Have No Fear: Work & Healthcare

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!

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Supplemental

Security Income (SSI)

Work + Health Coverage

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& 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.

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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)!

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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

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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.

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Social Security

Disability Insurance (SSDI)

Work + Health Coverage

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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

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FYIMost SSDI Recipients Apply For

MassHealth While Waiting For Their Medicare To Kick In!

& MedicareSSDI

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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

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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

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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

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Health Coverage

For Both

SSDI & SSI Recipients

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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

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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 =