Re: Medicaid and Medicare Eligibility

[Guest guest]

I suggest you call:

 

Mariel R. Hamer I Community Work Incentive Coordinator

Illinois Assistive Technology Program I Work Incentive Planning and Assistance

mhamer@... I www.iltech.org

Direct: (630)219-4025 I Work Cell: (217)720-6535

Toll free: (800)807-6962 I Fax: (217)558-6059

Serving: N. Cook, McHenry, Lake, Kane, DuPage

 

She will answer your questions or get you to the right people. 

Shirley

 

 

 

From: Margie Sillery <margiesillery@...>

Subject: Medicaid and Medicare Eligibility

ipaddunite

Date: Sunday, May 29, 2011, 12:56 PM

 

My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

 

By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

 

Margie

[Guest guest]

Thanks Shirley.  I'm assuming it doesn't matter that I live in Will County.

From: Margie Sillery <margiesillery@...>

Subject: Medicaid and Medicare Eligibility

ipaddunite

Date: Sunday, May 29, 2011, 12:56 PM

 

My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

 

By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

 

Margie

[Guest guest]

She can tell you who covers will county, if she can't answer your questions. 

Good luck.  Shirley

From: Margie Sillery <margiesillery@...>

Subject: Medicaid and Medicare Eligibility

ipaddunite

Date: Sunday, May 29, 2011, 12:56 PM

 

My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

 

By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

 

Margie

[Guest guest]

just remember depending on how much money he makes ssi get reduced

Medicaid and Medicare Eligibility

 

My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

 

By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

 

Margie

[Guest guest]

I was under the impression that a person cannot get medicare unless they are

receiving SSDI. As long as the recipient gets SSI, medicaid is the only option.

Medicare is a possibility after the person reaches the age of 24 and has been

diagnosed as completely disabled- unable to be gainfully employed. If an

individual can earn enough quarters to get SSDI then that person can apply for

medicare.

From: Beth M DiVirgilio

Sent: Sunday, May 29, 2011 1:15 PM

IPADDUnite

Subject: Re: Medicaid and Medicare Eligibility

just remember depending on how much money he makes ssi get reduced

Medicaid and Medicare Eligibility

My son just qualified for Medicaid. Now I want him to earn enough credits to

qualify for Medicare. He is 19 Is there someone knowledgeable who I can talk

to who can get me up to speed on this? He is just starting to work. Thanks.

By the way, he transitions out of high school today. He will participate in the

graduation ceremony with his special needs and typical peers. Thirteen years

have gone by much too fast.

Margie

[Guest guest]

All,

I’ll forage around in our old messages tomorrow – I know we’ve had Marsie

Frawley and others weigh in on this question before. Some of us from the list

have also gone thru this process personally with our own sons or daughters, too.

So we have a pretty good bank of knowledge here about the subject. Let’s make

sure we’re sharing info we know is fact, though, not just guesses. Otherwise

it’s gets even MORE confusing than it otherwise already is!

More to come --

Laurie

From: Colombo

Sent: Sunday, May 29, 2011 1:47 PM

IPADDUnite

Subject: Re: Medicaid and Medicare Eligibility

I was under the impression that a person cannot get medicare unless they are

receiving SSDI. As long as the recipient gets SSI, medicaid is the only option.

Medicare is a possibility after the person reaches the age of 24 and has been

diagnosed as completely disabled- unable to be gainfully employed. If an

individual can earn enough quarters to get SSDI then that person can apply for

medicare.

From: Beth M DiVirgilio

Sent: Sunday, May 29, 2011 1:15 PM

mailto:IPADDUnite%40

Subject: Re: Medicaid and Medicare Eligibility

just remember depending on how much money he makes ssi get reduced

Medicaid and Medicare Eligibility

My son just qualified for Medicaid. Now I want him to earn enough credits to

qualify for Medicare. He is 19 Is there someone knowledgeable who I can talk to

who can get me up to speed on this? He is just starting to work. Thanks.

By the way, he transitions out of high school today. He will participate in the

graduation ceremony with his special needs and typical peers. Thirteen years

have gone by much too fast.

Margie

[Guest guest]

If he stays in school until age 22, then his SSI will not be reduced if SSA has

him marked down as a full time student.

>

>

>

> just remember depending on how much money he makes ssi get reduced

>

>

>

>

> Medicaid and Medicare Eligibility

>

>  

>

>

>

>

> My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

>  

> By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

>  

> Margie

>

>

[Guest guest]

While in school maximum income before SSI reduction is $6,600 in a year.

Sent from my iPhone

N. Rubin

@...<mailto:@...>

866.to.rubin

847.279.7999

fax 847.279.0090

www.SNFP.net<http://www.SNFP.net>

On May 29, 2011, at 9:02 PM, " cmfinato "

<cmfinato@...<mailto:cmfinato@...>> wrote:

If he stays in school until age 22, then his SSI will not be reduced if SSA has

him marked down as a full time student.

>

>

>

> just remember depending on how much money he makes ssi get reduced

>

>

>

>

> Medicaid and Medicare Eligibility

>

> Â

>

>

>

>

> My son just qualified for Medicaid. Now I want him to earn enough credits

to qualify for Medicare. He is 19 Is there someone knowledgeable who I can

talk to who can get me up to speed on this? He is just starting to work.Â

Thanks.

> Â

> By the way, he transitions out of high school today. He will participate in

the graduation ceremony with his special needs and typical peers. Thirteen

years have gone by much too fast.Â

> Â

> Margie

>

>

[Guest guest]

Don't be fooled by the full-time student status. Our son was probably in

the transition program no more than two hours a week. Most of the time he

was either at work, earning those precious Social Security credits ,

volunteering, or going to the DuPage TCD. He was rarely with the group or

in the program. He was still considered a full time student. However, I

had to let SSA know each year he was still a student. Until the day he

turned 22, he did not have his SSI touched. Be aware of the student earned

income also. it is a very generous threshold of earnings a student can make

before SSI is touched. As I recall it is around $6400 a year. That was

never a problem for our son. He never approached earning that much. Now

that he has earned the correct credits, 6, he qualified for SSDI , he spent

the next 24 months waiting period, and now has Medicare. Up until January,

the last time I looked, a credit was $1120.

After24, the number of credits required to get SSDI and eventualy, Medicare,

increasesexponentially. That is why it is sucha good idea to get the

credits while the student is still in school, has all the job coach support,

transportation, as well as the student earned income.

Work and earning money, investing in the system before the student turns

22 is very important if the goal is ssdi and medicare. This is a

simplified quick notesversion. More will come from Marcie and the rest.

Bestwishes on this ..we were laser focused on the credits and the

employment side of things . It was a lot of energy. on all our parts

not to mention pressure on our voc person at school. ..a lot of time at We

Grow Dreams and drumming up employment , real pay hours. It was all worth

it. Our son has a place to go during the week, his job, and he has

invested in his future.

Cindi

[Guest guest]

The rules for Medicare eligibility and work credits are not county specific.

Mariel came and spoke to a group of us from north Cook and Lake County and she

was extremely knowledgeable and very, very nice.

Ellen

Ellen Garber Bronfeld

egskb@...

[Guest guest]

Hi Margie. I can relate. My son also walked for graduation yesterday. A very

bitter sweet day for me. I only did not fall apart because I had pink eye so

bad I was struggling to have clear eye sight, and oh the eye pain; and I was

worried about the commotion and the noise level in the place. I was proud

though, as held it together all the way through until after he walked

across the stage. While he was walking up to the stage, I could see the axiety

in his eyes, that he was about spent. But he mae it across and back out the end

of the aisle to the classroom where the young people with special needs got to

wait for their parents. Thats when he started hitting his forehead.

Anyways now the transition program. Ah all the planning and worries about how

good it will be.

I too want those work quarters, but seems like that is a huge task to undertake.

How many hours is that to qualify? And in how short a time period?

I too, am curious about this like you.

Diane S

>

> My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

>  

> By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

>  

> Margie

>

>

[Guest guest]

In order to get Medicare, you must be either:

 

- 65 & on ssa or

- 65 & on ssi or

- 65 & federal employee or

- any age & have ALS or

- any age & be on renal dialysis for end stage renal disease or

- any age & have been receiving SSDI for 24 months

 

In order to ger SSDI, there must be enough FICA work quarters.

Medicare is a federal program - not county or state specific.

 

In order to accrue quarters, one must earn approximately $400 monthly but not

more than $1000 per month.

From: Margie Sillery <margiesillery@...>

Subject: Medicaid and Medicare Eligibility

ipaddunite

Date: Sunday, May 29, 2011, 7:56 AM

 

My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

 

By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

 

Margie

[Guest guest]

is it true your adult child can get ssdi when both parents are retired and

collecting ssi?

Medicaid and Medicare Eligibility

ipaddunite

Date: Sunday, May 29, 2011, 7:56 AM

 

My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

 

By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

 

Margie

[Guest guest]

There are two ways to qualify for Medicare.  One is through the workers own

work record and the other is through the parent's or qualified grandparent's

work record.  One is only eligible for a grandparent's benefits if one was

dependent on the grandparent for his/her support. 

When a worker dies, retires or becomes disabled and s/he has paid the requisite

# of quarters to SSA, the worker becomes eligible for SS retirement, disability

or death benefits for qualifed dependents such as a spouse,minor child or

disabled adult child (DAC). If the worker has a DAC (a DAC is someone who was

disabled prior to the age of 22, is incapable of gainful activity (currently the

ability to earn $1,000 per month) and single), then the disabled adult child

receives 50% of the worker's SSDI or retirement funds while the worker is alive

and 75% of the worker's SSA when the worker dies.  Once a disabled adult child

receives SSDI for 2 years, s/he becomes eligible for Medicare.  If the amount

of SSDI is over $694 per month, s/he will not receive SSI.  If the SSDI is less

than $694 per month, s/he may receive SSI in addition to the SSDI if s/he does

not have any other unearned or earned income. 

This is a complicated topic.  Rubin and I often give trainings to Arc

Chapters and other non profit organizations on this topic.  You may want to try

to attend one or more to gain more information regarding DAC benefits. 

Terrie Varnet

From: Margie Sillery < margiesillery@... >

Subject: Medicaid and Medicare Eligibility

ipaddunite

Date: Sunday, May 29, 2011, 7:56 AM

 

My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

 

By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

 

Margie

[Guest guest]

You are so right.  This is so complicated and Social Security doesn't really

explain everything.  My husband passed away in 1987 and I started receiving

money for my boys and when my oldest son ( with Down Syndrome) started working

he started getting 2 checks instead of 1 and SS could not explain why.  Long

story short, Mariel R. Hamer explained everything to me.  What a DAC was and

why the 2 checks, and what the trail work periods are, and etc.  Every case is

different and there are so many ifs ands and buts.  Medicare and Medicaid are

more rules and it is so important to ask questions until you understand

everything.  Go to all the meetings and training sessions you can.  I started

a parents support group myself in Elmhurst to help get some answers and we are

having guest speakers and we have gotten so many answers.  Make sure you stick

with it.  I just kept putting stuff on the back burner.  My son is 30 and I

should have had these answers

years ago.  But it is never too later.  Goo luck.  Shirley

From: Margie Sillery < margiesillery@... >

Subject: Medicaid and Medicare Eligibility

ipaddunite

Date: Sunday, May 29, 2011, 7:56 AM

 

My son just qualified for Medicaid.  Now I want him to earn enough credits to

qualify for Medicare.  He is 19  Is there someone knowledgeable who I can talk

to who can get me up to speed on this?  He is just starting to work.  Thanks.

 

By the way, he transitions out of high school today.  He will participate in

the graduation ceremony with his special needs and typical peers.  Thirteen

years have gone by much too fast. 

 

Margie

[Guest guest]

" If the SSDI is less than $694 per month, s/he may receive SSI in

addition to the SSDI if s/he does not have any other unearned or

earned income. "

When you say the above, do you mean that the individual can only

receive SSI in addition to SSDI if she does not work? Or do you mean

that the individual needs to make less than $1000/month and then can

receive SSDI and SSI.

Thanks,

Moberg

[Guest guest]

This is complicated but I will try to explain the deduction rules for earned and

unearned income.  In general unearned income is deducted dollar for dollar

after a $20 unearned income set aside. Earned income has a $65 set aside and is

treated more kindly with only a 50% reduction in SSI - NOT A DOLLAR FOR DOLLAR

LOSS. . 

 

The maximum or full SSI check in IL is curently $674 per month.  If a person

receives $500 per month in SSDI, SSI will not count the first $20 (SSDI is

considered unearned income.) and only minus $480 from the $674.  S/he will

then receive a SSI check in the amount of $194 to supplement the SSDI and bring

the person up to a combined income of  $694.

 

If the person also works part time and earns $300 per month.  SSI doesn't count

the first $65 of earned income.  If the person does not have any additional

impairment related work expenses, SSI will then deduct 50 cents on the dollar

from the remaining earned income.  $300 - $65 = $235. One half of $235 is

$117.50.   You will then deduct $117.50 from the $194 and the person will

receive a small SSI check in the amount of $76.50 plus s/he will recieve his/her

$500 per month in SSDI.. 

 

If a person works part time and earns $500 per month.  As long as he doesn't

earn more than $1000 per month (minus impairment related expenses) s/he will

keep his/her full SSDI check of $500 per month.

 

If a  parent dies and the disabled adult child moves up to 75% of parent's SSA

(from $500 per month SSDI to $750 per month SSDI), then s/he will not receive

any SSI because the unearned income alone places them over the $694 threshold. 

I hope that makes sense to you all.  I spend approximately 1 hour discussing

how work affects SSI and SSDI in my Arc IL training seminars.  Terrie

From: Kirk Moberg <moberg@...>

Subject: Re: Medicaid and Medicare Eligibility

IPADDUnite

Date: Wednesday, June 1, 2011, 10:40 AM

 

" If the SSDI is less than $694 per month, s/he may receive SSI in

addition to the SSDI if s/he does not have any other unearned or

earned income. "

When you say the above, do you mean that the individual can only

receive SSI in addition to SSDI if she does not work? Or do you mean

that the individual needs to make less than $1000/month and then can

receive SSDI and SSI.

Thanks,

Moberg

[Guest guest]

Terrie, thanks for the info.

When I turn in Angel's checks, they don't ask for work related expenses. Angel

reimburses me for driving her to work. Is there a form that I have to fill out?

Thanks

>

>

> From: Kirk Moberg <moberg@...>

> Subject: Re: Medicaid and Medicare Eligibility

> IPADDUnite

> Date: Wednesday, June 1, 2011, 10:40 AM

>

>

>  

>

>

>

> " If the SSDI is less than $694 per month, s/he may receive SSI in

> addition to the SSDI if s/he does not have any other unearned or

> earned income. "

>

> When you say the above, do you mean that the individual can only

> receive SSI in addition to SSDI if she does not work? Or do you mean

> that the individual needs to make less than $1000/month and then can

> receive SSDI and SSI.

>

> Thanks,

> Moberg

>

>

[Guest guest]

Thank you, Theresa, for your very clear description of the accounting

for SSI and SSDI.

[Guest guest]

You need to advise them of costs incurred - mileage, etc.  I had to get a note

from Jen's doctor that due to her disability she was unable to take public

transportation to and from work.  I only charged mileage expense and did not

take an hourly rate for my time driving her as I did not want to have to claim

the income on my tax return. 

SSI seldom mentions impairment related work expenses but basically they include

any expense your child incurs in order to work due to their disability.  For

example black orthopedic shoes to allow your child to stand on the job is a work

impairment expense.  However black shoes because the company requires black

shoes is a work expense but not an impairment related work expense. Hopefully

you can see the difference?  Not all work expenses are work related.  In

regard to transportation everyone needs transportation to get to and from

work.  I was required to provide proof that the need for door to door

transportation was disability related.  Claiming impairment related work

expenses allows you to shelter more income before SSI reduces earnings by 50

cents on the dollar. Terrie

From: cmfinato <cmfinato@...>

Subject: Re: Medicaid and Medicare Eligibility

IPADDUnite

Date: Wednesday, June 1, 2011, 1:57 PM

 

Terrie, thanks for the info.

When I turn in Angel's checks, they don't ask for work related expenses. Angel

reimburses me for driving her to work. Is there a form that I have to fill out?

Thanks

>

>

> From: Kirk Moberg <moberg@...>

> Subject: Re: Medicaid and Medicare Eligibility

> IPADDUnite

> Date: Wednesday, June 1, 2011, 10:40 AM

>

>

>  

>

>

>

> " If the SSDI is less than $694 per month, s/he may receive SSI in

> addition to the SSDI if s/he does not have any other unearned or

> earned income. "

>

> When you say the above, do you mean that the individual can only

> receive SSI in addition to SSDI if she does not work? Or do you mean

> that the individual needs to make less than $1000/month and then can

> receive SSDI and SSI.

>

> Thanks,

> Moberg

>

>

[Guest guest]

sorry, I meant to say not all work expenses are impairment related work

expenses....

From: cmfinato <cmfinato@...>

Subject: Re: Medicaid and Medicare Eligibility

IPADDUnite

Date: Wednesday, June 1, 2011, 1:57 PM

 

Terrie, thanks for the info.

When I turn in Angel's checks, they don't ask for work related expenses. Angel

reimburses me for driving her to work. Is there a form that I have to fill out?

Thanks

>

>

> From: Kirk Moberg <moberg@...>

> Subject: Re: Medicaid and Medicare Eligibility

> IPADDUnite

> Date: Wednesday, June 1, 2011, 10:40 AM

>

>

>  

>

>

>

> " If the SSDI is less than $694 per month, s/he may receive SSI in

> addition to the SSDI if s/he does not have any other unearned or

> earned income. "

>

> When you say the above, do you mean that the individual can only

> receive SSI in addition to SSDI if she does not work? Or do you mean

> that the individual needs to make less than $1000/month and then can

> receive SSDI and SSI.

>

> Thanks,

> Moberg

>

>

[Guest guest]

Thanks Terrie. Angel works at We Grow Dreams. She pays $150 a month for the

program. Is this considered a valid expense?

>

> >

>

> >

>

> > From: Kirk Moberg <moberg@>

>

> > Subject: Re: Medicaid and Medicare Eligibility

>

> > IPADDUnite

>

> > Date: Wednesday, June 1, 2011, 10:40 AM

>

> >

>

> >

>

> >  

>

> >

>

> >

>

> >

>

> > " If the SSDI is less than $694 per month, s/he may receive SSI in

>

> > addition to the SSDI if s/he does not have any other unearned or

>

> > earned income. "

>

> >

>

> > When you say the above, do you mean that the individual can only

>

> > receive SSI in addition to SSDI if she does not work? Or do you mean

>

> > that the individual needs to make less than $1000/month and then can

>

> > receive SSDI and SSI.

>

> >

>

> > Thanks,

>

> > Moberg

>

> >

>

> >

[Guest guest]

From: cmfinato <cmfinato@...>

Subject: Re: Medicaid and Medicare Eligibility

IPADDUnite

Date: Wednesday, June 1, 2011, 4:19 PM

 

Thanks Terrie. Angel works at We Grow Dreams. She pays $150 a month for

the program. Is this considered a valid expense?

>

> >

>

> >

>

> > From: Kirk Moberg <moberg@>

>

> > Subject: Re: Medicaid and Medicare Eligibility

>

> > IPADDUnite

>

> > Date: Wednesday, June 1, 2011, 10:40 AM

>

> >

>

> >

>

> >  

>

> >

>

> >

>

> >

>

> > " If the SSDI is less than $694 per month, s/he may receive SSI in

>

> > addition to the SSDI if s/he does not have any other unearned or

>

> > earned income. "

>

> >

>

> > When you say the above, do you mean that the individual can only

>

> > receive SSI in addition to SSDI if she does not work? Or do you mean

>

> > that the individual needs to make less than $1000/month and then can

>

> > receive SSDI and SSI.

>

> >

>

> > Thanks,

>

> > Moberg

>

> >

>

> >

[Guest guest]

If she is employed there and has to pay a fee to work, then likely yes.  It is

hard to say without knowing Angel's earnings and how this program is related to

her employment.  Best bet is to ask SSI.  Terrie

From: cmfinato <cmfinato@...>

Subject: Re: Medicaid and Medicare Eligibility

IPADDUnite

Date: Wednesday, June 1, 2011, 4:19 PM

 

Thanks Terrie. Angel works at We Grow Dreams. She pays $150 a month for

the program. Is this considered a valid expense?

>

> >

>

> >

>

> > From: Kirk Moberg <moberg@>

>

> > Subject: Re: Medicaid and Medicare Eligibility

>

> > IPADDUnite

>

> > Date: Wednesday, June 1, 2011, 10:40 AM

>

> >

>

> >

>

> >  

>

> >

>

> >

>

> >

>

> > " If the SSDI is less than $694 per month, s/he may receive SSI in

>

> > addition to the SSDI if s/he does not have any other unearned or

>

> > earned income. "

>

> >

>

> > When you say the above, do you mean that the individual can only

>

> > receive SSI in addition to SSDI if she does not work? Or do you mean

>

> > that the individual needs to make less than $1000/month and then can

>

> > receive SSDI and SSI.

>

> >

>

> > Thanks,

>

> > Moberg

>

> >

>

> >