RehabFAQs

what happens to ssdi benefits if you go into a rehab facility

by Jessica Hessel Published 2 years ago Updated 1 year ago

Will I lose my SSI

Social Security Administration

The United States Social Security Administration is an independent agency of the U.S. federal government that administers Social Security, a social insurance program consisting of retirement, disability, and survivors' benefits. To qualify for most of these benefits, most workers pay Social …

if I go to rehab? The Social Security Administration may terminate your benefits if your rehabilitation program gives the agency reason to believe that you will be able to find gainful employment within 12 months, or if your condition improves to the point that an SSA medical examination determines that you are fit for work.

If your rehab program gives the SSA reason to believe that you will be able to obtain gainful employment within 12 months, or your condition improves to the point that an SSA medical examination determines you are fit to work, you may lose your benefits.

Full Answer

What happens to my SSI If I go to a nursing home?

Will I lose my SSI if I go to rehab? The Social Security Administration may terminate your benefits if your rehabilitation program gives the agency reason to believe that you will be able to find gainful employment within 12 months, or if your condition improves to the point that an SSA medical examination determines that you are fit for work.

Does a hospital stay affect SSDI benefits?

Generally, if you enter a nursing home or hospital (or other medical facility) where Medicaid pays for more than half of the cost of your care, your Supplemental Security Income (SSI) benefit is limited to $30 a month. And, in some medical confinement situations, you may not even be eligible for any SSI benefit.

How long can I receive SSI benefits after a medical facility?

Feb 07, 2019 · If you live in a public facility where Medicaid or private health insurance, alone or in combination, pays for more than half the cost of your care, your SSI will not exceed $30 a month plus any supplementary state payments. The SSA may reduce the SSI benefit based on any income you have. This is generally true regardless of age.

How much will my SSI benefits be reduced?

Mar 18, 2010 · 1. People who receive SSDI can continue to receive their SSDI benefits in facilities, whether public or private, unless they are being held there in connection with a crime, e.g., committed to a psychiatric facility after an NGRI. POMS GN 02607.001, 02607.160. 2.

Do living arrangements affect SSDI?

SSDI is designed to pay benefits to you or certain family members if you're disabled and if you have worked for a long enough time. You also have to have paid Social Security taxes recently enough. In the case of SSDI, your living arrangements likely won't have an impact on your SSDI benefits.Nov 15, 2019

What can affect your SSDI benefits?

Any change in your employment situation or your overall financial circumstances can therefore affect your eligibility for SSD or the amount of your monthly benefit payments.Financial Circumstances and SSD Benefits. ... Employment Income. ... Other Disability Benefits. ... Marital Status or Family Income. ... Retirement Benefits.

Can SSDI benefits be taken away?

SSDI benefits are only awarded to people who meet the SSA's definition of disabled. If the SSA believes you no longer meet the definition of disabled, they will terminate your SSDI benefits immediately.Jun 5, 2020

How long can you stay on SSDI?

To put it in the simplest terms, Social Security Disability benefits can remain in effect for as long as you are disabled or until you reach the age of 65. Once you reach the age of 65, Social Security Disability benefits stop and retirement benefits kick in.Feb 9, 2022

What reduces SSDI?

SSDI benefits will be reduced if the combination of the SSDI benefit plus SDI or any other disability benerfit exceeds 80% of what SSA considers average current earnings. For more information about how SSA calculates this, see How Workers' Compensation And Other Disability Payments May Affect Your Benefits.

How much money can you have in the bank on Social Security disability?

To get SSI, your countable resources must not be worth more than $2,000 for an individual or $3,000 for a couple. We call this the resource limit. Countable resources are the things you own that count toward the resource limit. Many things you own do not count.

Do I have to see a doctor to keep SSDI?

As part of the SSA's requirements for Social Security disability insurance (SSDI) benefits or Supplemental Security Income (SSI), you must be diagnosed with a medical condition ("impairment") by a licensed doctor or psychologist.

At what age does SSDI reviews stop?

age 65If you receive benefits until age 65, your SSDI benefits will stop, and your retirement benefits will begin. In other words, your SSDI benefits change to Social Security retirement benefits. Sometimes, SSDI benefits will stop before age 65.

How often does Social Security disability review your case?

If improvement is expected, your first review generally will be six to 18 months after the date you became disabled. If improvement is possible, but can't be predicted, we'll review your case about every three years. If improvement is not expected, we'll review your case every seven years.

What is considered to be a permanent disability?

Permanent disability (PD) is any lasting disability from your work injury or illness that affects your ability to earn a living. If your injury or illness results in PD you are entitled to PD benefits, even if you are able to go back to work.

What happens to my Social Security disability when I turn 62?

You will not need to do anything in order to convert your disability benefits to retirement benefits. SSA will automatically convert your benefits once you have reached full retirement age. You may not notice a change at all since the amount of benefits will remain the same.May 28, 2020

Which is better SSI or SSDI?

SSDI usually pays higher benefits than SSI. The average SSDI payment in 2022 is $1,358, while the average SSI payment is only $586 per month.

How long can I be in the hospital for SSI?

If you will be in the hospital for 90 days or less, you can continue receiving your regular SSI benefits for up to 3 full months. However, you must give certain information: A doctor must state, in writing, that you will be in the medical facility for 90 days or less, and.

How long can I receive SSI?

If you will be in the hospital for 90 days or less, you can continue receiving your regular SSI benefits for up to 3 full months. However, you must give certain information:#N#A doctor must state, in writing, that you will be in the medical facility for 90 days or less, and#N#Someone that knows about your situation must state that you require your regular SSI payments for home and living arrangements while you are in the medical facility. 1 A doctor must state, in writing, that you will be in the medical facility for 90 days or less, and 2 Someone that knows about your situation must state that you require your regular SSI payments for home and living arrangements while you are in the medical facility.

How much does SSI cost if you have Medicaid?

If you live in a public facility where Medicaid or private health insurance, alone or in combination, pays for more than half the cost of your care, your SSI will not exceed $30 a month plus any supplementary state payments.

When do you have to give Social Security information?

You should give this information to the Social Security Administration as soon as possible and no later than the 90th day of your hospital stay.

Can Social Security benefits change without you knowing?

As if the Social Security Administration (SSA) couldn’t be confusing enough, there are specific circumstances under which your social security benefits could change without you even knowing. Hospitalization is one such circumstance.

Can you get SSI if you live in a public facility?

a psychiatric facility or nursing home where Medicaid or private health insurance, alone or in combination, does not pay for more than half the cost of your care, you are ineligible for SSI. This is generally true regardless of age.

Does SSDI hospital stay affect SSDI benefits?

SSDI. Generally speaking, SSDI hospital stay does not affect SSDI benefits. People receiving SSDI can continue receiving their benefits while living in a public facility such as a hospital or psychiatric facility unless they are there as a result of committing or being an instrument of a crime. For example, being in a jail or prison may result in ...

Can I continue to receive SSDI?

1. People who receive SSDI can continue to receive their SSDI benefits in facilities, whether public or private, unless they are being held there in connection with a crime, e.g., committed to a psychiatric facility after an NGRI. POMS GN 02607.001, 02607.160. @dlc-ma.org>. 2.

Can you get SSI while living in a hospital?

People who receive SSI are eligible for SSI while living in a medical treatment institution, including a psychiatric hospital, or nursing home where Medicaid payment is 50% or more. The payment rate, however is not the full SSI payment rate. 20 CFR 416.211 (b).

How much is SSI if you live in a nursing home?

According to Social Security, if you enter a nursing home or hospital (or other medical facility) where Medicaid pays for more than half of the cost of your care, your SSI benefit is limited to $30.00 per month.

How much is SSI for a child?

If a child under age 18 enters a nursing home, hospital or other medical facility where Medicaid and/or private health insurance pays for more than half of the cost of care, the child’s SSI benefit is limited to $30 a month (plus any supplementary State payment).

What is TI in Social Security?

Social Security refers to benefits paid under §1611 (e) (1) (G) as temporary institutionalization (TI) benefits. Often times the answer depends on the type of living arrangement and facility you are living in.

Can Social Security reduce SSI?

Social Security may reduce the SSI benefit by any income the child may have. If a child under age 18 lives in a public facility where neither Medicaid nor private health insurance, either alone or in combination, is paying for more than half of the cost of care, the child is not be eligible for any SSI benefit.

How much is SSI for nursing home?

Your SSI benefit will be reduced to $30/month for individuals or $60/month for a married couple who both receive SSI. Some states supplement this amount and allow you to keep more.

How much does SSI cost for spouse in nursing home?

Instead of receiving the couple rate of $1,191/month, you will start to receive the individual rate of $794/month.

What to ask nursing home staff about SSI?

Nursing home staff are usually good sources of information about Medicaid and Social Security benefits for residents. If you are leaving a nursing home, ask the nursing home staff about SSI's prerelease procedures so can get your full SSI benefit back as soon as you get home. SSI recipients who have questions about their benefits can also contact ...

How much is the extra $423/month for SSI?

For instance, California adds a extra $423/month to individuals living in non-medical out-of-home care (either a facility or a relative's house) to supplement the federal SSI payment, for a monthly total of $1,217. Alaska adds $100/month, for a monthly total of $894. In some states, the SSI state supplement is paid directly to the facility.

How much does Alaska add to SSI?

Alaska adds $100/month, for a monthly total of $894. In some states, the SSI state supplement is paid directly to the facility.

Can a child receive SSI if they live in a nursing home?

The rules for children who receive SSI are more generous: children are eligible for the $30 reduced payment if they live in a nursing home where either Medicaid or private insurance pays for more than half the cost of care. Spouse needing nursing home care. If both you and your spouse receive SSI, you will continue to receive SSI ...

Can I get SSI if I live in a nursing home without Medicaid?

Public nursing home without Medicaid. If you live in a public medical facility where Medicaid does not pay for more than half of your care, then you are not eligible for any SSI benefit. Private nursing home. If you are living in a private care facility that does not accept Medicaid, then you can keep your SSI, ...

How long does it take to get into an inpatient rehab facility?

You’re admitted to an inpatient rehabilitation facility within 60 days of being discharged from a hospital.

What is part A in rehabilitation?

Inpatient rehabilitation care. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.

What is the benefit period for Medicare?

benefit period. The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. A benefit period begins the day you're admitted as an inpatient in a hospital or SNF. The benefit period ends when you haven't gotten any inpatient hospital care (or skilled care in a SNF) for 60 days in a row.

Does Medicare cover private duty nursing?

Medicare doesn’t cover: Private duty nursing. A phone or television in your room. Personal items, like toothpaste, socks, or razors (except when a hospital provides them as part of your hospital admission pack). A private room, unless medically necessary.

Does Medicare cover outpatient care?

Medicare Part B (Medical Insurance) Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

What happens if you move into a nursing home without planning?

Absent planning, what typically happens is that the person who moves into a nursing home quickly spends down all his or her assets, and then, once impoverished, is put on the Medicaid program.

How much money can you keep on medicaid?

The only exception that always applies is that Medicaid will allow you to keep the first $60 of your money each month to pay for your “Personal Needs,” such as the beauty shop, or postage stamps, or for the phone in your room. Medicaid also allows a few other exceptions.

Why do you need to show income to your spouse?

You may be able to show that your income is needed by your spouse or a dependent child. You may need your income to pay off old medical bills. Or, if you will only be in the nursing home for a short period of time, you may need your income to pay the costs of keeping up your home or apartment while you are gone.

How much does a nursing home cost?

Most of us now know how expensive nursing homes are, $90,000 a year or more, and we know that few people have the resources to pay this for long. Absent planning, what typically happens is that the person who moves into a nursing home quickly ...

Can I use my monthly income to pay for nursing home?

If you have existing unpaid medical bills, and go into a nursing home and receive Medicaid, the program may allow you to use some or all of your current monthly income to pay the old bills, rather than just to be paid over to the nursing home, ...

Does Medicaid pay for nursing homes?

The basic rule is that all your monthly income goes to the nursing home, and Medicaid then pays the nursing home the difference between your monthly income, and the amount that the nursing home is allowed under its Medicaid contract.

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