What You Need to Know About Applying for SSDI or SSI
Determining which program and applying for disability benefits through SSDI or SSI can be daunting. Here is a brief overview...
Read moreSupplemental Security Income (SSI) is a program offering public assistance to seniors or individuals with disabilities who have limited income and resources. This federal program helps millions of people across the United States pay for food, clothing, and shelter. It also is a key avenue to Medicaid coverage.
Many tend to confuse the SSI benefits program with Social Security Disability Insurance (SSDI). The Social Security Administration (SSA) administers both programs. However, one of the main differences between the two is that SSDI does not use income to determine eligibility.
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SSDI is available to people with disabilities no matter how much money they have. They may have acquired a disability later in life. If this is the case, money they earned before becoming disabled will not disqualify them from SSDI. (They may face limits on their income from work after qualifying for benefits.)
SSI is a “means-based” program, placing strict limits on a recipient’s income and assets. In most states, someone receiving SSI who gets even $1 from the program also qualifies for Medicaid health coverage. This can in fact prove far more valuable than the SSI benefit itself.
Because the program’s income and resource limits are so restrictive, it pays to know about its basics. Do your research before deciding whether it is right for you or your family member.
SSI recipients must be disabled, blind, or over age 65. This first requirement is often the hardest for applicants to meet. In large part, this is because the federal government’s definition of disabled is so narrow.
SSI applicants with a disability seeking benefits must show they are effectively unable to work at any job whatsoever. According to the SSA, the applicant must have a “medically determinable” physical or mental impairment. This impairment must make it impossible for them to engage in any substantial gainful activity (SGA). Their disability also must be likely to last for longer than 12 months or else result in death.
If an adult applicant is able to engage in SGA, then they will typically not be eligible for SSI. An applicant under age 18 must have a physical or mental impairment that results in marked, severe functional limitations. They, too, must have a disability likely to last longer than one year or result in death.
Once an SSI applicant has shown that they are disabled, they must also prove that they have less than $2,000 to their name.
Certain assets may count as a resource against this limit. A resource would include any funds held in the applicant’s bank accounts, retirement accounts, or in cash. Their home will not count as an available resource, and their car is also exempt.
The applicant may have set up a trust. However, if the trust does not meet specific requirements, the trust funds may also count against the $2,000 limit. To set up a trust correctly, work with a special needs planning attorney.
The $2,000 resource limit does not disappear once a person qualifies for SSI. If the recipient ends a month with more than $2,000 in their name, they will lose their benefits in the following month.
SSI recipients receive a modest monthly benefit. In 2024, the maximum monthly federal benefit for SSI payments for an individual is $943. (Many states add a small supplement to this.) This sum, however, may be lower if the recipient has any countable income.
Note that SSI benefits reduce by $1 for each dollar of unearned income the individual receives. This can include interest or dividends. It also reduces by $0.50 for each dollar of earned income, such as wages.
The income of the people living with the SSI recipient can also count against them. If the SSI recipient’s combined income reduces their SSI benefit to zero, they lose SSI. If they lose SSI, they also lose any Medicaid benefits that may come with it.
As noted above, SSI’s income and asset rules are highly restrictive. However, certain trusts exist that can protect an SSI recipient’s assets without jeopardizing their benefits. These special needs trusts (or supplemental needs trusts) come in different varieties.
Relatives and friends of the SSI recipient can also set up a trust for them and fund it with their own money. If properly structured, these trusts will allow the individual to continue receiving benefits.
Unfortunately, a poorly drafted special needs trust can destroy any hopes an applicant has of ever qualifying for SSI.
The Supplemental Security Income program is essential for millions, but it has a complex set of rules. Most attorneys who do not focus on this practice area have trouble understanding all the ins and outs.
A special needs planner has the necessary expertise in this area. They can guide you or your family through the process of obtaining and maintaining SSI benefits.
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