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Have No Fear: Work & Healthcare. Things You Need To Know …. When You Work & Are On SSI Or SSDI : You Won’t Lose Your Health Coverage! The Type Of Insurance & Cost Of It May Change, But Will Still Be Available! Your Employer May Offer You Health Insurance!. - PowerPoint PPT Presentation
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www.WorkWithoutLimits.org 1
Have No Fear:Work
& Healthcare
www.WorkWithoutLimits.org 2
Things You Need To Know …
When You Work & Are On SSI Or SSDI:
You Won’t Lose Your Health Coverage!
The Type Of Insurance & Cost Of It
May Change, But Will Still Be Available!
Your Employer May Offer You
Health Insurance!
www.WorkWithoutLimits.org 3
Supplemental
Security Income (SSI)
Work + Health Coverage
www.WorkWithoutLimits.org 4
& Health Coverage …SSI
Dental Care In/Outpatient Care
Vision Care Long-Term Care, etc.
SSI Recipients Are Automatically Enrolled Into MassHealth Standard.
Eligibility Is Based On Household Income.
FREE Comprehensive Coverage Includes: Dental Care In/Outpatient Care
Vision Care Long-Term Care, etc.
FYI All coverage under MassHealth Standard is free except for prescription
copayments and copayments for certain services.
www.WorkWithoutLimits.org
If Your SSI Cash Payments Ever Stop Due
To Your Work Income, Your MassHealth
Standard Is Indefinitely…
SSI ,Work, & MassHealth
AS LONG AS:
→ Remain SSI Eligible
→ You Still Need It
→ Income < $39K/Year
SAFEUnder 1619(b)!
www.WorkWithoutLimits.org
Word of Advice:
Make Sure To Check With Social Security
That They Place You In 1619(b)
Whenever Your SSI Payments Stop
Due To Work Earnings!
1619(b) Extended Medicaid Coverage
To Find Your Nearest Social Security Office, Visit:
https://secure.ssa.gov/ICON/main.jsp
Or Call 1-800-772-1213
www.WorkWithoutLimits.org 7
If You Ever Become Ineligible For MassHealth Standard Or1619(b), You Can Always Get The Same Care Through
MassHealth CommonHealth.
To Qualify You Must Meet One Of The Following:
• Working At Least 40 Hours/Month Or,
• Worked At Least 240 Hours In The Last 6 Months Before Applying Or,
• If You Aren’t Working, Meet A One-time Deductible Based On Income
& MassHealth CommonHealth
SSI
*If You Qualify, You Will Have To Pay A Sliding-Scale Premium Based On Your Household Income.
www.WorkWithoutLimits.org 8
Social Security
Disability Insurance (SSDI)
Work + Health Coverage
www.WorkWithoutLimits.org 9
SSDI Recipients Are Enrolled Into Medicare Parts A& B After 2 Years Of Receiving SSDI.
Coverage Includes Parts:
& Health CoverageSSDI
A B D
Hospital Insurance:
Hospitalization Care
Drug Coverage:
Prescription Drug Costs
Outpatient Visits:
Doctor Appointments
www.WorkWithoutLimits.org 10
FYIMost SSDI Recipients Apply For
MassHealth While Waiting For Their Medicare To Kick In!
& MedicareSSDI
www.WorkWithoutLimits.org 11
2014 Facts:SSDI + Medicare + You
A
B
• Coverage Is NOT Optional
• There Is No Premium = No Cost For You
• Coverage IS Optional
• If You Choose Part B, You May Qualify For Help Paying Your Premium Through A Medicare Savings Program
•If You Don’t Qualify For This Help, The $105 Monthly Part B Premium Will Be Deducted From Your SSDI Payment
www.WorkWithoutLimits.org 12
D• To Avoid A Penalty, You MUST Choose A Medicare Part D Drug Plan Within 3 Months Of Getting Parts A & B
• If You’re In A Medicare Savings Program, Have MassHealth Standard, or CommonHealth, You Get Full Extra Help Paying Your Part D Premium Under Either:
-AARP MedicareRx Saver Plus -HealthMarket Value Rx-Aetna CVS/Pharmacy Prescription Drug Plan -Humana Preferred Rx Plan-Cigna Medicare Rx Secure -WellCare Classic
• If Ineligible For Full Extra Help, You Can Still Apply For Partial Extra Help At Your Local Social Security Office
2014 Facts:SSDI + Medicare + You
www.WorkWithoutLimits.org 13
The Extended Period Of Medicare Coverage Allows An SSDI
Beneficiary To Continue Their Medicare Coverage Even After
Their SSDI Benefits Stop Due To Work Income.
So After Your Trial Work Period Ends, It Will Provide You With Up To 7+ Years Of Medicare Coverage After The 1st Time Your
SSDI Check Stops Due To Work Income
Basically, This Means You’re Covered For A Long, Long Time Even When You Work!
, Work & Medicare … SSDI
www.WorkWithoutLimits.org 14
Health Coverage
For Both
SSDI & SSI Recipients
www.WorkWithoutLimits.org
Having Both MassHealth & Medicare Can Be Complicated, But Now One Care Is Here To The Rescue!
Under One Care You’ll Get The Benefits You Already Have, Plus:
To Inquire About One Care, Call 1(800) 841-2900
SSI&
SSDI
A Choice Of Health Plans Your Choice Of Doctors 1 Person To Coordinate Your Care More Behavioral Health Services
Dental & Vision Services All Prescriptions Through 1 Plan Home-based Services Peer Support Services
www.WorkWithoutLimits.org
MassHealth, Medicare orPrivate Health Insurance …
If Your Employer Offers You Health Insurance, You Should:
• Compare Coverage & Price Of The Private Plans vs. Your Current MassHealth & Or Medicare Plans
• Choose The Most Affordable Mix Of Health Plans That Will Best Suit Your Needs
• Contact SHINE (Serving The Health Insurance Needs Of Everyone), A Program That Provides Health Insurance Information, Counseling And Assistance → Call 1-800-243-4636 & dial #3
www.WorkWithoutLimits.org 17
REMEMBER!
Work + Healthcare =
