Your hearing is your best chance to get approved for disability benefits. Only about 30% of applicants are approved at the initial level. But most people we help get approved.

We offer a free consultation with an expert Social Security attorney. Simply complete the online form or call the number below. Get your Social Security Disability questions answered.

We are advocates for the disabled. We work hard to get your hearing quickly and win your benefits. Ask how a dire needs request or on-the-record decision could speed your case along.

Our Boise Social Security Attorneys know Medicaid and Medicare. Those who qualify for SSDI can receive Medicare 2 years from the date of eligibility. Medicare will not provide any retroactive payments, or cover any previous bills. Those who qualify for SSI may receive Medicaid after 1 month of SSI benefits, but it will not provide any retroactive payments, or cover any previous bills.

Who Qualifies

Those who qualify for SSI are automatically enrolled in Medicaid one month after receiving benefits.

Boise Social Security Attorneys - Road to successThirty-two states and the District of Columbia provide Medicaid eligibility to people eligible for Supplemental Security Income (SSI) benefits. In these States, the SSI application is also the Medicaid application. Medicaid eligibility starts the same months as SSI eligibility.

The following jurisdictions use the same rules to decide eligibility for Medicaid as SSA uses for SSI, but require the filing of a separate application: Alaska, Idaho, Kansas, Nebraska, Nevada, Oregon, Utah, Northern Mariana Islands.  For more information, clickHERE or call our Social Security Attorney firm for a free consultation.

In Idaho, if you qualify for SSI, you also qualify for Medicaid, but you must file a separate application. The Idaho Medicaid application HERE.

Even if you become able to work, or you begin to earn too much for SSI, you may still qualify for Medicaid.

Work

If an SSI recipient’s state provides Medicaid to those receiving SSI ((like Idaho), the recipient will continue to be eligible for Medicaid after returning to work, as long as the recipient:

  • Has been eligible for an SSI cash payment for at least one month;
  • Still be disabled
  • Still meet all other eligibility rules, including the resources test
  • Need Medicaid in order to work; and
  • Have gross earned income that is insufficient to replace SSI, Medicaid, and any publicly funded attendant care.

States can extend Medicaid coverage to certain disabled people who work. Under Section 4733 of the Balanced Budget Act of 1997, States have the option to provide Medicaid to working people with disabilities whose earnings are too high for them to qualify for Medicaid under existing rules. A person may qualify if he or she:

  • Is in a family whose net income is less than 250 percent of the national poverty level for its size (i.e., the poverty limit for a family of three is $16,090 in 2005, so the limit for this program is $40,225).
  • Meets the definition of “disabled” under the Social Security Act and would be eligible for Supplemental Security Income (SSI) payments if it were not for his or her earnings.

Social Security Attorneys for Boise Older CoupleA person is not required to be receiving SSI in order to be eligible under the Medicaid provision. However, if not an SSI recipient, the State decides if he or she is disabled.

The fact that the individual is working will not be considered when making the disability decision for this law.

For More Information on Medicare: (http://www.ssa.gov/pubs/10029.html#part10)

Those who qualify for SSDI will be automatically enrolled in Medicare 2 years from the date of eligibility. Months in a previous time of disability count toward the 24-month period.

Individuals who were receiving Medicare due to disability, but have lost entitlement to Medicare benefits because they returned to work, may buy Medicare Part A. If the individual has income below 200% of the FPL and resources at or below twice the standard allowed under the SSI program, and they are not otherwise eligible for Medicaid benefits, they may qualify to have Medicaid pay their monthly Medicare Part A premiums as Qualified Disabled and Working Individuals (QDWIs).

Qualifying for Both

If a recipient receives SSI and SSDI, they may receive both Medicaid and Medicare. States pay the Medicare premiums for people who receive SSI if they are also eligible for Medicaid.

People with Medicare who have limited income and resources may get help paying for their out-of-pocket medical expenses from their state Medicaid program. There are various benefits available to “dual eligibles” who are entitled to Medicare and are eligible for some type of Medicaid benefit.  These benefits are sometimes also called “Medicare Savings Programs” (MSP).

For people who are eligible for full Medicaid coverage, the Medicaid program supplements Medicare coverage by providing services and supplies that are available under their states Medicaid program. Services that are covered by both programs will be paid first by Medicare and the difference by Medicaid, up to the states payment limit.

For More information on Medicaid: (http://www.ssa.gov/pubs/11011.html)

For More Information on Medicare: (http://www.ssa.gov/pubs/10029.html#part10)

Boise Social Security Attorneys – Free Consultation

Have Questions? Talk to our Boise Social Security Attorneys today for a free disability consultation.