Medicare Blog

why when you're disabled in illinois do you have to wait two years before you can get medicare

by Doug Cassin Published 2 years ago Updated 1 year ago
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Can you get Medicare and disability at the same time?

In general, someone who satisfies all of the relevant eligibility requirements can receive Social Security disability benefits and Medicare or Medicaid at the same time.

How does disability affect Medicare?

Medicare coverage is the same for people who qualify based on disability as for those who qualify based on age. For those who are eligible, the full range of Medicare benefits are available.

What happens when a person on disability turns 65?

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.

How long can you be disabled before Social Security benefits?

Social Security Disability Insurance (SSDI) benefits have a five month waiting period, which means that benefit payments will not begin before the sixth full month of disability. The SSDI waiting period begins the first full month after the date we decide your disability began.

How long does it take to get approved for Medicare?

between 30-60 daysMedicare applications generally take between 30-60 days to obtain approval.

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.

Which pays more Social Security or disability?

In general, SSDI pays more than SSI. Based on data from 2020: The average SSDI payment is $1,258 per month. The average SSI payment is $575 per month.

Will my Social Security Disability increase when I turn 65?

If you are collecting Social Security Disability Income (SSDI) benefits, you may wonder what happens when you reach full retirement age (FRA). The good news is, your benefits will automatically convert and for most people, your benefits remain the same.

What happens to my Social Security Disability when I turn 62?

If you are currently receiving SSDI benefits, your benefits will not stop once you reach retirement age. However, your SSDI benefits will automatically convert to retirement benefits.

What is a disability waiting period?

Eligible for Benefits Before you receive benefits, you must serve an unpaid seven-day waiting period (calendar days). The first payable day is the eighth day of the claim.

Why is there a waiting period for disability insurance?

It's a period of time designed to protect the insurance company from fraudulent claims. Probationary periods may last 15 days or longer. During the policy's probationary period, you cannot file a claim with the company, even if your application is approved and your disability is legitimate.

What is the most approved disability?

According to one survey, multiple sclerosis and any type of cancer have the highest rate of approval at the initial stages of a disability application, hovering between 64-68%. Respiratory disorders and joint disease are second highest, at between 40-47%.

How long can you wait to get Medicare if you are disabled?

But, because Social Security only allows a maximum of 12 months of retroactive benefits, plus the 5-month waiting period for benefits, the earliest that you can become eligible for Medicare is one year ...

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

Qualifying for Medicare When Receiving Disability Benefits. Medicare coverage kicks in for most SSDI recipients two years after the first month they are eligible for their monthly disability benefits. However, this doesn’t automatically mean that every person approved for SSDI must wait two years to get their Medicare coverage.

How long is the waiting period for Medicare?

The two-year Medicare waiting period generally gets calculated from the date of your SSDI entitlement (the date you are eligible to receive your monthly award). Normally, this is the date your disability began plus the five-month SSDI waiting period.

When will Medicare start?

Since it has been two years since your Date of Entitlement, you will start receiving Medicare benefits in December 2018. But, if you recently become disabled and were approved with an entitlement date of August 2018, you would not become eligible to receive Medicare benefits until August 2020.

Do you have to wait to receive medicaid if you are on SSI?

For SSI recipients, there is no waiting period to receive Medicaid.

Do you get Medicaid if you are approved for SSI?

In most states, if you are approved for SSI, you will receive benefits automatically through Medicaid as SSI’s income and asset limits mirror that of Medicaid’s .

How long do you have to be off work to get disability?

Contrary to popular belief, there is no requirement that you have to be off work for six months or a year before you can apply for or collect disability benefits. You can apply for disability as soon as you quit work or are let go because of your medical condition—or when you realize you are disabled and can't go back to work.

How long does it take for Social Security to see if your condition improves?

If your prognosis isn't clear, Social Security may wait a few months by placing your case on a "medical hold" to see if your condition improves.

How Does Social Security Know If My Disability Is Long Term?

How does Social Security know whether you'll be unable to work for at least a year? If you have an abrupt accident or illness that suddenly and obviously makes it impossible for you to work, Social Security will estimate how long your inability to work will last . If your doctor's prognosis is that your illness or impairment will keep you from working for at least a year, and your doctor provides the evidence to back it up, Social Security might grant you disability benefits right away.

Does the SSDI Waiting Period Affect When to Apply?

As mentioned above, the SSDI program does have a five-month waiting period, starting from your onset date of disability, during which you won't receive benefits. ALS (Lou Gehrig's disease) makes for the only exception to this rule; SSDI benefits get paid as soon as they're approved for applicants with ALS.

When will Sulekha get back pay?

Had Sulekha applied on her disability onset date, March 1, 2020, she could have gotten backpay for several more months, going back to August 1, 2020 (in which case her waiting period would have been March through July of 2020).

How long do you have to work to qualify for Social Security?

However, you must be expected to not be able to work for at least one year (or have an illness that is likely to result in your death) to qualify for Social Security or SSI disability. This is called the durational requirement.

When will Sulekha get her first Social Security payment?

Social Security will pay backpay going back only 12 months before the application date. So Sulekha will receive backpay from December 1, 2020 (12 months before she applied) until she gets her first monthly payment. The five months before December 1, 2020 (July through November of 2020) is her waiting period, during which she won't receive benefits.

When did Medicare align in Illinois?

The Medicare-Medicaid Alignment Initiative started in Illinois in 2014. It operates in the Greater Chicago and Central Illinois Regions. Click here to see the counties with Medicare-Medicaid Alignment Initiative health plans.

What is the Medicare-Medicaid Alignment Initiative?

The Medicare-Medicaid Alignment Initiative is one of Illinois' managed care programs. This program is for seniors and persons with disabilities who have full Medicaid and Medicare benefits.

Where to go to compare health plans in Illinois?

You can also visit the website for Illinois’ Client Enrollment Services. Go to: www.enrollhfs.illinois.gov to compare health plans.

How do I know which health plan is the right plan for me?

Do I want to keep my doctor or clinic or do I want a new doctor or clinic?

How long do you have to wait to receive medicare if you have SSDI?

For more information on calculating how this is calculated, see our article on when you'll receive Medicare benefits. There is no waiting period for SSI recipients to receive Medicaid.

Which states have a lower income limit for Medicaid?

There are a few states, including Illinois and Ohio, that are exceptions to this rule. These states may have a lower income or asset limit for the Medicaid program than the SSI program, so they make their own Medicaid determinations.

Do you get medicaid if you are approved for SSI?

Do you get Medicare coverage if you were approved for SSI? Claimants who are approved for SSI only typically receive Medicaid coverage in most states. And like SSI, Medicaid is subject to income and asset limitations. Medicaid is a needs-based, state- and county-administered program that provides for a number of doctor visits and prescriptions each month, as well as nursing home care under certain conditions.#N#Can you ever get Medicare if you get SSI? Medicare coverage for SSI recipients does not occur until an individual reaches the age of 65 if they were only entitled to receive monthly SSI disability benefits. At the age of 65, these individuals are able to file an "uninsured Medicare claim," which saves the state they reside in the cost of Medicaid coverage. Basically, the state pays the medical premiums for an uninsured individual to be in Medicare so that their costs in health coverage provided through Medicaid goes down.

Can I get medicaid if I get disability?

If you're approved for disability benefits, you'll also get Medicare or Medicaid, depending on whether you receive SSDI or SSI benefits.

Does Medicare cover copays?

For people with limited income and assets, Medicare offers "Extra Help" for prescription drug costs. This Extra Help covers the costs of a Medicare prescription drug plan -- including monthly premiums and prescription co-pays. The application is online at www.socialsecurity.gov/prescriptionhelp. For more information, see Nolo's article on the Extra Help subsidy.

Can I get concurrent disability from both SSI and SSDI?

Some disability recipients will be approved for concurrent benefits; that is, they will draw disability money from both SSDI and SSI. In such instances, the issue of whether a claimant will get Medicare or Medicaid is not so cut and dry. Claimants who are approved for concurrent disability benefits should consult their local Social Security office ...

How long after Social Security disability is Medicare free?

You are eligible for Medicare two years after your entitlement date for Social Security disability insurance (SSDI). (This is the date that your backpay was paid from; see our article on when medicare kicks in for SSDI recipients ). Medicare isn't free for most disability recipients though.

How much does Medicare cost if you have a low Social Security check?

But some people who have been on Medicare for several years will pay slightly less (about $145) if their Social Security checks are low (due to a hold harmless provision). And some people will pay more. If your adjusted gross income is over $88,000 (or $176,000 for a couple), the monthly premium can be over $400.

How to save money on Medicare?

You can often save money on Medicare costs by joining a Medicare Advantage plan that offers coverage through an HMO or PPO. Many Medicare Advantage plans don't charge a monthly premium over the Part B premium, and some don't charge copays for doctor visits and other services.

How many quarters do you have to work to be fully insured?

Generally, being fully insured means having worked 40 quarters (the equivalent of 10 years) in a job paying FICA taxes. Many disability recipients aren't fully insured because they became physically or mentally unable to work before getting enough work credits.

Is Medicare expensive for disabled people?

Medicare can be quite expensive for those on disability who aren't fully insured, but if you are eligible to be a Qualified Medicare Beneficiary (QMB) because of low-income, a Medicare Savings Program will pay your Part A premium, and possibly other costs as well.

Does Medicare go up every year?

There are premiums, deductibles, and copays for most parts of Medicare, and the costs go up every year. Here are the new figures for 2021, and how you can get help paying the costs.

Is there a subsidy for Part D?

There are subsidies available to pay for Part D for those with low income (called Extra Help). See Nolo's article on Extra Help for Part D for when you are eligible.

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