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Topic: SSDI and Medicaid  (Read 4614 times)
dantanna85
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People helped 0
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Posts: 12


« on: July 01, 2016, 11:21:14 PM »

I've been reading these forums for the last year and find them so helpful. I'm hoping someone may be able to answer a question I have.   I applied for SSDI in April 2015, was denied in August 2015 and appealed shortly thereafter.  To my amazement, I actually won my appeal phase and began receiving SSDI in May 2016. 

In January 2016 when I had to reapply for the health care (Obamacare), they put me on Nevada State Medicaid since I had not income and could not work.   That was fine, but when I was approved in May I don't know if I'm supposed to reapply now since I have SSDI or wait until the open enrollment.  I know it will take 24 months for me to get Medicare, so i will have to stay on an Obamacare or Medicaid program until then.

My questions are: 

1) Can I continue to receive Medicaid for the rest of 2016 since I'm on SSDI now? 

2) Does anyone know how the Affordable Health Care act treats SSDI?  Is it income? Is it not? 

I'm a bit confused as to how to proceed with my medical insurance.

Thanks a lot, hope you all have the luck I had getting approved in just over a year.

Mike
Logged
Name: Michael
Location: Las Vegas
Age at Application: 54
Disability: Degenerative Joint disease in knees and hips, diabetes, neuropothy in both feet, hypertension, obesity
Date Applied: April 2015
First Approval/Denial Date: Denied : August 2015
Reconsideration Approval/Denial Date: Approved on reconsideration : May 2016
Just Me
Administrator
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Posts: 9277



« Reply #1 on: July 02, 2016, 12:53:21 AM »

What is your Established Onset Date ? That is the date that the ALJ found you became disabled. Medicare kicks in 29 months after your EOD. The 29 months is the 5 month waiting period + 24 months. SSDI is counted as income for Medicaid. You need to contact your Medicaid worker or state Medicaid programa and let them know that there has been a change in your income and how much SSDI you  are receiving. It will be up to them to determine if you're still eligible for Medicaid. If you aren't you can go to the link below and purchase your health insurance.

https://www.healthcare.gov/
Logged

Hope the size of a mustard seed can produce Faith that can move mountains.
Age at Application: 50
Disability: DDD, nerve damage upper & lower extremities, RA
Date Applied: First Applied Feb 2002, Denied May 2003. Applied again Oct 2003, Approved June 2004
Helper
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« Reply #2 on: July 02, 2016, 04:04:43 AM »

Losing Medicaid due to a change in income is a qualifying event to buy health insurance from the exchange outside of the normal open enrollment period.  So, don't worry that open enrollment is not for several months you can still get coverage now if needed!
Logged
Age at Application: 26 age of onset (but I did not apply until 28)
Date Applied: August 2011
First Approval/Denial Date: November 2011
Additional Info: I was fortunate to be approved on my initial application due to extensive medical records (12+ doctors) & documentation of unsuccessful work attempts even with significant accommodations
wornoutworker
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« Reply #3 on: July 02, 2016, 01:50:37 PM »

You should report your income change to the state. Medicaid is income based,you will roll over to a silver type plan.
Logged
Location: Washington State
Age at Application: 55
Disability: Lower spine
Date Applied: 1/14
First Approval/Denial Date: 7/14
Date Award Letter Received: 7/14
Date Back Pay Received: 7/14
dantanna85
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Gender: Male
Posts: 12


« Reply #4 on: July 02, 2016, 06:13:38 PM »

Thanks, I will contact Medicaid Monday to make the changes and go from there.  Thanks for the help.
Logged
Name: Michael
Location: Las Vegas
Age at Application: 54
Disability: Degenerative Joint disease in knees and hips, diabetes, neuropothy in both feet, hypertension, obesity
Date Applied: April 2015
First Approval/Denial Date: Denied : August 2015
Reconsideration Approval/Denial Date: Approved on reconsideration : May 2016
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