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Have No Fear: Work & Healthcare

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!.

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Have No Fear: Work & Healthcare

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  1. Have No Fear: Work & Healthcare

  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!

  3. Supplemental Security Income (SSI) Work + Health Coverage

  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.

  5. ,Work, & MassHealth SSI SAFE Under 1619(b)! • AS LONG AS: • Remain SSI Eligible • You Still Need It • Income < $39K/Year If Your SSI Cash Payments Ever Stop Due To Your Work Income, Your MassHealth Standard Is Indefinitely…

  6. 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 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!

  7. & MassHealth CommonHealth SSI If You Ever Become Ineligible For MassHealth Standard Or 1619(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 *If You Qualify, You Will Have To Pay A Sliding-Scale Premium Based On Your Household Income.

  8. Social Security Disability Insurance (SSDI) Work + Health Coverage

  9. & Health Coverage SSDI • SSDI Recipients Are Enrolled Into Medicare Parts A& B After 2 Years Of Receiving SSDI. • Coverage Includes Parts: A B D Hospital Insurance: Hospitalization Care Drug Coverage: Prescription Drug Costs Outpatient Visits: Doctor Appointments

  10. & Medicare SSDI • FYI • Most SSDI Recipients Apply For MassHealth While Waiting For Their Medicare To Kick In!

  11. 2014 Facts: SSDI + Medicare + You A • 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 B

  12. 2014 Facts: SSDI + Medicare + You 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

  13. , Work & Medicare … SSDI The Extended Period Of Medicare CoverageAllows 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!

  14. Health Coverage For Both SSDI & SSI Recipients

  15. 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 Having Both MassHealth & Medicare Can Be Complicated, But Now One CareIs 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

  16. 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

  17. REMEMBER! Work +Healthcare =

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