Home Health Care Services can I get them with SSDI
Home Health Care benefits and SSA disability
If you are disabled and you cannot work due to a severe health condition you may consider applying for Social Security Disability Insurance (SSDI) but you might be wondering what benefits you can expect to receive. Recently on our disability forum an SSDI applicant asked, If I receive SSDI disability benefits will the Social Security Administration pay for home health care for me?
What will SSA disability provide for me?
SSA disability is provided to workers who have worked, paid taxes and who are insured for SSDI benefits. Its main goal is to provide wage replacement for workers who can no longer work due to a severe health condition.
SSDI will provide a cash payment each month which is calculated based on your average earnings and your payroll tax contribution to Social Security. The more you have paid into Social Security, the more in monthly benefits you may be entitled to. There is not a set amount. To find out your payment amount or an estimated payment you can contact the SSA at 1-800-772-1213 or visit their website at www.ssa.gov.
SSDI will also provide Medicare benefits but Medicare will not begin until 24 months from the date of your disability.
How do I get home health care services?
According to Medicare, you may receive home health dare benefits if you meet certain criteria including:
1. You must be under the care of a doctor, and you must be getting services under a plan of care established and reviewed regularly by a doctor.
2. You must need, and a doctor must certify that you need, one or more of the following intermittent skilled nursing care, physical therapy, speech-language pathology services, and continued occupational therapy
3. You must be home bound, and a doctor must certify that youre home bound. To be home bound means the following: Leaving your home isnt recommended because of your condition. Your condition keeps you from leaving home without help (wheelchair or walker, special transportation, or required help from another person).
What home health care services are not covered?
Medicare will not pay for all types of home health care services. When you begin to receive Medicare you will need to evaluate what services are provided under your plan. Medicare will not cover:
- 24-hour home health care at home;
- Home-delivered meals and homemaker services such as shopping, cleaning, and laundry; or
- Personal care provided by home health aides, such as help with bathing, using the toilet, or getting dressed if those are the only kinds of care required.
You may use your cash SSA disability benefits to purchase any types of services you need. You also may receive some home health care benefits after you begin to receive Medicare, but not all home healthcare services are covered by Medicare.
Will I need a disability lawyer?
Not all SSA disability applicants need legal help but if you are denied you may want to discuss your case with a lawyer.