What is SSDI? (Social Security Disability Insurance)
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A program under
the Title II Social Security Act
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When an
individual cannot perform SGA (Substantial Gainful Activity), as prescribed by
the SSA definition of disability. This
is the same definition used for the SSI program.
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Contributions made through F.I.C.A. (Federal Insurance
Contributions Act)
o
As a result
of being employed
o
As a result
of being self-employed
o
Or of being
a dependant (Adult Disabled Child-SSDAC) of an insured worker and the child
meets all other eligibility criteria.
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Trial Work Period (TWP) A period of nine months, (not necessarily consecutive) during
which the earnings of a Social Security beneficiary who is blind or disabled
will not affect his or her benefit. (The nine months of work must occur
within a 60-month period.) |
Extended Period of Eligibility (EPE) For at least three years after a successful work period, a
Social Security beneficiary who is blind or disabled may receive a disability
benefit for any month that his/her earnings are below the substantial gainful
activity level (in 2005, $ for people who are disabled , $1,300 for people
who are blind).
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Continuation of Medicare If Social Security disability payments stop because a person has
earnings at or above the substantial gainful activity level, but the person
is still disabled, Medicare can continue for at least 93 months after the
trial work period, after that the person can buy Medicare by paying a monthly
premium.
Medicare for People with Disabilities Who Work After
premium-free Medicare ends due to work, and you continue to be disabled, you
may buy continued Medicare coverage. |
It is intended to provide a minimum level of income for individuals who are aged (65), blind or have a disability (SSA defined), and demonstrate economic need (limited resources and income).
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Blind Work Expense SSA will not
count any earned income that an individual uses to meet expenses that are
needed to earn that income in deciding SSI eligibility and amount of cash
payment.
Earned Income Exclusion SSA will not count the first 65 of your earnings each month plus one-half of the remainder. |
Plan for
Achieving Self-Support An SSI
recipient who is blind or disabled may set aside income and resources toward
an approved plan for achieving self-support (PASS)
Property Essential
for Self-Support SSA will not
count some resources that are essential to your means of self-support when
SSI is deciding your initial and continuing eligibility for SSI.
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Special SSI
payments for People Who Work nSection 1619 (a) nAn individual can receive a cash payment of SSI even when earned
income is at the SGA level
Continued
Medicaid Coverage-1619
(b) An individual’s
Medicaid coverage can continue, even if earnings become to high for an SSI
cash payment. |
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Student Earned Income Exclusion If you are under 22, not married nor head of your household, and regularly attend school, SSA will not count up to a certain monthly amount of earned income when figuring your SSI monthly payment. There is a monthly maximum in any given month and an annual maximum excluded. |
Reinstating
Eligibility Without a New Application If you have
been ineligible for SSI benefits for 12 months or less for any reason other
than medical recovery, you may be able to restart your SSI cash payment
and/or continued Medicaid coverage without a new application.
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Benefits for People Eligible Under Section 1619 (a) or (b) Who
Enter a Medical Treatment Facility May receive SSI cash benefits for up to 2 months while in a
Medicaid facility or a public medical or psychiatric facility. |
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Impairment Related Work Expenses Certain expenses for things a person with a disability needs
because of his/her impairment in order to work may be deducted when counting
earnings to determine if the person is performing substantial gainful
activity.
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Subsidies and Special Conditions A support a person receives on the job, which could result in
more pay than the actual value of the services the person performs. A Subsidy is provided by the employer. A Special Condition is
provided by a Service Provider or Vocational Rehabilitation.
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Un-incurred Business Expense A term SSA uses for self-employment business support that
someone else gives to the beneficiary without cost.
Unsuccessful Work Attempts A work attempt on the part of the beneficiary to do substantial work, which they stopped or reduced to below SGA within 6 months or less. |
Section 301Continuation of benefits When a person’s disability is no longer impairing the ability to earn SGA they may be eligible to receive payments until their program ends, they stop participating, or SSA determines that continued participation will not increase the likelihood of permanent removal from benefits.
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What is
Medicaid?
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Jointly funded
federal-state health insurance program.
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Authorized
under Title XIX of the Social Security Act.
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Program is
administered at the federal level by Health and Human Services’ Center for
Medicare and Medicaid Services (CMS)
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Approximately
36 Million people including:
nChildren
nElderly people (65 and over)
nPeople with disabilities (including blind)
nPeople who are eligible for SSI and TANF
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Federal
government establishes regulations and policies for Medicaid:
nIncluding the requirement that states
“Match” federal Medicaid funds.
What is
Medicare?
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Is a Health Insurance Program
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It is Title XVIII of the
Social Security Act.
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This is paid through taxes
while you are working
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Provides insurance for:
nPeople 65 years of age and older who have
retired and funded, through employment, Medicare
nSome people
with disabilities under age 65 who become disabled and unable to earn
Substantial Gainful Activity
(SGA), which has been determined by SSA and has been eligible for 24 months
nPeople with
End-Stage Renal Disease, which is determined by SSA
Contact Information:
Social Security Administration: www.ssa.gov
Gloversville: (518)
725-8665
Work Incentive Liaison (WIL): Gary Miller
Schenectady: (518)
382-1020
Work
Incentive Liaison (WIL): Kara Panetta
Area
Work Incentive Coordinator (AWIC) Edward Lacey (518) 431-4266
Benefits, Planning, Assistance and Outreach
Programs (BPAO)
Resource Center for
Independent Living (RCIL) (518) 842-3561
Disability Program Navigator (DPN): www.fmsworkforcesolutions.org
Ashley Walton (518) 842-3676 Ext. 3019