Overview of Disability

Disability Back Pay

Disability Requirements

Disability Applications

Disability Advice Tips

How long do cases take?

How to win Disability

SSD Mistakes to avoid

Disability for Mental

What if you get denied?

How to file Appeals

Disability through SSA

SSI Disability Benefits

Disability for Children

How do I qualify for it?

Working and Disability

Disability Award Notice

Disability Lawyer Q&A

Disability Conditions List

What is a disability?

Your Medical Evidence

Filing for your Disability

Disability Eligibility

SSD SSI Definitions

Recent Questions

SSDRC Disability Blog

Why doesn't Social Security Disability provide automatic medical care when SSI does?

Why do you automatically get medical care on SSI but not disability? Don't you need it just as much if not more if you are disabled?

For those who are unaware, I will first say that individuals who are approved for title 16 SSI disability benefits will get medicaid benefits. SSI is a need-based program that takes into account a person's assets and income. In essence, it is a poverty program and that is why medicaid is involved.

A person who is approved for title II disability benefits, i.e. Social Security Disability benefits, will receive medicare, but not necessarily immediately. There is a two year waiting period that may (or may not) affect when a person may begin to receive medicare coverage. It depends on how far back a person's established date of onset is, and when they first applied for disability benefits.

Suffice it to say, because the application and appeal process can literally go on for years, some individuals who are approved for SSD will have already "served out" the 2 year waiting period and will not actually have to go through the wait for medicare. For some individuals who are approved for SSD, there will be a lengthy wait (ironically, this will tend to the case for individuals who get approved fairly soon after they file an initial claim, without having to go through the appeal process).

But, to answer your question, Yes you do need it just as much. Unfortunately, it is just the way Congress set Social Security disability up so many years ago. They set up a two year wait for Medicare coverage which is counted from the month you are first eligible to receive a disability payment. They also set up a five month waiting period that essentially confiscates an approved individual's first five months of benefit checks.

I have often wondered why it was ever set up that way. It seems very unfair. Unfortunately, there are few in Congress these days who seem to act as real advocates for individuals who have significant and limiting medical impairments that affect them on a daily basis.

Return to:  Social Security Disability Resource Center, or read answers to Questions

Related pages:

If You Get Approved For SSDI Will You Also Get Medicare?
If you are applying for Social Security disability when does Medicare start?
Do I automatically receive Medicare benefits if I'm approved for disability benefits? (not SSI)
Social Security Disability Health Coverage
Do you get medical healthcare benefits with Social Security disability?
The Social Security Medicare 24 Month Waiting Period
How do you get meds in the two wait for Medicare after an Approval for Disability?
Does Social Security disability pay for medicine prescriptions?
Why doesn't Social Security Disability provide automatic medical care when SSI does?
Do you get medical health care coverage with SSI?

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 provide answers to basic questions about pursuing disability benefits

What is qualifying for disability based on?
What do you Need to Prove to Qualify for Disability Benefits?
Social Security Disability Status - when should I call to check
How do you prove your disability case if you have a mental condition?
What are the SSI disability qualifications for Adults and Children?
How Likely are You to Win Your Disability Case?
What Can I Do to Improve My Chances of Winning Disability Benefits?
Working while getting Disability - Is it Possible?
What is Social Security Back Pay?
What is the maximum back pay you can get for Social Security disability?