A Detailed Description of How Work
Affects Your SSI Benefits

 

 

 


  
Major provisions of SSI work incentives include:

START

1

Can I work and continue by benefits?
You can work and earn up to $1,213*/month, the "break-even point," before you lose your full check.

(*$1,213 is based on 2001 federal benefit rate (FBR). The 2004 FBR is $564)

2

START

How does earning money affect my benefits?
The first $85 ($20 general, $65 earned income) is excluded from your Countable Income, after that half of what you earn over that amount is deducted from your SSI check.


3 4

How much income can I earn before I lose my monthly check?

The SSI income limit is $1,213.


What if I earn over the SSI income limit of $1,213?

Your checks will stop.


5

Will I lose Medicaid coverage if I work?

Medicaid will continue if you earn less than the SSI limit or if, when you earn over the SSI limits, you're still disabled, cannot afford similar medical care, and depend on Medicaid in order to work.

See 1619(b) below.


6

How can I reduce my monthly countable income?

SSI work incentives include deductions for Impairment Related Work Expenses (IRWE) and money invested in a Plan for Achieving Self Support (PASS).


 

7

What if I get sick or lose my job?

If you lose your job within 12 months after your SSI payments have stopped (because your earnings were too high) and you are still disabled, your benefits will start again without an application within 60 months of your last check.

 

 

 


 
 


A Detailed Description of How Work Affects
Your SSI Benefits
(continued)

 

 

  Can I work and keep my benefits? 

Yes!

  How does earning money affect my benefits?

You will receive SSI checks until the Countable Income you earn exceeds SSI limits, generally the more you earn the less you will receive from SSI. Under SSI guidelines, half of the amount you earn over $85 per month (general and earned exclusions) will be deducted from your SSI check. For example, if you earn $630 per month and receive an SSI benefits of $564:

Earned and Unearned Gross Income
Minus General ($20) and Earned ($65)
income exclusions     
Adjusted Gross Income

$ 630

- $   85

= $ 545

545  ÷  2  

= $ 272.50

Countable Income = $272.50

Federal Benefit Rate (FBR)
Minus Countable Income
Equals = SSI payment

$ 564.00
- $ 272.50
= $ 291.50

Your Total Income:
Gross Monthly Income
Plus SSI Payment

_______
$ 630.00
+ $ 291
.50

Total Gross Monthly Income = $ 921.50


  What is Countable Income?

How much you receive of your monthly SSI check depends on your level of Countable Income, which is both your earned wages and unearned income (e.g., SSDI, Veterans benefits, pension, cash, etc.) divided by two, minus approved deductions that may include:

General exclusion ($20)

Earned income exclusion ($65)

Impairment Related Work Expenses

Money set aside in a PASS to get a job or start your own business


  What are the SSI Income Limits?

If your SSI payment is $564 per month, you can earn up to twice that amount plus $85 (plus other approved deductions such as an IRWE or PASS) before your SSI checks will stop.

1

 

2


SSI Benefit 
Multiply by 2
(or twice FBR)

Equals


$    564

x        2


= $ 1,
128

General Income
Exclusion

Earned Income
Exclusion

Break even point


+ $      20


+ $      65


= $ 1,
213


Gross Monthly Income

Minus Exclusions
($20 + $65)

Equals

Minus  Twice FBR
($564 X 2)

SSI payment


$ 1,213


- $      85

= $ 1,128


- $ 1,128


=           0


  What if my earnings are over the SSI Income Limit or Break-even Point?

When you earn more than the break-even amount your SSI checks stop. If your income drops below this amount during the first 60 months in which you are working, then your benefit check will start again without a new application.

  Can I keep Medicaid coverage if I am working and earn over SSI limits?

You are entitled to Medicaid if you:

Continue to have a disabling condition

Need Medicaid in order to work and are unable to afford similar health insurance (see Medicaid for Working People with Disabilities)

Meet all SSI requirements except that you earn too much

Inform SSA that you want to be a "section 1619(b)" case


  Impairment Related Work Expenses (IRWE)

Expenses that are related to your disability and that make it possible for you to work can be deducted from your Countable Income. Speak with your SSA representative for a complete list of allowable expenses.

  Plan for Achieving Self Support (PASS)

A PASS encourages people to become self-supporting by allowing money set aside for a specified time toward a work goal to be deducted from Countable Income. Allowable deductions include money saved for education, vocational training, work-related equipment, or starting a business. If you earn more than the SSI limit, a PASS can reduce your countable income so that you receive a portion of your monthly benefit check.

  Expedited Reinstatement of Benefits

If you are unable to work because of your medical condition, you would be able to request reinstatement of benefits. You must file the request for reinstatement with Social Security within 60 months from the month of their termination. While Social Security is making a new determination, you may receive up to six months of provisional benefits, including Medicare and Medicaid, as appropriate. If Social Security decides that the medical condition no longer prevents you from working, the provisional benefits would not be considered an overpayment.

  Vocational Rehabilitation: The Ticket to Work and Work Incentives Act of 1999

This law establishes the Ticket to Work and Self-sufficiency program. Social Security beneficiaries will receive a “Ticket” to obtain vocational rehabilitation (VR) or other support services from an approved provider. Those services are designed to provide you with training or other assistance you need to update your job skills, start a new line of work, or go to work for the first time. SSA does not provide those services but will pay for them when certain conditions are met. If you enter a vocational rehabilitation program, your monthly benefit check would continue until the end of the program. The Ticket program is voluntary. Once you begin using the Ticket, Social Security cannot initiate a continuing disability medical review.

  Continuing Eligibility Review

SSI usually reviews client's cases each year to determine if they are still disabled and qualify for assistance including Medicaid. Although, SSA does not conduct a review while you are using a "Ticket to Work" or in a vocational rehabilitation program.

If the eligibility review determines that you can move toward self-support, you may be referred to a vocational rehabilitation agency to acquire the skills and training that you need in order to get a job. Social Security would pay the cost of these services and you would continue receiving SSI benefits until you had completed the program.

  Return to Top































 


Note: Other sources of assistance, including food, food stamps, clothing, shelter, and some home-energy assistance are not considered income.

Check with your Social Security representative to calculate your countable income and deductions.

 

Return to Top





































Continued Medicaid Coverage:
Section 1619(b)

 

Section 1619(b) protects Medicaid benefits when earnings are too high for SSI cash payments. Your eligibility is based on "threshold amounts." The threshold amounts is what SSA calls the measure that it users to decide whether your earnings are high enough to replace your SSI and Medicaid benefits.

 

Return to Top





 


To Begin a PASS

Meet with your case manager and/or a vocational rehabilitation counselor to discuss your work goals and then fill out the application.

Your plan must:

 
Specify a work goal that you are capable of performing

Specify a time frame for reaching that goal

Show how the money will be used

Be in writing (using the form SSA-545-BK*)

Be approved by Social Security

Be reviewed periodically by Social Security

  Money put into a PASS plan:

 
is not considered countable income

can be recovered through a higher adjusted SSI cash benefit

can reduce countable income below the break-even point, thereby establishing or maintaining SSI and Medicaid eligibility

  *You can get copies of the form, SSA-545-BK, from your local SSA office or you can download it from the SSA web site: www.ssa.gov/online/ssa-545.html


 


For more information, contact:

 

Social Security Administration
Phone: (800) 772-1213

http://www.ssa.gov



Return to Top