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Benefits Planning and the Student in Transition  Beyond Expectations Presentation by: Health & Disability Advocates Children’s Memorial Hospital, January 31 st , 2011
Goals for Session ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transition Planning  Begins at age 14 1/2 ,[object Object],[object Object],[object Object]
Benefits Planning as it Relates to Transition Planning ,[object Object],[object Object],[object Object],[object Object]
Healthcare ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Illinois All Kids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adult Medicaid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adult Medicaid: Asset Limits ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IPXP: The High Risk Pool
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ICHIP
Waiver Programs & Support Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Impact of Health Care Reform
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Case Study
[object Object],[object Object],[object Object],Insurance Summary
Age 18 Redetermination for Supplemental Security Income ,[object Object],[object Object],[object Object],[object Object],[object Object]
SSI Disability Determination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Three Ways to Apply - SSA ,[object Object],[object Object],[object Object]
Two Disability Cash Programs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Supplemental Security Income ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SSA and Medicaid ,[object Object],[object Object],I
Social Security Disability Insurance ,[object Object],[object Object],[object Object],[object Object],[object Object]
Benefits Summary Questions?
Employment as a Transition Goal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SSI Work Incentives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Supplemental Security Income and Employment ,[object Object],[object Object],[object Object],[object Object]
SSI Earned Income Calculation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Student Earned Income Exclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plan for Achieving Self Support ,[object Object],[object Object],[object Object],[object Object]
Medicaid - 1619 ,[object Object],[object Object]
SSDI and/or  Childhood Disability Beneficiary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Subsidies and IRWE’s ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dependent Benefits are Different! ,[object Object],[object Object],[object Object]
Expedited Reinstatement of Benefits ,[object Object],[object Object],[object Object]
Ticket to Work ,[object Object],[object Object],[object Object],[object Object]
Other Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SSDI and Medicaid ,[object Object],[object Object],[object Object],[object Object]
Medicaid: Health Benefits for Workers with Disabilities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Health Insurance and Benifits Planning for Students in Transition

  • 1. Benefits Planning and the Student in Transition Beyond Expectations Presentation by: Health & Disability Advocates Children’s Memorial Hospital, January 31 st , 2011
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Notes de l'éditeur

  1. Medicare: also covers those under 65 with Lou Gehrig’s disease or dialysis for end stage renal disease
  2. NOTE: Children over 200% FPL must also meet uninsured requirement.
  3. Full List: Your home Your personal belongings and household goods of reasonable value Certain resources up to a limit of $6,000 that you use to earn income. One automobile if the fair market value is no more than $4,500 or if someone in your family needs it to get to work or uses it to get regular medical treatment Life insurance policies with a total face value of $1,500 or less and all term life insurance policies Certain funds set aside for burial expenses Certain other assets that occur infrequently
  4. uninsured for 6 months: means that they cannot have had AllKids or any insurance in the 6 months prior to applying for IPXP including having met spenddown*)
  5. NOTES: premiums vary by gender, age, geographic region, & deductible No denial based on pre-existing conditions
  6. ICHIP did not come from group insurance SSI/Medicaid: probably not eligible, regardless of income probably would not meet adult disability criteria allowed SGA = $1000/month she DID work  around $2400/month even if she could meet Adult SSI standard, would take a long time to meet the adult disability criteria HIGH RISK POOL: IPXP was asking for a letter that she was uninsurable (in lieu of insurance rejections) Letter describe diagnosis Need of Treatment – especially that future treatment includes multiple expensive surgeries
  7. Can reduce income contributing to SGA if: Impairment-related work expenses, or The work is “subsidized” (i.e. employee is being paid more than the work is worth)