Social Security Disability Definitions
Social Security Disability and SSI Overview
The Requirements for Disability
Social Security Disability and SSI Applications
Tips and Advice for Disability Claims
How long does Disability take?
Common Mistakes after Receiving a Disability Denial
Social Security Disability and SSI Denials
Social Security Disability and SSI Appeals
Social Security Mental Disability Benefits
Disability Benefits offered through Social Security
Benefits through SSI disability
Disability Benefits for Children
Disability Qualifications and How to Qualify
Social Security Disability and Working
Winning your Disability Benefits
Social Security Disability Back Pay Benefits
Social Security Disability SSI Awards and Award Notices
Disability Lawyers and Hiring an Attorney
Social Security Disability SSI List of Conditions
What is considered a Disabling condition by Social Security?
Social Security Disability SSI and Medical Evidence
Filing for Disability Benefits
Eligibility for Disability Benefits
SSDRC authored by Tim Moore
Ask a question, get an answer
If you get Social Security disability benefits do you get Medicare or Medicaid?
Both the social security disability and SSI disability programs have some provision for medical coverage. But those provisions are very different from each other. If you get approved for SSI disability, then you will receive medicaid benefits.
Medicaid may vary between individual states since medicaid benefits are state-supported (though the states receive money from the federal government to fund their medicaid programs). But medicaid will generally pay for a certain minimum number of prescriptions per month and doctor visits per year.
For example, in the state of North Carolina, medicaid for disabled adults will pay for up to six prescriptions per month and 24 doctor visits per year.
Individuals who approved for SSI disability will receive medicaid from the time they are approved for SSI. There is no waiting period. This is not the case for individuals who are approved for social security disability benefits.
Claimants who are approved for SSD, or social security disability benefits will receive medicare instead of medicaid. But they may not necessarily have medicare available from the moment they are approved for social security disability. This is because SSD has something known as the two year waiting period for medicare.
What does it mean when we say "two year waiting period for medicare". This means that a person's determined eligibility for social security disability benefits must be in existence for 24 months before medicare will "kick in" so to speak.
Does this always mean that a person who has been approved for SSD (perhaps, for example, after a hearing before a judge) will have to wait two entire years before they utilize medicare? Not necessarily. The two year medicare waiting period begins at the point in time at which a person is actually eligible to receive a social security disability check.
However, because the established onset date for a person's disability (i.e. when the disabling condition began according to the social security administration's interpretration of the medical records) can often be set very far back in time, and additionally because disability claims can take several years to resolve, it is often the case that the two year waiting period is completed by the time a person receives the notice of award for their disability claim.
Return to: Social Security Disability Resource Center, or read answers to Questions
Information on the following topics can be found here: Social Security Disability Questions and in these subsections:
Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI
These pages answer some of the most basic questions for individuals who are considering filing a claim.
Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security
How to Apply for Disability - What medical conditions can you apply and qualify for?
Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?
What happens if I file a disability application and it is denied by a disability examiner or Judge?
How to Prove you are disabled and qualify to win disability benefits
How do you prove your disability case if you have a mental condition or impairment?
Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it
Social Security Disability SSI - Eligibility Requirements and Qualifications Criteria