Spondyloarthritis / Spondylitis Forums - Spondylitis Association of America
Spondylitis Association of America Home Page Learn About Spondyloarthritis / Ankylosing Spondylitis About Us - Our Work More Ways To Connect With Others / Support Groups And More Become a Member of SAA We Are A Nonprofit - Donate Today Shop for Products
Topic Options
#271497 - 05/27/15 03:24 PM General Questions about SDI
Allifax Offline
Registered Visitor

Registered: 12/02/14
Posts: 15
Loc: Atlanta, GA
Hi everyone. I've been reading through old threads. Lots of great info here. Thanks to all who have contributed (esp. Rich!).
I have some questions I haven't seen the answers for:

If my wife (w/AS) goes on disability, does she HAVE to use Medicaid or can she continue to use my insurance through an employer?

If my wife's condition improves, can she go off of disability and then back on if necessary?

Has anyone ever worked in an industry that had a ton of jobs, many of which didn't last more than 3 months? In compiling her work history, we're not sure how to handle that. She is/was a TV Producer and sometimes jobs only lasted a few weeks or 2 months or so. I know they have to create these boxes for the masses, but her work history really wonks their requirements. Suggestions?
_________________________
Atlanta, GA
diagnosed for 7-8 years

Top
#271526 - 05/30/15 05:05 PM Re: General Questions about SDI [Re: Allifax]
Banana Offline
Registered Visitor

Registered: 07/23/06
Posts: 6464
Loc: New York
She can't get Medicare until she is on disability for two years, and it is medicare NOT medicaid...very very different. She can stay on yours and go to Medicare after the two year mark or when she wants to.

They have programs where you can try to go back to work and they give you time to adjust and try it. The Social Security site has all the info, as it is rather complicated.

They go back 10 years and it is divided into "quarters" They take the year/quarter that where she made the most money. I kept working but went to part time and worked fewer and fewer hours until I could couldn't work more than a couple hours a week. They counted the years where I was working full time and not the last couple where I made less money.

Anna
_________________________
Actema IV once a month (with pre loading for allergic reaction), Cymbalta x1 daily, Arava 20mg daily. Diagnosed with AS in 2004, suffered undiagnosed since 1982.

Top
#272498 - 10/15/15 10:47 AM Re: General Questions about SDI [Re: Allifax]
Poppa_John Offline
Registered Visitor

Registered: 07/23/13
Posts: 132
Loc: Arkansas, USA
I know this is late from the date of your initial posting but will share what I know and maybe help others.
It is true that one must be on SS Disability for two years before being eligible for Medicare.
A spouse who is disabled can still be on the working spouses insurance which will be considered the primary insurance and Medicare will be considered secondary.
If a person is receiving Medicare and is also on another policy (not a Supplimental) the Medicare will ALWAYS be considered secondary.

In my case, my employer had Long Term Disability insurance and I was also eligible to continue my employers group insurance under COBRA. This is usually very expensive but luckily our LTD policy subsidized $1200 a month for the COBRA.
_________________________
Poppa John:
Symptomatic since 1988, diagnosed with Spondylitis, Fibromyalgia, probable IBD March 2013. HLA B27 neg. Sacroillitis, Osteitis, Fibromyalgia
Fused T 2-12, Fused C 5-7, HNP L4-5 with laminectomy/discectomy 2014.

Top
#272510 - 10/19/15 07:40 AM Re: General Questions about SDI [Re: Allifax]
CentralGaGal Offline
Registered Visitor

Registered: 04/20/13
Posts: 252
Loc: South Carolina
Just one more add to what Anna and John have provided.

For your wife to be eligible for Medicare, it is two years as Anna said PLUS 5 months from the date of the determined disability (not necessarily the date used on the application). The 5 month addition is called the "Waiting Period". So if she was awarded SSDI effective January 1, 2015 then she would be eligible May 1, 2017 (it MAY be June 1, 2017 because of how they roll to the next month). It's the same way with the monetary benefits.

For what John said is correct but the rule is if the private insurer has less than 100 employees in total, it would be the secondary payer but if over 100 employees, the private insurer would be primary.

Also, IF you wife is awarded and at some point wants to return to work, make sure you follow the "Ticket to Work Program" program. Any attempt to go around that process could jeopardize her SSDI status.


Top
#272928 - 12/22/15 12:20 PM Re: General Questions about SDI [Re: Allifax]
Banana Offline
Registered Visitor

Registered: 07/23/06
Posts: 6464
Loc: New York
They had backdated my disability to 12 months so I only had to wait 4 months to be on Medicare. Just checked my card dates and at least in my state, no 5 month waiting period.

Anna
_________________________
Actema IV once a month (with pre loading for allergic reaction), Cymbalta x1 daily, Arava 20mg daily. Diagnosed with AS in 2004, suffered undiagnosed since 1982.

Top
#272929 - 12/22/15 04:06 PM Re: General Questions about SDI [Re: Banana]
CentralGaGal Offline
Registered Visitor

Registered: 04/20/13
Posts: 252
Loc: South Carolina
That's odd as the 5 months is Federal not State so it should be the same across the board. Not sure.

Top


Moderator:  ElinAslanyan