Medicare Blog

how long can i keep medicare after losing ssdi

by Durward Dooley Published 2 years ago Updated 1 year ago

Yes. If you go off SSDI

Social Security Disability Insurance

Social Security Disability Insurance is a payroll tax-funded federal insurance program of the United States government. It is managed by the Social Security Administration and designed to provide income supplements to people who are physically restricted in their ability to be employed because of a notable disability. SSD can be supplied on either a temporary or permanent basis, usually directly correlated to …

when you return to work you can continue Medicare coverage for 93 months after completing the 9 months work period. Combined with the trial work period, therefore, you can receive Medicare Part A coverage premium-free for a total of 8 and half years.

8 and half years

Full Answer

How long can you stay on Medicare while on disability?

Yes, as long as your disabling condition still meets our rules. Your Medicare hospital insurance (Part A) coverage is premium-free. Your Medicare medical insurance (Part B) coverage will also continue. You or a third party (if applicable) will continue to pay for Part B. If your Social Security Disability Insurance cash benefits stop due to your work, you or a third party (if applicable) will …

How long can I Keep my Medicare coverage after returning to work?

Answer: You will get at least 7 years and 9 months of continued Medicare coverage, as long as your disabling condition still meets our rules. Promptly report any changes in your work activity. This way you can be paid correctly, and we can tell you how long your Medicare coverage will continue after you return to work.

How long do Social Security disability benefits last?

Answer: As long as your disabling condition still meets our rules, you can keep your Medicare coverage for at least 8 ½ years after you return to work. (The 8 ½ years includes your nine month trial work period.) Medicare Information | SSA If SSA Continue Reading Quora User , former Newspaper Printer (1970-1995)

What is the waiting period for Medicare after disability?

 · Continuation of Medicare Coverage. When transitioning to the workplace, most people who receive SSDI who work will continue to receive at least 93 consecutive months of: Prescription Drug coverage (Part D), if enrolled. This is called Continuation of Medicare Coverage or the Extended Period of Medicare Coverage.

What happens when my SSDI runs out?

For those who suffer from severe and permanent disabilities, there is no “expiration date” set on your Social Security Disability payments. As long as you remain disabled, you will continue to receive your disability payments until you reach retirement age.

Can my Medicare be Cancelled?

If you do not pay your premium by the 25th day of that month, your Medicare coverage may be terminated. For other types of Medicare plans such as Medicare Advantage, Medicare Part D or Medicare Supplement Insurance, the protocol for termination may vary by carrier.

Do Medicare benefits ever expire?

In general, there's no upper dollar limit on Medicare benefits. As long as you're using medical services that Medicare covers—and provided that they're medically necessary—you can continue to use as many as you need, regardless of how much they cost, in any given year or over the rest of your lifetime.

How does SSDI affect Medicare?

If you're on SSDI benefits, you won't have to pay a Medicare Part A premium. If you are eligible for Medi-Cal and Medicare, you will automatically be enrolled in Medicare Part D.

Can I reinstate my Medicare?

If a person feels they have a good reason or cause for not paying their premiums, they can ask Medicare for reinstatement under the Medicare good cause policy. The individual must be able to prove the reason for missing payments.

What makes you not eligible for Medicare?

4 Medicare Advantage Eligibility Requirements You must be a U.S. citizen, a U.S. national or lawfully present in the U.S. You must be enrolled in Medicare Parts A and B. You must live in the chosen Medicare Advantage plan provider's service area. You must not have end-stage renal disease (ESRD).

What happens when you run out of Medicare days?

Medicare will stop paying for your inpatient-related hospital costs (such as room and board) if you run out of days during your benefit period. To be eligible for a new benefit period, and additional days of inpatient coverage, you must remain out of the hospital or SNF for 60 days in a row.

Can Medicare coverage be suspended?

Even if you sign up for Medicare at age 65, you can drop it later if you want to switch to qualifying employer-based coverage. (You also could keep Medicare and pair it with your large-group employer plan, in which case Medicare would be your secondary insurance).

Is Medicare renewal automatic?

Although there are a few exceptions, Medicare plans generally renew each year automatically. This is true for original Medicare as well as Medicare Advantage, Medigap, and Medicare Part D plans.

Will I lose Medicare if I lose SSDI?

Can someone on SSDI continue Medicare coverage when they return to work? Yes. If you go off SSDI when you return to work you can continue Medicare coverage for 93 months after completing the 9 months work period.

Will my disability benefits change when I turn 65?

The Benefits Do Convert Nothing will change. You will continue to receive a monthly check and you do not need to do anything in order to receive your benefits. The SSA will simply change your disability benefit to a retirement benefit once you have reached full retirement age.

What happens to my Medicare disability when I turn 65?

What Happens When You Turn 65? When you turn 65, you essentially lose your entitlement to Medicare based on disability and become entitled based on age. In short, you get another chance to enroll, a second Initial Enrollment Period if you will.

How long do you have to wait to get Medicare if you have Social Security Disability?

Social Security Disability Insurance (SSDI) & Medicare coverage. If you get Social Security Disability Income (SSDI), you probably have Medicare or are in a 24-month waiting period before it starts. You have options in either case.

What is SSI disability?

Supplemental Security Income (SSI) Disability & Medicaid coverage. Waiting for a disability status decision and don’t have health insurance. No disability benefits, no health coverage. The Marketplace application and disabilities. More information about health care for people with disabilities.

Can I get medicaid if I have SSDI?

You may be able to get Medicaid coverage while you wait. You can apply 2 ways: Create an account or log in to complete an application. Answeryes” when asked if you have a disability.

Do you have to include SSDI income on Marketplace?

When asked about your income on your Marketplace application, be sure to include your SSDI income.

Do you have to pay a penalty if you don't have health insurance?

You’re considered covered under the health care law and don’t have to pay the penalty that people without coverage must pay.

Can you get medicaid after enrolling in Medicare?

If you’re eligible for Medicaid, your Medicaid eligibility may continue even after you enroll in Medicare.

How long can you keep Medicare after you return to work?

Answer: As long as your disabling condition still meets our rules, you can keep your Medicare coverage for at least 8 ½ years after you return to work. (The 8 ½ years includes your nine month trial work period.) Question: I have Medicare hospital Insurance (Part A) and medical insurance (Part B) coverage.

How long does Medicare last?

Answer: You will get at least 7 years and 9 months of continued Medicare coverage, as long as your disabling condition still meets our rules.

What is Medicare for people 65 years old?

Medicare is a health insurance program for people 65 years of age and older, some disabled people under 65 years of age, and people with end-Stage Renal Disease (permanent kidney failure treated with dialysis or a transplant).

Why does Bill have Medicare?

Example: Bill has Medicare coverage because of permanent kidney failure. He also has group health plan coverage through the company he works for. His group health coverage will be his primary payer for the first 30 months after Bill becomes eligible for Medicare. After 30 months, Medicare becomes the primary payer.

How long is a person eligible for Medicare?

Everyone eligible for Social Security Disability Insurance (SSDI) benefits is also eligible for Medicare after a 24-month qualifying period. The first 24 months of disability benefit entitlement is the waiting period for Medicare coverage. During this qualifying period for Medicare, the beneficiary may be eligible for health insurance ...

How to order a publication from Medicare?

Answer: You can view, print, or order publications online or by calling 1-800-MEDICARE (1-800-633-4227). The fastest way to get a publication is to use our search tool and then view and print it. If you order online or through 1-800-MEDICARE, you will receive your order within 3 weeks. The link to search publications is at: http://www.medicare.gov/Publications/home.asp

Is Medicare a secondary payer?

Answer: Medicare may be the "secondary payer" when you have health care coverage through your work. See the information under "Coordination of Medicare and Other Coverage for Working Beneficiaries with Disabilities" about when Medicare is a "secondary payer or primary payer".

How long can you keep Medicare after you return to work?

Answer: As long as your disabling condition still meets our rules, you can keep your Medicare coverage for at least 8 ½ years after you return to work. (The 8 ½ years includes your nine month trial work period.) Medicare Information | SSA. If SSA determines after a Continuing Disability Review.

How long can I work while on SSDI?

You can return to work for a 9 month “work test period” and earn any amount you can without losing any SSDI or Medicare coverage. The work test isn’t affected by the $1220 per month limit for working while drawing SSDI.

How much can I earn in a month on SSDI?

If you earn more than that per month, you will not get your benefit for the month you earned more than $1220 per month.

Why do I lose my SSDI?

You typically lose SSDI because you have reached the point where you are getting to the point you are considered sufficiently independent. A regular job, sufficient income, etc. will do it. SSDI is based on your disability preventing you from having enough income. The Medicare is based on your disability.

What if I don't get SSDI?

If you don’t get much SSDI per month you may also qualify for a program called Extra Help that covers all or part of your copays and a low income grant that helps with your monthly premium.

How long do you have to reapply for SSDI?

You have 5 years in which to reinstate your SSDI benefits if you start earning $1220 or less again (or whatever the amount would be at that time) or become unable to work at all. This is called “expedited reinstatement” and you would not have to reapply for disability benefits.

What happens if you work one month and earn $1500?

In other words, if you worked one month and earned $1500, you would get no benefit for that month. If you earned $1200 the next month, your SSDI benefit would be paid for that month.

How many months of Medicare coverage for SSDI?

When transitioning to the workplace, most people who receive SSDI who work will continue to receive at least 93 consecutive months of: Prescription Drug coverage (Part D), if enrolled. This is called Continuation of Medicare Coverage or the Extended Period of Medicare Coverage.

How long does Medicare last after 93 months?

Although your benefit payments may stop due to work, your Medicare will continue. 93 months is 7 years and 9 months!

What are the benefits of Medicare and Medicaid?

Medicare and Medicaid Work Incentives. Social Security Work Incentives make it easier for people with disabilities to work and still receive medical benefits and, in some cases , cash payments from Social Security. As you join the workplace, Continuation of Medicare and other Work Incentives can give you the confidence and support ...

What are the benefits of continuing to work with Medicare?

As you join the workplace, Continuation of Medicare and other Work Incentives can give you the confidence and support to achieve financial independence. You can also learn more about 2 other Work Incentives that may help you continue receiving healthcare as you start working. Check out Medicaid While Working if you receive SSI or Medicare for Persons with Disabilities Who Work if you receive SSDI.

How long do you have to work to get SSDI?

So during the first 9 months that you work in a 5-year period, your benefits won't be affected. These 9 months do not need to be consecutive, but they may be. Once you finish your last month ...

Do you lose your medicaid if you start working?

Many people believe that they will automatically lose their Medicare or Medicaid as soon as they start working. But did you know that as long as you're receiving a cash payment in any amount, you'll keep your Medicare or Medicaid?

How long do you have to collect SSDI to get Medicare?

Once you have collected SSDI payments for two years , you will become eligible for Medicare. You won’t even have to sign up—Medicare will automatically enroll you in Part A and Part B and mail your Medicare card to you shortly before your coverage begins.

How long does it take to get Medicare if denied SSDI?

The result: your wait for Medicare will be shorter than two years.

What is ESRD in Medicare?

ESRD, also known as permanent kidney failure, is a disease in which the kidneys no longer work. Typically, people with ESRD need regular dialysis or a kidney transplant (or both) to survive. Because of this immediate need, Medicare waives the waiting period. 2

What to do if your income is too high for medicaid?

If your income is too high to qualify for Medicaid, try a Medicare Savings Program (MSP), which generally has higher limits for income. As a bonus, if you qualify for an MSP, you automatically qualify for Extra Help, which subsidizes your Part D costs. Contact your state’s Medicaid office for more information.

What conditions are considered to be eligible for Medicare?

Even though most people on Social Security Disability Insurance must wait for Medicare coverage to begin, two conditions might ensure immediate eligibility: end-stage renal disease (ESRD) and Lou Gehrig’s disease (ALS).

How long does a disability last?

The government has a strict definition of disability. For instance, the disability must be expected to last at least one year. Your work history will also be considered—usually, you must have worked for about 10 years but possibly less depending on your age.

How long does it take to get SSDI?

If it determines you are eligible, your Social Security disability benefits will begin five months after your disability started—a start date ultimately decided by the SSA.

How long can you get Medicare if you go off SSDI?

If you go off SSDI when you return to work you can continue Medicare coverage for 93 months after completing the 9 months work period. Combined with the trial work period, therefore, you can receive Medicare Part A coverage premium-free for a total of 8 and half years.

How long does it take to get Medicare after receiving SSDI?

Hence, if you begin your trial work period at the beginning of the sixth month after you started to receive your SSDI and ends 9 months later that means you will be 15 months into the 24 month Medicare waiting period, you will have to wait another 9 month for coverage to begin.

What happens if you stop receiving disability benefits after completing the trial work period?

If your disability benefits stop after successfully completing the trial work period because you worked at the substantial gainful activity (SGA) level, SSA can automatically reinstate your benefits without a new application for any months in which your earnings drop below the SGA level.

How long does a trial work period last on SSDI?

A trial work period allows you to test your ability to work for 9 months. During this time you receive your full SSDI payment regardless of how much you earn as long as you continue to be disabled. The 9 months does not need to be consecutive. It will last until you accumulate 9 months within a rolling 60-month period.

When did Medicare Part D start?

Eligibility for the Medicare Part D prescription drug benefit (that begins on January 1, 2006) is not tied to an individual’s work status. The Part D benefit is available to individuals who are entitled to Medicare Part coverage and/or enrolled in the Medicare Part B program. Back to the Top

Can you get a Medigap policy suspended?

People with disabilities that have Medigap who return to work and have employee-based insurance can request that such Medigap coverage and premiums be suspended. The Ticket to Work Act also requires reinstatement of a Medigap policy if group coverage is lost provided that the person gives notice of loss of employer coverage within 90 days. Back to the Top

Can disabled people get medicaid?

As previously noted, there are ways that people with disabilities on SSDI who return to work can receive Medicaid coverage by meeting certain requirements. These will be in the sections on Medicaid in Additional Work Incentives Available to People with Disabilities on SSI .

How long can you keep Social Security disability?

How to Keep Your Social Security Disability Benefits in Effect. If you remain disabled until you reach the age of 65, then you will be able to keep your Social Security Disability benefits until you reach retirement age. At that point your Social Security Disability payments will change from Social Security Disability to Social Security Retirement ...

When will Social Security retirement benefits stop?

There are, however, some instances in which a Social Security Disability beneficiary will have their disability benefits stopped prior to reaching the age of 65. There are a number of reasons why Social Security Disability benefits would be ...

How often does Social Security review disability?

Social Security reviews disability benefits on a regular basis. These reviews are called Continuing Disability Reviews and they are given to everyone who receives Social Security Disability benefits. The time between these reviews depends on whether or not your condition is expected to improve. As a general rule, benefits are reviewed every 18 ...

Why did Social Security end?

Why Social Security Disability Benefits End. There are a number of reasons why Social Security Disability benefits would be revoked after being instated. The most common reasons for a stop in Social Security Disability benefits are improvement of one's disabling condition, incarceration, or a return to work. How long you receive Social Security ...

What happens if you refuse to respond to a disability review?

If you refuse to respond to a review, you may lose your Social Security Disability benefits. Because of this, it is important that all review requests are met in a timely manner and that you provide any necessary documentation. In some cases you may also need to meet with an independent physician (arranged by Social Security) for a medical examination.

How long can you earn income before your Social Security benefits are revoked?

If you do decide to return to work your benefits will not stop right away. You can earn income on a “trial” basis for up to nine months before your Social Security Disability benefits are revoked. If you try to return to work and find that you are unable to cope with it, your Social Security Benefits will not end.

How often do you have to review your Social Security benefits?

As a general rule, benefits are reviewed every 18 months, every 3 years, or every 7 years depending on your condition and your chances of improvement. Improvement of one's condition is not the only reason Social Security Benefits can be revoked.

How long does it take for SSDI to stop?

Your SSDI benefits will be suspended after 30 days of incarceration (unless you participate in a rehabilitation program) and will be reinstated the month following your release.

Why did my SSDI stop?

What Can Cause SSDI Benefits to Stop? The most common reason for someone's Social Security Disability (SSDI) benefits to stop is because they have returned to work. While in some cases it's possible to work while continuing to receive SSDI payments, there are specific rules you need to follow.

What is SGA in SSDI?

If you return to work while receiving SSDI benefits, the SSA will want to determine if you are engaging in " substantial gainful activity " (SGA). The biggest factor in determining if work qualifies as SGA is the amount a person is paid.

How often does the SSA review disability?

The SSA periodically reviews the case of all beneficiaries (usually every three or seven years) to determine whether they are still disabled. But the standards used in "continuing disability reviews" for determining whether someone has improved enough to return to work are tough for the SSA to meet, and most disability beneficiaries (about 85%) continue to receive benefits after their review. For more information, see our article on Continuing Disability Reviews.

What age can I stop receiving Social Security?

Turning the Age of 18. Children who are receiving SSI will have their condition reevaluated according to the adult SSI standards when they turn 18, and depending on the SSA's decision, this could cause their benefits to stop.

What is the income limit for Social Security in 2021?

In 2021, the individual income limit for SSI is $794 per month, and the asset limit is $2,000. While SSI recipients should be aware of these limits, determining whether you are over the income limit can be ...

Why do I lose my SSI?

The most common reason for someone to lose SSI benefits is having too much income, either through working or receiving it in some other way.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9