February 22, 2020

Will I Get Medicare, Medicaid or Both if I Win?

If you are approved for SSDI, you become eligible for Medicare 2 years from the date that you first become eligible for SSDI benefits.  Remember that depending on your application date and your disability onset date, the “5 month waiting period” may apply in your case so the first month you become eligible for SSDI may be after the 5 month waiting period.

If you are approved for SSI, you become eligible for Medicaid as of the date of your first SSI payment – there is no 2 year delay.

The payment letters you get from Social Security after your Favorable Decision will include information about the dates you become eligible for Medicare and/or Medicaid.

Finally, it is possible for you to be eligible for both Medicare and Medicaid, but only if you are also eligible for both SSDI and SSI (which is rare).  Generally the rule of thumb applies:

  • you get Medicare with SSDI
  • you get Medicaid with SSI

Your attorney can help you understand the details about Medicare and Medicaid after disability approval.