Social Security Administration

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I just went through this exact process about 6 months ago and wanted to share what worked for me. After a week of failed attempts calling both the local office and 800 number, I ended up using a three-pronged approach: 1) Used the Claimyr service (definitely worth the fee - got through in under 2 hours vs days of frustration), 2) Submitted the online contact form on ssa.gov as backup, and 3) Had my spouse call from a different phone simultaneously to increase our odds. The Claimyr service is what ultimately got us the appointment. For your Medicare situation specifically, bring documentation of your current employer coverage including the Summary of Benefits and Coverage (SBC) document - the SSA rep will need this to coordinate your transition properly. Also ask your HR department for a letter stating your coverage end date and whether it meets Medicare's "creditable coverage" standards. This documentation becomes crucial if you ever need to change Medicare plans later without penalties. One heads up - when they do call you back to schedule, have your calendar ready because they often have very limited appointment slots and may only offer you 1-2 options. I almost missed getting scheduled because I wasn't prepared with my availability when they called. Good luck!

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This is incredibly helpful, thank you! I hadn't thought about having my spouse call simultaneously - that's actually a brilliant strategy to double our chances. The point about having my calendar ready when they call back is great too. I've been so focused on just getting through that I didn't think about being prepared for the scheduling part. Quick question - when you used Claimyr, did they connect you directly to your local office or to the national 800 number? I'm wondering if one has better appointment availability than the other. Also, did your employer's HR department know what "creditable coverage" documentation meant, or did you have to explain it to them? I'm worried my small company's HR person might not be familiar with Medicare coordination requirements.

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I went through this exact same situation about 8 months ago - the phone system is absolutely brutal right now! What finally worked for me was calling the national 800 number (1-800-772-1213) at exactly 8:00 AM on a Tuesday. I had to call back-to-back about 15 times before getting through to the hold queue, then waited about 90 minutes, but I finally got a human who scheduled my appointment. For your Medicare situation with the small employer, definitely bring a letter from your HR department confirming your current coverage details and end date. The SSA rep will need this to properly coordinate when Medicare becomes primary. Also, stop contributing to your HSA immediately once you enroll in any part of Medicare - even backdated enrollment can cause tax issues with HSA contributions. One tip that helped me: I found my local office's direct number on the SSA office locator website and called that simultaneously while my partner called the 800 number. We got through on the local line after about 45 minutes. Sometimes the local offices have slightly less call volume than the national number, depending on your area. Don't give up - your enrollment window is too important to miss!

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Great advice about calling both numbers simultaneously! I'm curious about the timing - did you find Tuesday mornings worked better than other days of the week? I've been trying randomly throughout the week but maybe there's a pattern to when they're less busy. Also, when you say "stop HSA contributions immediately" - does that mean I should contact my payroll department before I even enroll in Medicare, or wait until after the enrollment is processed? I don't want to mess up the timing on either end and create problems for myself.

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I'm a federal benefits advisor and can confirm everything shared here is correct. Selling your primary residence will NOT affect your Social Security retirement benefits in any way. The SSA only considers "earned income" (wages, self-employment) for benefit reductions, and only applies this to people under Full Retirement Age (FRA). At 67, you're already at or past your FRA, so even if house sale proceeds were considered earned income (which they're not), it wouldn't matter. Capital gains from your home sale are completely separate from the SSA earnings test. Your $145K profit falls well within the $250K primary residence exclusion, so you likely won't owe federal taxes on the sale either. This is purely a capital gains transaction that SSA doesn't factor into benefit calculations at all. Your monthly checks will remain exactly the same amount. Smart move downsizing - enjoy your new condo!

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Thank you for the professional confirmation! As someone new to understanding Social Security, it's really helpful to have a federal benefits advisor validate what everyone has been sharing. I'm not in this situation yet, but I'm learning so much from this thread about how SSA distinguishes between different types of income. The fact that you emphasized both the "earned income" distinction AND the Full Retirement Age factor really drives home why this isn't something to worry about. It's reassuring to know there are knowledgeable professionals out there helping people navigate these complex systems!

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I'm so grateful for all the detailed responses here! As someone who's been anxious about this for months, it's incredibly reassuring to hear from so many people who've actually been through similar situations. The distinction between "earned income" and capital gains makes perfect sense now, and knowing that I don't even need to report the sale to Social Security takes a huge weight off my shoulders. For anyone else reading this thread with similar concerns - it sounds like the key points are: 1) House sales are capital gains, not earned income, 2) Only earned income affects SS benefits, and only if you're under full retirement age, 3) At 67, we're past full retirement age anyway, and 4) The $250K capital gains exclusion for primary residences means most of us won't even owe taxes on the sale. This community has been such a valuable resource. Thank you all for sharing your knowledge and real experiences!

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This is such a great summary of all the key points! As someone new to this community and just starting to learn about Social Security, this thread has been incredibly educational. I love how you broke down the four main takeaways - it makes it so much easier to understand the big picture. It's really reassuring to see how many people have gone through this exact situation and come out just fine. The real-world experiences shared here are so much more valuable than trying to decipher government websites on your own. Thanks for putting together such a clear recap!

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As someone who recently went through this exact process with my adult daughter who has cerebral palsy, I can't stress enough how important it is to be absolutely meticulous with your documentation. We were in a similar situation - she was only getting about $590/month instead of the full benefit. Here's what finally worked for us: 1. We created a detailed monthly expense tracking sheet that included EVERYTHING - mortgage payment, property taxes, homeowners insurance, all utilities (including internet), groceries, household supplies, even basic home maintenance costs. 2. We set up automatic monthly transfers from her account to ours for exactly 1/3 of the total household operating expenses, with very specific memo lines like "Monthly pro-rata household expenses per SSA guidelines." 3. Most importantly, we requested the PMV determination in writing and kept copies of everything we submitted. It took about 3 months for SSA to process the change, but once approved, her benefits increased to the full $943/month and they even issued a small retroactive payment for the difference. The key is patience and persistence. Don't get discouraged if the first caseworker you speak with seems confused about the rules - ask to speak with a supervisor who specializes in ISM determinations. Your son absolutely deserves his full benefits, and with proper documentation, you can make it happen!

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Thank you so much for sharing your success story, Miles! It's incredibly encouraging to hear that you were able to get your daughter's benefits increased to the full amount and even received a retroactive payment. The fact that it took 3 months seems totally worth it for that kind of result. Your point about asking for a supervisor who specializes in ISM determinations is really valuable - I hadn't thought about the fact that not all caseworkers might be equally familiar with these specific rules. That could save a lot of time and frustration upfront. I'm definitely going to follow your approach of requesting the PMV determination in writing and keeping copies of everything. Having that paper trail seems crucial for protecting ourselves if there are any disputes later. One question - when you say you included "basic home maintenance costs," what specific things did that cover? I want to make sure I'm not leaving anything out that could legitimately be included in the household operating expenses calculation. Thanks again for taking the time to share what worked for your family. Stories like yours give me confidence that we can navigate this process successfully too!

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I'm going through something very similar with my 24-year-old daughter who has intellectual disabilities. We were stuck at around $615/month for the longest time until I finally figured out we weren't calculating her share correctly. One thing that really helped us was creating a separate checking account specifically for her household expense payments. This made it crystal clear to SSA exactly what money was being used for what purpose, and eliminated any confusion about whether she was actually paying these expenses or just moving money around. Also, don't forget about things like trash/recycling service, basic cable/internet, and even pest control if you have it - these all count as legitimate household operating expenses that should be included in your calculations. The process is definitely frustrating, but once you get it right, the difference in monthly income is life-changing. My daughter went from $615 to the full $943, which gave her so much more independence and dignity. Keep pushing for what your son deserves - you're being an amazing advocate for him!

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This is such a smart idea about the separate checking account! That would definitely make the paper trail crystal clear for SSA and eliminate any questions about whether the payments are legitimate. I'm going to look into setting that up right away. Thank you for mentioning trash/recycling and pest control - I definitely wasn't thinking about those as household expenses, but you're absolutely right that they should be included. Every little bit helps when you're trying to get the calculations right. It's so inspiring to hear that your daughter was able to get the full $943 and gain more independence because of it. That's exactly what I'm hoping for with my son - not just the extra money, but the dignity and autonomy that comes with having his proper benefits. The advocacy part is exhausting sometimes, but hearing success stories like yours reminds me why it's so important to keep pushing through the bureaucracy. Thanks for the encouragement and practical advice!

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As a newcomer to this community, I wanted to add something that might be helpful based on my experience working with families navigating multiple benefit programs. Since you mentioned feeling overwhelmed by all the moving pieces, you might want to consider reaching out to your local Disability Resource Center or Independent Living Center in Kentucky. Many of these organizations have benefits specialists who are specifically trained to help families understand how different programs interact - Social Security, Medicaid waivers, SSDI, etc. They often provide free consultations and can sometimes even attend meetings with you or help you prepare for important phone calls with SSA. What's particularly valuable is that they see these complex situations regularly and may have relationships with local SSA offices that can help streamline the process. Also, since you're dealing with both your retirement timing and your daughter's potential DAC benefits, they might be able to help you think through scenarios you haven't considered yet. I've seen these centers help families avoid costly mistakes by catching important details that might otherwise be overlooked. It's another layer of support that could complement the other excellent resources people have mentioned in this thread!

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This is such valuable information about Disability Resource Centers and Independent Living Centers! I had no idea these organizations existed or that they offered benefits consulting specifically for complex situations like mine. The idea of having someone who regularly works with families dealing with multiple benefit programs sounds perfect - they would understand the interactions between Social Security, Medicaid waivers, and SSDI that I'm trying to navigate. I especially appreciate you mentioning that they might be able to attend meetings or help prepare for phone calls with SSA. Given some of the stories in this thread about challenges communicating with SSA representatives, having an advocate who knows the system could make a huge difference. I'm definitely going to search for Kentucky's Disability Resource Centers and Independent Living Centers today. It sounds like they could provide exactly the kind of comprehensive support I need while I'm also exploring the other resources people have mentioned like CSSAs and Area Agencies on Aging. Thank you for adding another excellent option to my toolkit - this community has truly given me a roadmap for getting the help I need to make informed decisions!

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As a newcomer to this community, I wanted to say how incredibly helpful this entire discussion has been! I'm currently dealing with a somewhat similar situation with my elderly father who receives several different types of benefits, and reading through all these responses has taught me so much about the complexity of Social Security and benefit interactions that I never realized existed. One thing I'd like to add that might be useful - when you're preparing for your consultation with SSA or any of the advisors people have mentioned, consider writing down not just your questions but also a brief summary of your current situation. Include key details like your daughter's current SSDI amount, your expected retirement benefit at different ages, and the monthly amount you receive from the Medicaid waiver program. Having all these numbers organized in one place can help the advisor quickly understand your situation and run more accurate scenarios for you. Also, based on everything I've read here about the importance of timing and coordination between your retirement and your daughter's potential DAC benefits, you might want to ask specifically about "auxiliary benefit" rules when you speak with SSA. These rules govern how family members can collect benefits on each other's records, and understanding them could help you optimize the total benefits your family receives. Thank you to everyone who has shared their experiences and knowledge in this thread - it's been an amazing resource!

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I'm 68 and will be turning 70 in November 2026, so I have a bit more time to plan but this thread has been incredibly educational! One aspect I haven't seen discussed much is what happens if you have a Medicare Supplement (Medigap) policy that auto-pays based on when your Medicare Part B premium is due. My Medigap plan currently syncs its billing with my quarterly Medicare payments, so I pay both at the same time. I'm wondering if anyone has experience with how Medigap billing adjusts when Medicare premiums switch to Social Security deductions. Also, I noticed several people mentioned keeping detailed records during the transition. I'm thinking about creating a simple spreadsheet to track: - Medicare payments made directly - SS benefit amounts and deductions - Any refunds received - Communication dates with SSA/Medicare Has anyone found that level of record-keeping to be overkill, or is it really necessary given all the potential timing issues that have been mentioned? The strategic advice about retirement account withdrawals and IRMAA timing is also something I need to factor into my planning. It's amazing how interconnected all these decisions become when you hit 70! Thanks to everyone for sharing such practical, real-world insights. This is the kind of information you just can't get from official government publications.

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@Luca Marino Great question about Medigap billing coordination! I went through this transition last year and had a similar setup where my Medigap plan billed quarterly to match my Medicare Part B payments. What happened in my case was that my Medigap insurer automatically adjusted their billing cycle once Medicare switched to SS deductions. They sent me a notice about 30 days after the Medicare transition explaining that my supplement premiums would now be billed monthly instead of quarterly to better align with the new SS deduction schedule. The transition was actually smoother than I expected - no gap in coverage or double billing. But I d'definitely recommend calling your Medigap carrier when you apply for SS benefits to give them a heads up about the upcoming change. Regarding record-keeping, that spreadsheet idea is brilliant and not overkill at all! I wish I had been that organized. I ended up scrambling to reconstruct my payment timeline when there was confusion about a refund. Your tracking categories cover all the key items - I d'maybe add a column for confirmation numbers from phone calls too. Having good documentation really saved me when there was a discrepancy in my refund amount. Being able to show exactly what I had paid and when made resolving the issue much faster. Better to be over-prepared than under-documented with government benefits!

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I'm 69 and will be turning 70 in March 2025, so this thread couldn't have come at a better time! Reading through everyone's experiences has really helped clarify what felt like a very confusing process. One thing I wanted to add that I haven't seen mentioned yet - for those of us who have Health Savings Accounts (HSAs), make sure to coordinate the timing of when you stop contributing to your HSA with your Medicare enrollment. You can't contribute to an HSA once you're enrolled in any part of Medicare, even if you're not paying premiums yet due to employer coverage. I made the mistake of continuing HSA contributions for a few months after enrolling in Medicare Part A (which is automatic when you apply for SS), and now I have to deal with excess contribution penalties. It's a small detail but an expensive one if you miss it! The advice about creating a spreadsheet to track everything is spot on. I've started one already and it's already helping me see potential timing issues I hadn't considered. Also, for anyone worried about the complexity of coordinating all these systems, I found it helpful to think of it in phases: Phase 1 is getting SS started smoothly, Phase 2 is managing the Medicare payment transition, and Phase 3 is monitoring everything for a few months to catch any issues early. Breaking it down made it feel much less overwhelming. Thanks to everyone for sharing such detailed real-world experiences - this is invaluable information!

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@Miguel Alvarez Thank you so much for bringing up the HSA contribution issue! That s'exactly the kind of detail that could easily slip through the cracks during all this planning. I have an HSA through my current employer and hadn t'even thought about the contribution cutoff timing when Medicare enrollment happens. Your phase-based approach to managing this transition is really smart too. It does feel overwhelming when you think about coordinating Social Security, Medicare, potential employer coverage changes, retirement account strategies, and tax implications all at once. Breaking it into phases makes it much more manageable. I m'curious - when you say you continued HSA contributions after Medicare Part A enrollment, was that because you didn t'realize Part A had started, or because the timing of when contributions need to stop wasn t'clear? I want to make sure I don t'fall into the same trap. Also, do you happen to know if there are any implications for using existing HSA funds to pay Medicare premiums once they start getting deducted from Social Security? I assume HSA funds can still be used for qualified medical expenses including Medicare premiums, but I want to double-check that the payment method change doesn t'affect that. This thread has been such a comprehensive education - thank you to everyone for sharing these real-world details that you just don t'get from the official publications!

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