busting down the myths about benefits and work office of vocational rehabilitation services
TRANSCRIPT
Busting Down the Myths about Benefits and Work
Office of Vocational Rehabilitation Services
Bust the Myths
Combination of public benefits create a basic safety net
Each benefit has it’s own set of work rules
Complexity of the rules create MYTHS!
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Know the FACTS
Benefit programs have work rules that support working- Work Incentives
Don’t let the complexity and myths be a barrier to employment
Know and Share the FACTS
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THE BASICS: SSDI PAYMENT AND MEDICARE
SSDI – Cash Benefit: Meet SSA definition of disability, and Be “insured” or draw off “insured” worker who is
disabled, retired, deceased Check amount based on work history No asset test
SSDI – Health Insurance: Medicare (after 24 month waiting period)
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SGA Countable Income Test Summary
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The Basic SGA Test $ Gross Wages (earned in a month)(-) $ Sick/Vacation/Holiday pay(-) $ IRWE(-) $ Subsidy/Special Conditions(-) $ Unincurred Business Expenses/Unpaid Help(=) $ Countable Earnings
• SSA uses Countable Earnings to determine if earnings are above or below SGA
THE BASICS: SSI PAYMENT AND MEDICAID (OHP+)
SSI – Cash Benefit: Meet SSA definition of disability; Little to no assets (less than $2,000-individual); Little to no income (countable income less than
$721individual/2014); Check amount-maximum $721 (individual/2014), lower if
other income SSI – Health Insurance:
Medicaid (OHP+)
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Step 1: Countable Unearned Income
$______ Unearned Income
(-) $______ General Income Exclusion ($20)
(=) $______ Countable Unearned Income
Step 2: Countable Earned Income
$______ Earned Income
(-) $______ Student Earned Income Exclusion (SEIE)
(-) $______ General Income Exclusion (if not used)
(-) $______ Earned Income Exclusion ($65)
(-) $______ Impairment Related Work Expense (IRWE)
(=) $______ Remainder
(/) Divide by 2
(-) $______ Blind Work Expense (BWE)
(=) $______ Countable Earned Income
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Step 3: Total Countable Income
$______ Countable Unearned Income (Step 1)
(+) $______ Countable Earned Income (Step 2)
(=) $______ Total Countable Income
Step 4: Adjusted SSI Check Amount
$______ Federal Benefit Rate
($721/$1,082/480.66)
(-) $______ Total Countable Income (Step 3)
(=) $______ Adjusted SSI Check Amount
Step 5: Total Income
$________ Unearned Income
(+) $________ Adjusted SSI check
(+) $________ Earned Income
(=) $________ Total Income
7 MYTHS AND THE REAL FACTS
Myth #1: Benefit Program Rules Determine How Much I can Earn
FACT #1: Combining Several Work Incentives can Support you in Reaching your Work Goal! Determine your work goal (type, amount, wage)
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7 MYTHS AND THE REAL FACTS
Myth #2: I will lose my SSDI if I work
FACT #2: Work Incentives exist that allow you to maintain the SSDI check or eligibility status when you work:
Trial Work Period
Extended Period of Eligibility
Impairment Related Work Expenses, Subsidy, Unsuccessful Work Attempts
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7 MYTHS AND THE REAL FACTS
Myth #3: I’ll lose my Medicare if I work
FACT #3: There are 2 Work Incentives that allow you to maintain Medicare indefinitely!
Extended Period of Medicare Coverage
Medicare for People with Disabilities Who Work
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7 MYTHS AND THE REAL FACTS
Myth #4: I get SSI and have heard I will have less money when I work
FACT #4: Work Incentives exist to make sure you financially get ahead when you work
Basic deductions: General Income Exclusion, Earned Income Exclusion, One-Half Disregard
Additional deductions: Student Earned Income Exclusion, Impairment Related Work Expenses, Blind Work Expenses
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7 MYTHS AND THE REAL FACTS
Myth #5: I have to keep a $1 of SSI or I’ll lose my Medicaid (OHP+)
FACT #5: If EARNINGS cause SSI to drop to $0, you can KEEP MEDICAID!
1619b- earn at least $32,725/year (2014) and keep Medicaid
Employed Persons with Disabilities- earn at least $58,500/year and keep Medicaid (2014)
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7 MYTHS AND THE REAL FACTS
Myth #6: There are not any resources to help me reach my work goal of self-sufficiency
FACT #6: There are work incentives that match funds you set aside to pay for work expenses
Plan for Achieving Self Support
Individual Development Account
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7 MYTHS AND THE REAL FACTS
Myth #7: If I work I’ll end up with an overpayment
FACT #7: There are strategies to prevent overpayments
Report regularly;
Get a receipt from SSA to document you reported; and
Create a folder to save paystubs and SSA letters
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Final Questions??
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Work Incentives Programs in Oregon
The Work Incentives Network Paula Fitch: [email protected] Gene Rada: [email protected]
Plan for Work (Disability Rights Oregon) Arlene Jones: [email protected]