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Thread: SSI Medicaid will not cover me if I'm out of State?

  1. #31
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    Quote Originally Posted by reedyd
    i am not sure of your expertise on medicare and medicaid but i have had both.
    i was injured at 17 i had worked enough quarters to recieve a almost 100 percent SSDI check. i had only worked long enough to get about 97 percent ssdi and a small ssi check therefore making me eligible for both medicare and medicaid.
    the medicare paid 80 percent and the medicaid paid the rest.
    plus i got 3 meds a month with the medicaid.
    you can only draw benefits under a parent if they are deceased.
    Norm thanks for the information about medicaid
    never had hear of it
    what i post i know from experience
    the laws maybe changed
    always get expert advice and be cautious of that



    even if you are say 33 years old and a parent passes away
    you can opt to collect their ssdi check if it is more than yours.
    a close quad friend of mine had broke his neck at 17 and he was collecting ssi
    his dad died with cancer and he applied for to receive his dads benefits
    his check went to the max for ssdi eligibility.

    thanks
    I have had both also and I also post from experience as I was injured at 20. The laws have changed since 1989 when I became eligible. I had just enough work credits to draw $200 a month SSDI and I got SSI in an amount to equal $550 for a month.

    If you do not work and get work credits....you are not entitiled to Medicare. That is why Norm only has Medicaid.

    Medicaid is a health care program for people with low incomes and limited resources. In most states, children who get SSI payments qualify for Medicaid. In many states, Medicaid comes automatically with SSI eligibility. In other states, you must sign up for it. And some children can get Medicaid coverage even if they do not qualify for SSI. Check with your local Social Security office, your state Medicaid agency, or your state or county social services office for more information.
    Medicare is a federal health insurance program for people age 65 or older and for people who have been getting Social Security disability benefits for at least two years.
    There are two exceptions to this rule. Your child can get Medicare if he or she:
    • Has a chronic renal disease and needs a kidney transplant or maintenance dialysis; or
    • Has Lou Gehrig’s disease (amyotrophic lateral sclerosis).
    http://www.ssa.gov/pubs/10026.html#medicaid
    T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

    My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

  2. #32
    Senior Member Norm's Avatar
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    The funny thing is I did work in High School for a few summers. I collected a check & everything.
    "Some people say that, the longer you go the better it gets the more you get used to it, I'm actually finding the opposite is true."

    -Christopher Reeve on his Paralysis

  3. #33
    Senior Member Dave H's Avatar
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    Get things in writing and then speak to a specialist, like someone at an Independent Living Center.

    http://www.ilru.org/html/publication...ory/index.html
    Dave H

  4. #34
    Senior Member reedyd's Avatar
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    Norm,

    i would sure check it out. i was injured in 71 that could be the difference
    i am glad that we can share knowledge and experience
    never know what it might trigger
    i often wonder if i could have collected workmans comp
    i worked several jobs that they took out withholdings for
    at least 3 years before my injury

    thanks

    David

  5. #35
    Senior Member WM's Avatar
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    Quote Originally Posted by darkeyed_daisy
    Norm on Page 74 of the Florida Medicaid manual it states that they will reimburse non medicaid participating hospitals in an emergency.

    http://www.fdhc.state.fl.us/Medicaid...nal_ver1.0.pdf

    You wont be able to access routine care such as PCA or the like while traveling but if you have an emergency they would pay for your stay.

    I hope this helps...
    My work computer (that's where I am) won't take me to the link, so I may just be repeating something you already read. But for a person who has Medicaid in my state to use it out of state the provider in the other state must access my state's Medicaid website and "sign up" to accept my state's Medicaid. Some out of state providers will do this, some won't. But, Medicaid is different in every state so that may not apply to you situation. Good Luck!
    "I just want you to know, it was the best time ever." J.F.F.

  6. #36
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    The bad thing about out of state Medicaid is a hospital can choose not to take it. At the hospital I work at, we dont take any out of state Medicaid only North Carolina. It is so hard to bill even NC Medicaid.

    Now if you present to an Emergency room, no hospital can deny you service. You have to be evaluated and that is the law whether it is considered an emergency or not. We see this alot in our hospital.
    T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

    My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

  7. #37
    Senior Member reedyd's Avatar
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    I have been to 4 different states a since my in hurry. i never even thought of medical coverage. This is some great information.

    David

  8. #38
    You should be able to collect Medicare through your father's employment if you were his dependant when you had your injury (or a dependant student). BUT you are not entitled to it until, he himself collects social security. Then you are entitled to half of his benefit and also Medicare insurance through him. This only applies if you have NOT earned enough credits on your own to collect in your name...and of course that your father has earned enough credits on his own. Once you go back to work and earn enough credits on your own, this benefit stops. I am pretty sure this is accurate....anyone please correct me if I am wrong.

  9. #39
    i often wonder if i could have collected workmans comp
    i worked several jobs that they took out withholdings for
    at least 3 years before my injury
    Were you injured on the job or due to your job? Worker's Comp only applies in that situation. If you were not, it doesn't matter how many of your jobs had WC coverage (which is not withheld from your check, but paid by your employer), you don't qualify for WC.

    Perhaps you are confusing WC with state disability insurance? That is withheld from your pay check, and if you were working at the time of your injury, you might have been eligible for coverage under that (not for health care, for income) in that state.

    Currently the requirement is for 40 quarters paying into Social Security for SSDI to get full credit on your own account.


    (KLD)

  10. #40
    Senior Member reedyd's Avatar
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    Quote Originally Posted by SCI-Nurse
    Were you injured on the job or due to your job? Worker's Comp only applies in that situation. If you were not, it doesn't matter how many of your jobs had WC coverage (which is not withheld from your check, but paid by your employer), you don't qualify for WC.

    Perhaps you are confusing WC with state disability insurance? That is withheld from your pay check, and if you were working at the time of your injury, you might have been eligible for coverage under that (not for health care, for income) in that state.

    Currently the requirement is for 40 quarters paying into Social Security for SSDI to get full credit on your own account.


    (KLD)
    I am pretty sure the amout of quarters that you are required to work has changed since my injury. Socail Security & Medicare laws change so much from year to year it requires a pro to keep up with the laws. I was injured while on vacation from work so you are right. I would not be eligible for workmans comp.
    I recall a high profile case where quad when back and sued for workmans comp. So it is possible.

    Thanks

    David

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