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California • Chronic Illness
If you have fibromyalgia in California, you may qualify for State Disability Insurance (SDI), Paid Family Leave (PFL), Medicaid, SSI, and SSDI. SDI and PFL benefits increased in 2025, now covering up to 90% of wages for eligible workers. This guide explains eligibility, how to apply, and key programs.
To qualify for federal disability programs, you must provide medical evidence showing your fibromyalgia limits your ability to work. The Social Security Administration (SSA) uses a strict definition of disability.
In 2025, SDI and PFL benefits increased to 70-90% of wages, with a maximum weekly benefit of $1,681. The payroll contribution rate is now 1.2% of earnings, with no wage cap.
Learn more about avoiding overpayments and reporting changes
These programs can help with medical bills, living expenses, and other costs related to fibromyalgia.
These programs can help with medical bills, living expenses, and other costs related to fibromyalgia.
Learn more about ABLE Accounts
Learn more about avoiding overpayments and reporting changes
Yes, fibromyalgia can qualify for California State Disability Insurance (SDI) if it prevents you from working. You must provide medical evidence from your doctor showing how your condition limits your ability to work.
In 2025, California SDI benefits are 70-90% of your wages, up to a maximum of $1,681 per week. The exact amount depends on your income and the new law.
Yes, you may be able to get both SDI and SSI/SSDI if you meet the eligibility requirements for each program. SDI is short-term, while SSI/SSDI are long-term.
Apply for SDI through the EDD website. You will need medical records and proof of income. You can file up to 30 days in advance of your expected first day of leave.
SDI is for your own illness or injury, while PFL is for caring for a seriously ill family member or bonding with a new child. Both programs have similar benefit amounts in 2025.
Yes, you may qualify for Medicaid if you have fibromyalgia and meet income limits. Medicaid can help with medical bills and other costs related to your disability.
Disclaimer: This guide is for informational purposes only and does not constitute legal or financial advice. Always consult with a qualified professional for personalized guidance.
An ABLE account is a tax-advantaged savings account for people with disabilities. You can get one if your fibromyalgia began before age 26 and you meet other requirements.
You can get up to 52 weeks of SDI benefits if you are unable to work due to fibromyalgia. The amount depends on your income and the new law.
Yes, you must report any changes in income, resources, or disability status to avoid overpayments. Keep records of all communications with benefit agencies.
Yes, you may be able to work while getting disability benefits, but there are limits. SSI and SSDI have work incentives that allow you to earn some income without losing benefits.
