from multiple doctors and proved they tried accommodations first.
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Scarlett Forster
•Wow that sounds like a nightmare. Probably easier to just go the PFML route if you qualify.
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Sayid Hassan
For what it's worth, I used that Claimyr service someone mentioned earlier when I was confused about whether to apply for UI or PFML. Being able to actually talk to a Washington ESD person on the phone made all the difference in understanding which program I needed. Saved me from filing the wrong application.
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Felix Grigori
•That's exactly what I need - someone to actually explain the difference to me directly. How quickly were you able to get through?
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Sayid Hassan
•Much faster than trying to call on my own. The Washington ESD agent I talked to was really helpful in explaining the eligibility differences.
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Rachel Tao
Don't forget that your employer might also have short-term disability benefits that could bridge any waiting periods or gaps in coverage. Worth checking your employee handbook before you make any decisions.
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Felix Grigori
•Good reminder! I should definitely check what my company offers first.
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Derek Olson
•Yeah, sometimes employer benefits are better than state benefits, especially for short-term situations.
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Danielle Mays
The bottom line is 'medical unemployment' isn't really a thing - it's just people using confusing terminology. You've got regular unemployment for job loss (where you can still work), PFML for medical leave (when you can't work), and sometimes employer disability benefits. Figure out which category your situation falls into first.
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Felix Grigori
•This thread has been super helpful in clarifying that! I think PFML is what I need to research more.
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Danielle Mays
•Glad it helped! The Washington paid leave website has pretty good information once you know that's what you're looking for.
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Roger Romero
One more tip - if you do apply for PFML, start gathering your medical documentation early. Doctors can be slow with paperwork and you don't want delays in your application.
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Felix Grigori
•Great advice! I'll start working on that now. Thanks everyone for all the helpful information!
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Anna Kerber
•Good luck! The application process isn't too bad once you have all your documents together.
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Niko Ramsey
This whole thread should be pinned somewhere. I see this same confusion about 'medical unemployment' come up constantly in these forums.
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Seraphina Delan
•Seriously! Maybe someone should make a FAQ about the difference between UI and PFML.
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Niko Ramsey
•That would save so much confusion. The terminology really is the biggest problem here.
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Jabari-Jo
Also worth noting that if you're on PFML, you can't collect UI at the same time. They're separate programs but you can't double-dip. Just something to keep in mind for planning purposes.
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Felix Grigori
•Makes sense that you can't get both at once. Thanks for mentioning that!
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Jabari-Jo
•Yeah, they check for overlapping benefits so better to be upfront about what you're applying for.
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Kristin Frank
Final thought - whatever you decide to apply for, keep detailed records of everything. Applications, medical appointments, correspondence, etc. Makes everything easier if you need to appeal or have questions later.
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Felix Grigori
•Definitely will do that. This has been incredibly helpful - thank you all!
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Micah Trail
•Hope everything works out for you! Health issues and benefit applications are stressful enough without all the confusion.
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Alicia Stern
I went through this exact same confusion a few months ago! The term "medical unemployment" is really misleading because it makes it sound like there's one program that covers both situations. What I learned is that Washington has these totally separate systems that serve different needs. If your chronic condition means you literally cannot work right now, PFML is your best bet - it's designed for exactly that situation. But if you lost your job and can still work despite your condition, then regular UI might apply. The key question is: can you actively search for and accept work right now? That determines which program makes sense for your situation.
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