Medical Leave of Absence: Everything You Need to Know

Published May 01, 2024

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Updated Dec 17, 2024

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Est. reading time: 4 minutes

Key points

  • A medical leave of absence allows employees to take time off work for health-related reasons without losing their job.
  • The Family Medical Leave Act (FMLA) provides federally protected leave of up to 12 weeks a year, maintaining position and health benefits.
  • Eligibility for FMLA includes working for the employer for at least 12 months and having worked a minimum of 1,250 hours in the past year.
  • Mental health conditions, including depression, anxiety, and PTSD, can also qualify for a medical leave of absence under FMLA.
Medical Leave of Absence: Everything You Need to Know

What is a Medical Leave of Absence?

A medical leave of absence is when you formerly ask for leave from work, with the expectation that you will return to your position after a certain amount of time off. This time can vary from a few hours to several weeks.

Under federal law, employers are required to allow their employees to take a leave of absence without fear of losing their jobs in the event that they need to report for military duty or are summoned for jury duty. Medical leave of absence is also federally protected under the Family Medical Leave Act (FMLA). This act allows employees to take up to 12 weeks a year off for medical reasons and not lose their position or health benefits. However, a doctor’s note is usually required as proof that medical leave is necessary. Things like maternity or paternity leave, and caring for an immediate family member who is ill are usually covered under FMLA.

For those who are not covered under FMLA, a medical leave of absence may still be possible, but it will be up to the discretion of your employer. Many employers offer PTO and non-paid time off for certain situations. The amount of time off may also vary. It is a good idea to be well acquainted with your employer’s polices. You can usually access this information in your employee handbook, but you can also ask your supervisor or HR representative to help you understand the policies if you need to.

Which Events Qualify for a Medical Leave of Absence?

There are several reasons for taking a medical leave of absence. Some of the most common reasons, according to the DOL, are:

  • Caring for a new child after adoption, birth, or foster care placement

  • Parental leave for parents whose children have certain health conditions
  • Recovering from a serious medical condition

  • Recovering from a migraine headache

  • Taking care of a family member who has a medical condition or disability

  • Providing care for a military service member who was injured

  • Recovering from an injury or surgery

  • Recovering from stress, burnout, or a mental health crisis

Who is Eligible for a Medical Leave of Absence?

FMLA is a federal program that helps qualifying employees keep their job positions and health benefits while taking medical leave for up to 12 weeks every year. Several things must be true for you and your employer to have FMLA eligibility, according to the Department of Labor (DOL). Qualifications for FMLA include:

  1. You must work for your employer for at least 12 months before you can request FMLA

  2. You must have worked at least 1,250 hours in the past 12 months before taking leave

  3. You must be employed by someone who has at least 50 employees within 75 miles of their base location

  4. You must have enough FMLA time “on the books”—FMLA only allows 12 weeks of leave every 12 months

  5. You must properly fill out and submit the required paperwork, which may require a doctor’s note to verify your need for a medical leave of absence

It is important to note that FMLA leave only protects your job position and benefits for up to 12 weeks per calendar year. Having FMLA leave does not mean you will get paid time off, according to the DOL. Paid leave is provided by the employer, and may be limited. If you have no paid leave with your employer, you can ask about unpaid time off, sometimes called "personal leave". Understand that taking personal leave with FMLA may mean your job status can change. Become familiar with your employer's sick leave, personal leave, and paid leave options before you make a decision.

Can Employees Take a Medical Leave of Absence for Their Mental Health?

Mental health conditions can be serious and require some time off, just like some medical conditions. According to the Department of Labor, some mental health conditions can be covered under FMLA, including:

  • Depression (including seasonal depression)

  • Anxiety

  • Stress and burnout

  • PTSD

  • Bipolar disorder

  • Other diagnosed mental health conditions

Similar to taking a medical leave of absence, a mental health leave of absence starts by getting documentation from a licensed therapist and making sure that your employer has FMLA eligibility.

Find an Urgent Care Near Me

One of the first steps in taking a medical leave of absence is getting a doctor’s note for your records. If waiting for an appointment with your primary care doctor isn’t an option, you can get a doctor’s note from urgent care. Find top-rated urgent care clinics in your area by using Solv.

FAQs

What is a medical leave of absence?

A medical leave of absence is a period of time an employee takes off from work due to health-related reasons, with the intention to return to their position afterwards.

What is the Family Medical Leave Act (FMLA)?

The FMLA is a federal law that allows employees to take up to 12 weeks off annually for medical reasons without losing their job or health benefits.

Who is eligible for a medical leave of absence under FMLA?

To be eligible for FMLA, you must have worked for your employer for at least 12 months, have worked at least 1,250 hours in the past year, and your employer must have at least 50 employees within 75 miles of their base location.

Can I take a medical leave of absence for mental health reasons?

Yes, certain mental health conditions, such as depression, anxiety, and PTSD, can qualify for a medical leave of absence under FMLA.

What if I'm not covered under FMLA, can I still take a medical leave of absence?

Yes, but it would be at the discretion of your employer. Many employers offer paid time off and non-paid time off for certain situations.

Dr. Rob Rohatsch, MD, is a Board-Certified Emergency Medicine physician and urgent care executive. He earned his MD from Jefferson Medical College, currently serves on multiple boards and is Solv’s Chief Medical Officer.

How we reviewed this article

Medically reviewed

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Sources

1 source

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History

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • May 01 2024

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

1 source

Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • May 01 2024

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

Topics in this article

StressAnxietyMental HealthDepressionIllnessPrimary CareOccupational HealthHealth InsuranceWellnessFamilies

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