Get FMLA & Paid Leave in Massachusetts
Licensed Massachusetts physicians
FMLA & MA PFML documentation
Certification completed within 24 hours
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Trust Medical is Compliant with Massachusetts Law.
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How to Get Leave in Massachusetts
Complete our 3-minute medical intake
Tell us about your health condition and employment. We'll determine whether you qualify for federal FMLA, Massachusetts PFML, or both — and which combination maximizes your paid time off and job protection.
Consult with a Massachusetts-licensed physician
Meet a board-certified doctor via video who understands both federal FMLA certification requirements and the medical documentation standards for Massachusetts PFML applications.
Receive your completed leave documentation
Get your FMLA medical certification within 24 hours. We also provide documentation to support your PFML application through the Massachusetts Department of Family and Medical Leave.
Why Massachusetts Offers the Longest Paid Leave in the Country
26 weeks of combined paid leave — longest in the nation
Massachusetts PFML provides up to 20 weeks for your own medical condition and up to 12 weeks for family leave, with a combined maximum of 26 weeks per benefit year. No other state offers this much combined paid leave. That's over 6 months of income protection while you recover or care for a loved one.
Up to 80% wage replacement (max $1,230.39/week)
PFML pays 80% of your wages up to 50% of the state average weekly wage, plus 50% of wages above that threshold. Maximum benefit: $1,230.39/week in 2026. Funded through a shared 0.88% payroll contribution split between employees and employers.
Covers your own condition AND family care
Use PFML for your own serious health condition (including mental health, chronic pain, surgery recovery, pregnancy), to care for a seriously ill family member, or to bond with a new child. You don't have to choose one or the other — the 26-week combined cap lets you use both.
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How Do I Know If I'm Eligible?
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Federal FMLA: 50+ employees, 12 months, 1,250 hours
Standard federal FMLA requires your employer to have 50+ employees within 75 miles, 12+ months of tenure, and 1,250+ hours worked in the past year.
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MA PFML: Earnings-based eligibility
If you've earned enough wages to meet the Department of Unemployment Assistance financial eligibility threshold (tied to minimum earnings in your base period), you likely qualify for PFML. Most W-2 employees and some 1099 workers are covered.
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FMLA + PFML run concurrently
If you qualify for both, they run at the same time — FMLA protects your job while PFML pays your wages. You don't get to stack the durations, but you get both protections during the same leave period.
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Self-employed: Generally not covered
Unlike California or Colorado, Massachusetts does not offer a voluntary opt-in for self-employed workers. If you're a freelancer or independent contractor, you may not be eligible for PFML unless you have qualifying W-2 earnings.
How Trust Medical Ensures Your Forms Are Massachusetts-Compliant
Massachusetts PFML requires specific medical documentation submitted to the Department of Family and Medical Leave — a separate process from the FMLA certification that goes to your employer. Each has different forms, different standards, and different deadlines.
Our Massachusetts-licensed physicians complete your FMLA certification and provide the medical documentation needed for your PFML application. We know exactly what the Department requires and how to document your condition to avoid the delays that come from incomplete or unclear medical evidence.
In most cases, your employer cannot require you to use PTO while you're receiving PFML benefits. We help you understand your rights so you keep your accrued time off.
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Massachusetts Leave Laws & Your Rights Explained
Massachusetts PFML provides up to 20 weeks for medical leave and 12 weeks for family leave, with a combined cap of 26 weeks per benefit year. That's more than double federal FMLA's 12 weeks. For serious or complex health conditions, this duration can make the difference between a real recovery and a rushed return.
PFML pays 80% of wages up to 50% of the state average weekly wage, plus 50% of wages above that. Maximum benefit: $1,230.39/week in 2026. Funded through a shared 0.88% payroll contribution.
Most Massachusetts W-2 employees are covered by PFML through their employer's contributions. Some 1099-MISC workers are also covered. Eligibility is based on earnings, not employer size or tenure — so more workers qualify than under FMLA alone.
Massachusetts PFML covers care for your spouse, domestic partner, child, parent, parent-in-law, grandparent, grandchild, or sibling. Federal FMLA only covers spouse, child, and parent.
Massachusetts PFML includes job restoration rights — your employer is generally required to return you to the same or equivalent position after your leave. Combined with federal FMLA (if eligible), you have strong protection against retaliation or termination.
Our Massachusetts-licensed physicians complete your FMLA certification and provide PFML medical documentation in a single video visit. Most certifications completed within 24 hours. Over 250,000 patients served nationwide.
Ready to Get Certified in Massachusetts?
Massachusetts offers the longest combined paid leave in the country — up to 26 weeks. Our Massachusetts-licensed physicians help you get certified for FMLA and prepare documentation for your PFML application so you receive the maximum time and wage replacement available. One visit. All your paperwork handled.
