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How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay

Do You Get Medicare Or Medicaid From Social Security Disability in Texas?



 
Generally speaking, any individual in Texas who is entitled to A) receive Supplemental Security Income (SSI) or B) receive both Social Security Disability and SSI disability (concurrent benefits) will be entitled to Medicaid at the month of their entitlement to disability.

In the case of beneficiaries receiving SSI disability only, the date of filing is generally the date of disability entitlement, thus the entitlement date for Medicaid.

Two things to point regarding medicaid.

1) Medicaid is a need based medical insurance program; consequently any individual who receives Medicaid must meet income and resource (asset) limits.

2) If a Social Security Disability beneficiary has a low benefit amount, they may still be able to qualify for Medicaid, even if their disability benefit is too high to be concurrently entitled to SSI.

Medicare, like Social Security Disability, is based upon an individual’s insured status, not simply income and resources. If an individual is approved for Social Security Disability benefits, they will not be eligible to receive Medicare insurance benefits for two years following the first month they became eligible to receive their disability benefits.

Another way of putting it is that an SSD beneficiary in Texas will have coverage for medicare after A) the five month waiting period has been served (this five month period applies only to Social Security Disability, not SSI) and B) after the 2 year or 24 month waiting period for medicare has been served.

Some claimants who have been approved for Social Security Disability will have a gap time period in which they have no coverage under medicare, due to these waiting periods. However, because many Social Security Disability claims literally take years to finish (from the disability application to the reconsideration appeal, to the disability hearing, etc), many claimants will have already served these waiting periods by the time they finally receive notification that their disability claim has been approved.

Things to remember regarding medicare:

1) Once an individual is entitled to Medicare part A and B benefits, they are eligible to enroll in part C and D.

2) Medicare offers part C and D premium programs to help with prescriptions and medical expenses that are nor covered by parts A and B.

3) Medicare parts C and D are not free, so there is an additional monthly premium involved.

4) Medicare does offer help with the additional premium cost if an individual meets the income and resource limit for the Medicare part C and D subsidy program.

In conclusion, if you are approved for Social Security Disability only with no ongoing SSI disability entitlement and you have health insurance, do not give up your coverage if possible. You will not be eligible for any Medicare for two years after your date of entitlement to Social Security benefits.

Additionally, check with your local Social Services office to see if you might be entitled to Medicaid even if your Social Security benefit is a little too high for SSI benefits.








Essential Questions

What is the Social Security Disability SSI list of impairments?

Can you work while getting or applying for Disability?

How Often Does Social Security Approve Disability The First Time You Apply?

Tips for getting Social Security Disability or SSI benefits approved

What medical conditions will get you approved for disability?

What kind of Mental Problems Qualify for Disability?

Receiving a Disability Award Letter

Conditions Social Security will recognize as a disability

Previously answered questions regarding SSD and SSI

Applying for disability in your state



Most popular topics on SSDRC.com

Social Security Disability SSI Questions

The listings, list of disabling impairments

Can a mental illness qualify you for disability?

Disability Lawyers prevent unnecessary denials

How much Social Security Disability SSI back pay?

How to apply for disability for a child or children

Filing a Social Security Disability SSI application

Filing for disability - when to file

How to apply for disability - where to apply

Qualifications for disability benefits

How to Prove you are disabled and Win your Disability Benefits

Qualifying for Disability - The Process

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Common Mistakes to avoid after being denied for Disability

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Related pages:

Is it difficult to get an approval for SSI Disability in Texas?
How often will my disability claim be reviewed in Texas?
Do You Get Medicare Or Medicaid From Social Security Disability in Texas?
Does Social Security Disability have a Time Limit for Receiving Benefits in Texas?
If you are on Social Security Disability or SSI disability in Texas should you try to work?
If You get Disability Benefits in Texas, will Your Dependents get a Check?
What if you get Disability Benefits in Texas and move to another state?
If My Doctor Gives Me a Letter Will I Get Disability in Texas?
If I Get Social Security Disability in Texas Will They Cut Off My Benefits Later?
Can I Get Disability in Texas if I Have Not Worked Before?
If your Texas disability claim is turned down, you can file an appeal with social security
Who is eligible for Social Security Disability or SSI Disability in Texas?



These pages provide answers to basic questions about pursuing disability benefits

What to Prove to Qualify for Disability Benefits
Applying for disability benefits, SSI and SSDI
What Disabilities Qualify for SSI and Social Security Disability?
How does back pay for Social Security Disability work?
Social Security Disability And SSI Qualifications
Permanent Disability Qualifications for SSD and SSI
Status of your Social Security Disability or SSI case
Disability lawyer representation, finding lawyers
What is qualifying for disability based on?
How to qualify for disability, qualifying for Benefits
Qualifications for Disability Benefits
How long does it take to get disability after applying?
Disability application, how to file in Texas
Texas disability requirements
Eligibility and qualifying for disability in Texas
What are the qualifications for disability in Texas?
Will I Qualify For Disability Benefits in Texas?
Getting a Texas disability lawyer, attorney, or advocate








For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.

The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.

To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.