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Medicare v. Medicaid: Medical Benefits and Social Security

Waukesha Medicare Benefits Attorneys

Wisconsin Medicare Eligibility Lawyers

When applying for Social Security benefits, appropriate medical treatment is necessitated by your health condition and is indispensable to your disability benefit case. It is important to understand the additional benefits to which you will be entitled upon determination of your Social Security benefits case.

Individuals who qualify for Social Security Disability (SSD) or Supplemental Security Income (SSI) may also be eligible for government-funded medical benefits. To learn more about Medicare or Medicaid, or to discuss your case with our experienced Waukesha Medicare benefits attorneys at D'Angelo & Jones, LLP, contact us to schedule an initial consultation.

Supplemental Security Income (SSI) and Medicaid Eligibility

Medicaid is a health insurance program that is jointly funded by federal and state resources. To be eligible for Medicaid, an individual must be 65 or older, blind or disabled, and be a U.S. citizen or legal immigrant. Additionally, an individual must meet the Medicaid income eligibility requirements.

Wisconsin is one of 32 states and the District of Columbia that automatically provides Medicaid benefits to individuals eligible for SSI payments once they are determined disabled by the federal government. For those individuals filing for SSI in Wisconsin, the SSI application and Medicaid application are one and the same. Individuals can apply for Medicaid benefits through the state prior to receiving a determination on their SSI benefits, or in lieu thereof, but will then have to be determined disabled by the state under a separate review process.

Medicaid coverage can continue even if the recipient no longer qualifies for SSI as long as that person still meets the income requirements for Medicaid.

Social Security Disability Income (SSDI) and Medicare Eligibility

Medicare is a federally funded health insurance program for people over the age of 65, under the age of 65 and disabled, or in the end stages of kidney disease or failure. Because disability is a prerequisite for most Medicare applicants, individuals will become eligible for Medicare benefits within 24 months of becoming eligible for SSDI benefits.

Applicants are automatically enrolled in both Medicare Part A and Medicare Part B. Medicare Part A covers most inpatient services, but does not cover outpatient services and preventative care. Medicare Part B covers outpatient services, preventative care and other medical services or supplies not covered under Medicare Part A. However, most people pay a monthly premium for coverage under Medicare Part B. Medicare participants have the option of not electing to receive benefits under Medicare Part B. For more information on Medicare benefits, please visit www.medicare.gov.

Experienced Wisconsin Lawyers

If you have questions regarding your eligibility for medical benefits or need assistance with your Social Security Disability claim or appeal, consult with an experienced Social Security law attorney at D'Angelo & Jones. Our AV-rated* law firm focuses on education, personal attention and service. Contact us to schedule a free one-half hour consultation with a lawyer.

*CV, BV and AV are registered certification marks of Reed Elsevier Properties Inc., used in accordance with the Martindale-Hubbell certification procedures, standards and policies.

Martindale-Hubbell is the facilitator of a peer review rating process. Ratings reflect the confidential opinions of members of the Bar and the Judiciary. Martindale-Hubbell Ratings fall into two categories - legal ability and general ethical standards.

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