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What is the Supplemental Security
Income (SSI) Program?
What are the eligibility
requirements that a person must meet to qualify for SSI benefits?
Who is considered
disabled?
What is meant by the term
Substantial Gainful Activity (SGA)?
What is the process used
for determining if an individual meets the disability requirements to
qualify for SSI benefits?
Are SSA work incentives
available that may help an individual to meet the disability/SGA
eligibility requirements?
Is there an Income Test?
What if an individual is
considered ineligible for SSI due to having income and/or resources over
the allowable levels?
How are SSI cash benefits
affected by work and earnings?
In addition to earnings,
are their other factors that affect the dollar amount of an individual's
SSI check on a monthly basis?
What is the Supplemental Security Income (SSI)
Program?
The Supplemental Security Income program is
funded by the general revenues of the Federal Treasury and is intended to
provide a minimum level of income to persons who are aged, disabled, or
blind and demonstrate economic need. The SSI program is meant to
supplement any income an individual might already have to ensure a certain
level of income to meet basic living expenses. The dollar amount received
in SSI on a monthly basis varies from person to person and is computed
each month, taking into account an individual's current financial
situation.
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What are the eligibility
requirements that a person must meet to qualify for SSI benefits?
For an individual to be eligible for SSI they
must be disabled, or blind, or aged and have little or no income and
resources. A person must fit into one of the following categories:
Disabled, Blind (20/200 or less in your better eye with glasses or a filed
of vision less than 20 degrees), or Aged (refers to be 65 years of age or
older).
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Who is considered by
the SSA to be disabled?
The Social Security Administration defines
disability as the inability to engage in substantial gainful activity
(work) by reason of any medically determinable physical or mental
impairment which has lasted or can be expected to last for a continuous
period of not less than 12 months or result in death.
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What is meant by the term
Substantial Gainful Activity (SGA)?
SGA is defined as the performance of
significant mental or physical duties for profit and is usually determined
to be gross monthly earnings in excess of $700 for individuals with a
disability other than blindness, or $1110 if you are blind. Individuals
must not be working, or if working, making earnings less than the SGA at
the time of application.
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What is the process used
for determining if an individual meets the disability requirements to
qualify for SSI benefits?
The state Disability Determination Service
(DDS) makes the disability decision for the SSA. Once an application for
the SSI program is completed at the SSA office, it is sent to DDS. In
making the disability determination, DDS workers will ask the individual's
doctors and other treatment sources for a medical history of their
condition: What is wrong? When did it begin?; What do medical tests
indicate?; and, What treatment has been given?
A team of trained people in the DDS office,
including a doctor and a disability examiner, review the completed forms
as well as the medical records and work history to decide if individuals
are disabled. If they are unable to make a decision based on this
information, the DDS will pay for a specific medical examination. In
deciding if individuals are disabled, the DDS will determine if the
condition is as severe as that described in the SSA's listing of specific
impairments. If it is not, the DDS looks at individuals' physical and
mental capabilities in combination with other factors, such as age,
education and work experience.
Again, in order to meet the SGA requirement
of the disability test, the individual cannot be working at the time of
application or, if working, not be earning more than the SGA level of $700
a month for individuals with a disability other than blindness, or $1110
if they are blind.
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Are SSA work incentives
available that may help an individual to meet the disability/SGA
eligibility requirements?
Yes, in some instances an individual may be
working and earning over $700 a month and still meet the disability test
by taking advantage of two work incentives known as the Impairment Related
Work Expense (IRWE) and Subsidy. The dollar amount of IRWEs and subsidies
are subtracted from a person's gross monthly earnings before the SGA
determination is made. If the dollar amount of the IRWE or subsidy is
significant enough to reduce their gross monthly earnings below $700, they
will be determined to meet the SGA requirement of the disability test.
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Is there an Income Test?
Yes. To be eligible for SSI a person must
meet an income as well as resource test. SSI resource limits are set by
statue and a person's countable or real personal property, including cash,
must not exceed the specified amount to qualify. The current resource
limit is $ 2,000 for an individual and $3,000 for a couple. Income
includes earned income (which refers to monthly gross earnings), and
unearned income such as Social Security Disability Insurance (SSDI) or any
other type of benefit or monetary support a person receives. A
standardized formula, which takes into account earned and unearned income
is used by SSA to compute the dollar amount of SSI cash benefit that a
person qualifies for. This formula is applied during the initial
eligibility determination and an individual must qualify for some dollar
amount of SSI to meet the income test.
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What if an individual is
considered ineligible for SSI due to having income and/or resources over
the allowable levels?
A person's income and/or resources can be set
aside under a Plan for Achieving Self-Support (PASS), to be used to
achieve an individualized vocational goal. The income and/or resources
that are set aside under the PASS are not counted when the income and
resource test is administered, enabling them to meet this part of the
eligibility requirement. In addition, the dollar amount of IWREs may also
be subtracted from gross earnings during the income test, enabling you to
qualify when you otherwise would have too much income to be eligible.
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How are SSI cash benefits
affected by work and earnings?
Once eligible, the amount of SSI an
individual receives on a monthly basis depends solely on their income and
resources. In other words, they will not lose their SSI cash benefit when
earnings exceed $500 SGA level. While their SSI check will decrease as
earnings increase, an SSI recipient will continue to get a cash benefit
until their earnings increase to the point at which their SSI check is
reduced to zero. This is referred to as the break-even point.
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In addition to earnings,
are their other factors that affect the dollar amount of an individual's
SSI check on a monthly basis?
Yes. SSI is an economic need based program
intended to supplement any income or resources an individual already has
to ensure that they have a minimum level of income each month. Therefore,
the dollar amount of a SSI benefit received in a given month depends on
the dollar amount of other income and resources that an individual has for
that particular month. In January of each year Congress establishes the
Federal Benefit Rate (FBR) which is the maximum dollar amount that an
individual or couple can receive in SSI cash benefits on a monthly basis.
How much of the FBR a person receives depends on all of the following
factors:
- resources -- a person with resources over
the allowable limits at the beginning of a month is ineligible for SSI
benefits that month;
- living arrangements and in-kind support --
a person whose food and shelter expenses are paid for by someone else
is considered to be receiving in-kind support. This is considered by
SSA to be one type of unearned income and results in the person's SSI
check being reduced by one-third of the amount of FBR.
- unearned income -- the more unearned
income, such as SSDI and Veterans benefits, a person receives, the
greater the reduction in the SSI check.
- earned income -- the more earnings a
person has, the greater the reduction in the SSI check
- work incentives - utilizing available work
incentives such as PASS and IRWE may assist an individual in either
maintaining or increasing the dollar amount of their monthly cash
benefit.
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For Further Information Contact:
The Social Security Administration
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