The Interplay of Medicaid, Medicare, SSDI and SSI

What healthcare resources will you have if you are on SSI or SSDI? If you apply for Social Security Disability Insurance (SSDI), can you still receive Medicaid? How long does it take to get on Medicare after you apply for SSDI?

In most situations, if you are eligible for SSI, you will be eligible for Medicaid. If you are eligible for Social Security Disability and receive SSD payments for two years, you will receive Medicare. In unique circumstances, you may be eligible for both SSI and SSDI. In those cases, it is less clear whether you will receive Medicaid and/or Medicare.

There are also exceptions. For example, under the Employment for Disabled Americans Act of 1986, adult children who were disabled before they reached 22 years old may continue to receive Medicaid when they switch from SSI to SSDI. Of course, if those children receive income from other sources than their SSDI, they may lose their eligibility for Medicaid.

As you can see, the interplay of Medicaid, Medicare, SSDI and SSI is complicated. We recommend speaking with an experienced benefits lawyer to better understand your options.

Medicaid and SSI: Medicaid is a federal-and-state health insurance program available for low income individuals. In most states, if you are eligible for Supplemental Security Income (SSI) benefits, you are eligible for Medicaid. However, in Minnesota, there are separate eligibility rules for Medicaid (called medical assistance or "MA") and you must file a separate application.

Generally, individuals are eligible for Medical Assistance and SSI if they are state residents with little income and assets who are 65 years of age or older, blind or disabled.

Medicare and Social Security Disability: Social Security Disability is available to individuals who have worked Social Security-eligible jobs and who fall under the Social Security Administration's definition of disability. Individuals are eligible if they are not able to do the work they did before and will be unable to adjust to another job due to their condition. The disability must also last for at least one year or be terminal.

The Social Security Administration automatically enrolls individuals in Medicare coverage after they have received disability benefits for at least two years. Medicare covers hospital insurance as well as medical insurance.

Source: Social Security Administration, "Medicare Coverage if You're Disabled."

Contact Us To Get Started

Contact us online or call our offices directly at 888-351-0427 for a free case evaluation. All cases are taken on contingency, meaning there are no fees until we recover benefits for you.

Contact Us Today

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Privacy Policy

In Minnesota, we handle Social Security Disability Insurance (SSDI) claims. Throughout the nation, we handle SSDI applications and appeals for people from Ohio to Kansas, North Dakota to Texas and everywhere in between.

MIDWEST DISABILITY office

Midwest Disability, P.A.
408 Northdale Boulevard Northwest
Coon Rapids, MN 55448

Coon Rapids Law Office Map