When Am I Eligible for Social Security Income (SSI) and Medicaid Benefits?

Medicare coverage for Supplemental Security Income (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. Claimants who are approved for Social Security disability insurance (SSDI) benefits will receive Medicare and are eligible to receive Medicare benefits two years after their date of entitlement.

In most states when a claimant is approved for Supplemental Security Income (SSI) they are also automatically approved for Medicaid benefits. However, there are a few states that are exceptions to this rule. Those states are: Connecticut, Hawaii, Illinois, Minnesota, Missouri, New Hampshire, North Dakota, Ohio, Oklahoma, and Virginia. There may be a lower income or asset limit for the Medicaid program in these states so they make their own Medicaid determinations. Also note that Medicaid is a needs-based, state and county administered program.

Claimants approved for both SSDI and SSI should consult their local Social Security office regarding their Medicare/Medicaid eligibility.

If you have additional questions, reach out to Viner Disability Law.