Do you get medical health care coverage with SSI?
If you are entitled to receive an SSI disability benefit, then you will, in most instances, automatically be qualified to begin receiving Medicaid immediately. Individuals who are approved for Social Security Disability, versus SSI disability, will become eligible to receive medicare benefits after a 24 month waiting period.
If you happen to be entitled to both SSI and Social Security Disability, you may be qualified to receive both Medicare and Medicaid at some point. Medicaid is a need-based program and is subject to income and resource limitations similar to the SSI disability program. Both medicare and medicaid provide for certain health care coverage benefits.
Medicaid benefits may differ from state to state and the states themselves even have the option of not providing medicaid benefits as long as they also forego the federally allocated spending that goes with medicaid participation.
However, most states do provide medicaid benefits for SSI beneficiaries and these benefits will include access to prescriptions (typically up to six per month) and doctor visits (typically up to 24 per year).
About the Author: Tim Moore is a former Social Security Disability Examiner in North Carolina, has been interviewed by the NY Times and the LA Times on the disability system, and is an Accredited Disability Representative (ADR) in North Carolina. For assistance on a disability application or Appeal in NC, click here.
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