Medicare Blog

how does ssi or medicare determine your assets amount

by Ms. Verdie Stroman III Published 2 years ago Updated 1 year ago
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The Social Security Administration (SSA

Social Security Administration

The United States Social Security Administration is an independent agency of the U.S. federal government that administers Social Security, a social insurance program consisting of retirement, disability, and survivors' benefits. To qualify for most of these benefits, most workers pay Social …

) determines your IRMAA based on the gross income on your tax return. Medicare uses your tax return from 2 years ago. For example, when you apply for Medicare coverage for 2022, the IRS will provide Medicare with your income from your 2020 tax return. You may pay more depending on your income.

Full Answer

Do assets count when calculating SSI?

SSI rules limit the amount of assets and other resources you may have and still qualify for monthly payments. The assets or resources that are counted by SSI include money in the bank, investments of any kind, real estate other than a primary residence, and personal property and household goods over certain limits.

How are Medicare and Social Security premiums determined?

Step 1: We subtract any income that we do not count from your total gross income. The remaining amount is your " countable income ". Step 2: We subtract your "countable income" from the SSI Federal benefit rate. The result is your monthly SSI Federal benefit as …

What does your social security statement reveal about your Medicare status?

 · The Social Security Administration (SSA) will also count the assets of a parent's spouse. The SSA will ignore the first $2,000 of a parent's total countable resources, or, if the child lives with two parents, $3,000. Any assets above that amount will be counted toward the child's $2,000 resource limit. What Assets Count Toward the SSI Asset Limit?

How do I calculate my monthly SSI federal benefit?

The amount is set by your particular state, and it is usually between $700 and $1400 per month, and some states allow individuals with higher incomes to still qualify for SSI. You must own less than $2,000 in property (minus your home and car) for individuals, or $3,000 for a couple.

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How does SSI know your assets?

When determining what your assets or resources are, the SSA will review things such as how much cash you have, bank accounts, savings accounts, land, life insurance, personal property, vehicles and pretty much anything else that you own that you could sell and use to pay for housing and food for your family.

How much in assets can a person on SSI have?

$2,000Supplemental Security Income (SSI) is a needs-based program. To get SSI, your countable resources must not be worth more than $2,000 for an individual or $3,000 for a couple.

How much money can you have in the bank with Social Security disability?

WHAT IS THE RESOURCE LIMIT? The limit for countable resources is $2,000 for an individual and $3,000 for a couple.

Does Social Security Disability look at assets?

When determining eligibility for SSI benefits, the Social Security Administration (SSA) is looking at your current financial situation. Assets and resources are not taken into consideration for an SSDI claim.

What does SSI look for in your bank account?

We'll ask you the same kind of questions you answered when you applied for SSI. We'll need information about your income, your resources, your living arrangements, and your bank accounts. Keep the savings or checking account statements you get from your bank. You may need them when we review your case.

Does SSI check your bank account every month?

Can Social Security Check My Bank Account? In short, yes. When you file your SSI claim, you must give the Social Security Administration permission to use its AFI to contact financial institutions and request any financial records that the financial institution may have about you.

How can I hide money from SSI?

Here are some suggestions for what an individual could buy to spend down a lump sum:Buying a home or paying off a mortgage, if the SSI recipient is on the title or has a lifetime agreement to be a tenant of the home. ... Buying a car or paying off a car, if the SSI recipient is on the title.More items...•

Can I have a savings account while on Social Security disability?

As a result, there are no limits on the amount of money you can have in a savings account and remain eligible for SSDI benefits because financial need is not part of the disability determination process.

Does money in the bank affect Social Security?

Although the money in your savings account doesn't affect your eligibility to receive Social Security retirement benefits, money you make after you begin receiving Social Security benefits might.

What disqualifies you from receiving SSI?

Generally, the more countable income you have, the less your SSI benefit will be. If your countable income is over the allowable limit, you cannot receive SSI benefits. Some of your income may not count as income for the SSI program.

Will an inheritance affect my SSI?

Income from working at a job or other source could affect Social Security and SSDI benefits. However, receiving an inheritance won't affect Social Security and SSDI benefits. SSI is a federal program that pays benefits to U.S. citizens who are over age 65, blind or disabled and who have limited income and resources.

Why Is Income Important in The SSI Program?

Generally, the more countable income you have, the less your SSI benefit will be. If your countable income is over the allowable limit, you cannot...

What Income Does Not Count For Ssi?

Examples of payments or services we do not count as income for the SSI program include but are not limited to:the first $20 of most income received...

How Does Your Income Affect Your SSI Benefit?

Step 1: We subtract any income that we do not count from your total gross income. The remaining amount is your "countable income".Step 2: We subtra...

Example A – SSI Federal Benefit With only Unearned Income

Total monthly income = $300 (Social Security benefit)1) $300 (Social Security benefit) -20 (Not counted) =$280 (Countable income)2) $750 (SSI Feder...

Example B – SSI Federal Benefit With only Earned Income

Total monthly income = $317 (Gross wages)1) $317 (Gross wages) -20 (Not counted) $297 -65 (Not counted) =$232 divided by 1/2 =$116 (Countable income)

Example C – SSI Federal Benefit and State Supplement With only Unearned Income

The facts are the same as example A, but with federally administered State supplementation.1) $300 (Social Security benefit) -20 (Not counted) =$28...

Example D – SSI Federal Benefit and State Supplement With only Earned Income

Total monthly income = $317 (Gross wages)1) $317 (Gross wages) -20 (Not counted) $297 -65 (Not counted) $232 divided by 1/2 =$116 (Countable income...

How Will Windfall Offset Affect My Benefit?

Windfall offset occurs when we reduce your retroactive Social Security benefits if you are eligible for Social Security and SSI benefits for the sa...

When Does Deemed Income Apply?

When a person who is eligible for SSI benefits lives with a spouse who is not eligible for SSI benefits, we may count some of the spouse's income i...

When Does Deemed Income Not Apply?

When you no longer live with a spouse or parent.When a disabled or blind child attains age 18. When an alien's sponsorship ends.

What Assets Count Toward The SSI Asset Limit

How does the SSA define assets? Actually, the SSA calls assets "resources." The SSA counts the following as resources: 1. cash 2. money in a checki...

What Resources Don't Count Toward The SSI Resource Limit

Your home. To be excluded from the SSA's asset limit, your house must be your principal residence. The exclusion includes your home, the land it's...

What Happens If Your Resources Are Over The Limit?

SSI claimants who exceed the $2,000 limit ($3,000 if married) are ineligible for benefits. And, in fact, claimants who are over the resource limit...

What is income in SSI?

Income is any item an individual receives in cash or in-kind that can be used to meet his or her need for food or shelter. Income includes, for the purposes of SSI, the receipt of any item which can be applied, either directly or by sale or conversion, to meet basic needs of food or shelter. Earned Income is wages, net earnings from ...

What are some examples of payments or services that do not count as income for the SSI program?

Examples of payments or services we do not count as income for the SSI program include but are not limited to: the first $20 of most income received in a month; the first $65 of earnings and one–half of earnings over $65 received in a month; the value of Supplemental Nutrition Assistance Program (food stamps) received;

What is considered in-kind income?

In-Kind Income is food, shelter, or both that you get for free or for less than its fair market value. Deemed Income is the part of the income of your spouse with whom you live, your parent (s) with whom you live, or your sponsor (if you are an alien), which we use to compute your SSI benefit amount.

What is unearned income?

Unearned Income is all income that is not earned such as Social Security benefits, pensions, State disability payments, unemployment benefits, interest income, dividends and cash from friends and relatives. In-Kind Income is food, shelter, or both that you get for free or for less than its fair market value.

Can I count my spouse's income for SSI?

When a person who is eligible for SSI benefits lives with a spouse who is not eligible for SSI benefits, we may count some of the spouse's income in determining the SSI benefit.

Can I get SSI if my income is over the limit?

Generally, the more countable income you have, the less your SSI benefit will be. If your countable income is over the allowable limit, you cannot receive SSI benefits. Some of your income may not count as income for the SSI program.

What is the maximum amount of assets for SSI?

If an SSI applicant or recipient is married (even if only one person is eligible for disability), the asset limit is $3,000. Only the IRA or pension plan of the ineligible spouse isn't treated as part of the spouses' assets.

What is excluded from the SSA asset limit?

Your home. To be excluded from the SSA's asset limit, your house must be your principal residence. The exclusion includes your home, the land it's built on, and any adjacent buildings. Your car. You may have one car excluded from the asset limit if you need it for transportation; otherwise, the value of a car will be excluded from ...

How much can I have to be a single person to receive SSI?

SSI Asset Limits. To be eligible to receive SSI benefits based on disability, an SSI applicant or a current SSI recipient who is single cannot have more than $2,000 in assets. (Though not all assets count toward the SSI resource limit, discussed below.) If an SSI applicant or recipient is married ...

What is SSDI disability?

Unlike SSI, Social Security disability insurance, or SSDI, is a benefit that people qualify for as a result of contributions paid into the Social Security system. The SSDI program has no asset limits. (Learn more about SSDI eligibility .)

Does SSI count as assets?

SSI limits how much you can have in assets (property) and be eligible for disability benefits, but many assets don't count. By Bethany K. Laurence, Attorney. Supplemental Security Income (SSI) is a need-based program for people with low income and low assets.

Is PASS savings counted as income?

PASS savings. Income set aside for an SSI "plan for achieving self-support" (PASS) is not counted.

Can I get SSI if I exceed the $2,000 limit?

SSI claimants who exceed the $2,000 limit ($3,000 if married) are ineligible for benefits. And, in fact, claimants who are over the resource limit will not even have their disability claim fully evaluated to see if they are medically eligible for disability benefits. They will get a "technical denial" of benefits.

How to check my Social Security earnings?

You can view your covered earnings history by visiting www.ssa.gov/mystatement or you can check your Social Security statement which is sent every five years to those under the age of 60.

When is the SSI set?

The federal amount for SSI is set in January of every year. You may receive an additional payment on top of your SSI benefits called a State Supplementary Payment. The availability of this program varies from one state to another.

What is back payment on SSDI?

Back payments are any disability benefits that are past due, or the benefits that you would have been paid if your initial application was approved right away. Retroactive payments are for the months that you were disabled and could not work. You are eligible for retroactive payments only with SSDI and not SSI.

How long does a person have to be on SSDI to receive SSI?

In order to receive SSDI, the prospective recipient must be able to demonstrate they have a disability that is medically determinable, that will continue to last no less than twelve months, and that prevents the individual from engaging in substantial gainful activity.

What happens if you get 80% of your SSDI?

If your earnings from government run disability programs like worker’s comp combined with your SSDI earnings exceed 80% of your average income before you became disabled, your SSDI payments will be reduced.

What is the AIME on SSDI?

This income is called your “covered earnings”. The average of your covered earnings over several years is called your average indexed monthly earnings (AIME).

How to find out what your maximum monthly disability payment is?

You can quickly find this out by contacting the Social Security Administration (SSA) to receive an estimate or you can visit our website for a quicker response and use the disability calculator.

What is the difference between SSDI and SSI?

The main difference between the two is that SSI is need-based and does not take work history into account, while SSDI candidates have earned “work credits” by working for a certain number of years and contributing to Social Security taxes.

What is SSI funding?

SSI is a government program that is funded by “general tax revenues” as opposed to Social Security taxes. The program provides cash assistance for the purpose of paying for basic needs like food, clothing, and shelter. SSI is only for those who have little or no income/resources and are aged (over 65), blind, or disabled.

What is extra help for Medicare?

The Extra Help program provides savings on Medicare prescription drug coverage. Click here to read more about Medicare Extra Help. Start searching for Medicare Plans.

How do I apply for Social Security?

There are a few ways to apply. You can: Apply online through this SSI application link * . Call Social Security at 1-800-772-1213 (TTY 1-800-325-0778) and make an appointment. Visit your local Social Security office (expect a wait if you don’t have an appointment)

How much is the 2019 FBR for SSI?

This benefit is determined by the FBR, or Federal Benefit Rate. The 2019 FBR is $771 for single people and $1,157 for married couples. This amount is subject to change each year.

What age can I get SSI?

You may be eligible for SSI if you are: Over age 65, blind, or disabled. “Blind” is defined as “central visual acuity for distance of 20/200 or less in your better eye with use of a correcting lens” or “visual field limitation in your better eye…”.

Do you have to apply for SSI and Medicaid separately?

However, if you live in Alaska, Connecticut, Hawaii, Idaho, Illinois, Indiana, Kansas, Minnesota , Missouri , Nebraska, New Hampshire, Nevada, North Dakota, Ohio, Oklahoma, Oregon, Utah, Virginia, or the Northern Mariana Islands, you will have to apply for SSI and Medicaid separately, and one does not automatically qualify you for the other .

How long can I be in a medical institution to receive SSI?

If you will be in a medical institution for 90 days or less , you may be able to receive your regular SSI benefit. See the SSI Spotlight on Continued Benefits for Persons Who are Temporarily Institutionalized.

What is the SSI benefit if you pay less than $400?

If you pay less than $400, then you would be receiving in-kind support and maintenance. We would apply the one-third reduction rule and the $794 would be reduced by $264.66, so your SSI benefit would be $529.34.

What is the PMV of SSI?

The PMV is equal to 1/3 of the Federal benefit rate plus $20. Here are the steps we use to figure the SSI benefit amount. 1. The SSI Federal Benefit Rate is $794.00. 2. One-third of the SSI Federal Benefit Rate of $794 is $264.66. 3. $264.66 (1/3 of the Federal Benefit Rate) +$20.00 (from the PMV rule) ...

Do you figure your benefit amount the same as we do for a person who lives in his own house?

We figure your benefit amount the same as we do for a person who lives in his own house, apartment, or mobile home.

How is Social Security decided?

Your Social Security benefit is decided based on your lifetime earnings and the age you retire and begin taking payments. Your lifetime earnings are converted to a monthly average based on the 35 years in which you earned the most, adjusted for inflation. Those earnings are converted to a monthly insurance payment based on your full retirement age.

How to calculate Social Security if you are not 62?

Because of how the wage indexing formula works, if you are not yet age 62, your calculation to determine how much Social Security you will get is only an estimate. Until you know the average wages for the year you turn 60, there is no way to do an exact calculation. However, you could attribute an assumed inflation rate to average wages to estimate the average wages going forward, and use those to create an estimate.

How to calculate indexing year?

Your wages are indexed to the average wages for the year you turn 60. 4 For each year, you take the average wages of your indexing year (which is the year you turn 60) divided by average wages for the years you are indexing, and multiply your included earnings by this number. 5

What is the formula for Social Security benefits?

The Social Security benefits formula is designed to replace a higher proportion of income for low-income earners than for high-income earners. To do this, the formula has what are called “bend points." These bend points are adjusted for inflation each year.

What is wage indexing?

Social Security uses a process called wage indexing to determine how to adjust your earnings history for inflation. Each year, Social Security publishes the national average wages for the year. You can see this published list on the National Average Wage Index page. 3 .

What is the process used to determine how to adjust your earnings history for inflation?

Social Security uses a process called "wage indexing" to determine how to adjust your earnings history for inflation. Each year, Social Security publishes the national average wages for the year. You can see this published list on the National Average Wage Index page. 3

How to find average indexed monthly earnings?

Total the highest 35 years of indexed earnings, and divide this total by 420, which is the number of months in a 35-year work history, to find the Average Indexed Monthly Earnings.

How long do you have to be on Medicare to receive Part A?

People under age 65 may receive Part A with no liability for premiums under the following circumstances: Have received Social Security or Railroad Retirement Board disability benefits for two years.

How many years of work do you need to be eligible for Medicare?

Four is the maximum number of credits a person can earn per year, so it takes at least 10 years or 40 quarters of employment to be eligible for Medicare.

What is the Medicare premium for 2020?

For 2020, the standard monthly rate is $144.60. However, it will be more if you reported above a certain level of modified adjusted gross income on your federal tax return two years ago. Any additional amount charged to you is known as IRMAA, which stands for income-related monthly adjustment amount. Visit Medicare.gov, point to “Your Medicare Costs,” and then click “Part B costs” to see a matrix of premiums corresponding to income ranges across different tax filing statuses.

Is Medicare the same for everyone?

Medicare is a federal program that mandates standardization of services nationwide, so many people may assume the premiums would be the same for everyone. In reality, there are variations in the premiums people pay, if they pay any at all.

Can Medicare be charged at 65?

For Part A, most Medicare recipients are not charged any premium at all. Seniors at age 65 are eligible for premium-free Part A if they meet the following criteria: Currently collect retirement benefits from Social Security or the Railroad Retirement Board. Qualify for Social Security or Railroad benefits not yet claimed.

What is the monthly income for Medicare?

If your monthly income is below $1630 (or below $2198 if married) you may qualify for several Medicare cost-savings benefit programs. The following information will help us determine which programs you might be eligible for.

What is extra help for Medicare?

Extra Help is the federal program that helps with Part D prescription drug costs if you meet the income and asset requirements. This change helps more people become eligible for MSPs and was a result of the Medicare Improvements for Patients and Providers Act (MIPPA). In 2021, the asset limits for full Extra Help are $9,470 for individuals ...

What states do not have asset limits for MSPs?

* Alabama, Arizona, Connecticut, Delaware, Mississippi, New York, Oregon, Vermont, and the District of Columbia do not have asset limits for MSPs (as of January 2019).

What is the Medicare Rights Center?

If you live in New York, the Medicare Rights Center can help you enroll in various Medicare cost-savings programs. Please answer a few questions to see if we can connect you with a trained benefits enrollment counselor.

Do you have to have Social Security to qualify for Medicare?

Each state has different eligibility requirements for the Medicare Savings Programs (MSPs). For instance, while all states require that applicants meet monthly income limits, those limits may vary from state to state. It is important to know that many states require you to apply for any money you might be eligible for, including Social Security retirement benefits, in order to qualify for an MSP.

How much does Medicaid require for assets?

As mentioned previously, in 2020, most states limit a long-term care Medicaid applicant’s assets to $2,000.

How often do you have to verify income for Medicaid?

Yes, income and assets have to be verified again for redetermination, which after initial acceptance into the Medicaid program, is generally every 12 months. The redetermination process is meant to ensure the senior Medicaid beneficiary still meets the eligibility criteria, such as income and assets. In some cases, electronic verification systems ...

How long does it take for Medicaid to look back?

Please note; relevant to assets, all states have a Medicaid look-back period in which the state agency that governs the Medicaid program reviews all past transfers within 60-months (30-months in California) from the date of one’s Medicaid application. During this timeframe, which immediately precedes one’s Medicaid application date, Medicaid scrutinizes all asset transfers to ensure no assets were given away or sold for less than market value with the intention of meeting Medicaid’s asset limit. (Violating this rule can result in a delay or denial of Medicaid benefits). Therefore, for the purposes of the look book rule, a long-term Medicaid applicant will be required to provide financial documentation for the past 5 years (2.5 years in California).

What documents are needed to prove income?

Documentation of income might include any of the following: Most current pay stubs, award letter for Social Security, SSI, Railroad Retirement, or VA, pension statement, alimony checks, dividend checks, a written statement from one’s employer or from a family member who is providing support, an income tax return, or a self-declaration of income form provided by the state Medicaid agency (for when there is no other way to prove income).

What is the income limit for Medicaid?

Generally speaking, for a single senior applicant, the income limit in 2020 is $2,349 per month and the asset limit is $2,000.

Do seniors need to report changes to medicaid?

It is vital that seniors receiving Medicaid benefits report any change in income or assets, such as an inheritance or increase in Veterans benefits, to their state’s Medicaid agency. This is because Medicaid will have to redetermine eligibility based on the new information. Failure to report these changes can carry consequences, ...

Can you lie on medicaid?

To begin, Medicaid applicants should never knowingly report income and / or assets as lower than they are. Doing so is a serious offense, and in fact, is illegal. In addition to potentially being convicted of a felony charge, there are several other possible consequences to lying on a Medicaid application. Persons can be punished with jail time, receive a significant fine, be required to repay Medicaid for the medical / long-term care expenses in which it paid, lose their Medicaid benefits, and never be able to qualify for Medicaid again.

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