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SSI and Medicaid Benefits

One of the most common questions asked by disability claimants is, “Will I receive medical benefits with my Social Security Disability benefits?” This blog will specifically address Supplemental Security Income (SSI) benefits. If you have been approved for Supplemental Security Income it is likely you are more concerned with possible medical insurance benefits than the monthly cash SSI benefit. Claimants who have applied for SSI have very limited income and resources and it is likely they also lack good medical care. Unfortunately, as with most things related to the government, the process is not necessarily standardized and the Medicaid process can vary by state.

States will provide Medicaid coverage to Supplemental Security Income claimants. Medicaid, which is Title XIX of the Social Security Act, provides for the Federal Government to assist states with their medical program. The Federal Government provides to the states 50 percent of the administrative costs and 50 to 83 percent of other costs (as determined by a cost sharing formula). The Federal Government requires certain groups to receive mandatory coverage, but the states have the option to provide Medicaid benefits to other groups.

Generally, Medicaid will provide certain types of medical coverage for families which are low income or individuals who are blind, aged or disabled (with limited income and resources).

How do I get my Medicaid if I Supplemental Security Income (SSI)?

There are thirty-two states (and the District of Columbia) which use the Supplemental Security Income application as the Medicaid application. So, if you are approved for SSI in these states you will receive your Medicaid benefits in the same month as your Supplemental Security Income payment begins.

Other states (Alaska, Idaho, Kansas, Nebraska, Nevada, Oregon, Utah, and the Northern Mariana Islands) will also automatically award SSI recipients Medicaid but the Supplemental Security Income recipient must complete a separate application for Medicaid.

What happens in the other states? Some states have created their own eligibility rules for Medicaid and SSI recipients may not automatically qualify, the claimants will, however, have to complete a separate Medicaid application. These states include Connecticut, Hawaii, Illinois, Indiana, Minnesota, Missouri, New Hampshire, North Dakota, Ohio, Oklahoma, and Virginia.

As you can see, nothing is simple when it comes to medical coverage in the United States. The good news is that in most states you will receive Medicaid at the time you approved for SSI benefits. If you do not automatically receive Medicaid you must contact the Social Security Administration and find out what paperwork needs to be completed.

Hiring a Social Security Disability Lawyer

Getting the medical care you need at an affordable price can drastically improve your life. Contact a Social Security Disability lawyer if you have questions about qualifying for Medicaid or Supplemental Security Income benefits. Keep in mind, if you are receiving Social Security Disability Insurance you will not qualify for Medicaid but you will receive Medicare within 24 months from the date of your disability. Talk to the Social Security Administration  if you have been receiving SSDI for more than 24 months but have do not have Medicare coverage.
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