Do Medicare Advantage Plan reward cards count as income for Social Security benefits?
My sister recently switched to a Medicare Advantage plan that gives her some kind of prepaid card with $75/month for OTC meds and healthy food. I'm on SSDI and considering the same plan, but I'm worried - does SSA count those reward cards as income? Would it reduce my benefits or push me over income limits? The plan brochure doesn't mention anything about this. Has anyone dealt with this before?
41 comments


Keisha Johnson
Those Medicare Advantage reward cards are considered health benefits, not income. SSA doesn't count them toward your income limits for SSDI or SSI purposes. They're similar to insurance covering medical expenses - the value isn't counted as income to you. You can switch to that plan without worrying about affecting your benefit amount.
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Yara Sabbagh
•Thank you! That's a huge relief. I was worried because my SSDI is my only income and I can't afford any reductions. The plan would really help with my medications.
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Paolo Rizzo
im on the same advantage plan probably!! is it the AARP United Healthcare one?? those cards are SO GOOD i get $120/month and buy all my vitamins with it. nobody told me it would count for income so i hope not!!!
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Yara Sabbagh
•Mine would be through Humana, but sounds similar. Good to know you haven't had any problems with it affecting benefits!
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QuantumQuest
Wait but I thought ANY money or things of value you receive are supposed to be reported?? Isnt that considered in-kind support and maintenance?? What if they audit you?? I'd be really careful and maybe call SSA directly to confirm this if I were you...
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Amina Sy
•Ugh, the SSA rules are so confusing! I think there's a difference between actual income vs. benefits from insurance you're entitled to. It's like how they don't count food stamps as income. But now I'm second-guessing myself too.
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Oliver Fischer
Social Security benefit specialist here. To clarify: Medicare Advantage plan benefits like reward cards for OTC items are NOT countable income for Social Security purposes. This applies to both SSDI and SSI. These cards are considered a health insurance benefit, similar to how your plan covering a doctor visit isn't income to you. They're part of your healthcare coverage, not additional income. The only time you need to worry about reporting "things of value" is for SSI specifically (not SSDI), and only in specific circumstances like receiving food or shelter from someone else. Insurance benefits don't fall into this category.
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QuantumQuest
•Oh thank goodness! I was really worried I might have been doing something wrong. So does that apply to dental discount plans too? I have one that gives me 20% off dental work.
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Oliver Fischer
•Yes, that's correct - dental discount plans are also considered health benefits, not income. Any discount, benefit, or coverage provided through an insurance plan doesn't count as income to you. This includes Medicare Advantage plans, dental plans, vision plans, etc.
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Natasha Petrova
I've been on a Medicare Advantage plan with the reward card ($90/month) for over 2 years and also receive SSDI. NEVER had any issues with SSA counting it as income. It's considered a health benefit, not income. The whole point is to help with health-related expenses. Go ahead and sign up - you're missing out on free OTC meds!
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Javier Morales
Been trying to call SSA to clarify this exact question for my dad! Called 15+ times over 3 days and couldn't get through to anyone. Finally used a service called Claimyr (claimyr.com) that got me connected to an agent in under 5 minutes. The agent confirmed that Medicare Advantage reward cards are NOT countable income for Social Security purposes. They have a video showing how it works: https://youtu.be/Z-BRbJw3puU - honestly wish I found this sooner instead of wasting days on hold.
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Yara Sabbagh
•Thanks for the tip about Claimyr! I might use that service myself. I've tried calling SSA in the past and gave up after being on hold for over an hour. Good to hear the agent confirmed what others are saying about the reward cards.
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Paolo Rizzo
one time my cousin got a gift card from work and they counted it as income for her taxes so i got confused too!!
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Keisha Johnson
•Employment gift cards are different from health insurance benefits. Your cousin's gift card was essentially a form of compensation from her employer, which is why it was taxable income. Medicare Advantage plan benefits are considered health insurance coverage, not income.
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QuantumQuest
I just realized we might be talking about two different things here. Are you talking about the reward cards some plans give you for doing healthy activities (like going to checkups) OR the monthly allowance cards for buying OTC items? Because those might be treated differently!
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Yara Sabbagh
•I'm talking about the monthly allowance cards for OTC items, vitamins, and certain food items. My sister gets $75/month loaded onto a card automatically.
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Oliver Fischer
•To clarify: BOTH types (reward cards for healthy activities AND monthly OTC allowance cards) are considered health insurance benefits and neither counts as income for Social Security purposes. This is true whether you're on SSDI or SSI.
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Amina Sy
The whole Social Security system is ridiculous with what they count as income! My neighbor got dinged because someone regularly brought her groceries and SSA counted that as "in-kind support" for her SSI. But then things like these cards don't count? Makes NO SENSE.
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Oliver Fischer
•You're right that it can seem inconsistent, but there is a logic to it. For SSI (not SSDI), food and shelter provided to you can count as in-kind support and maintenance because SSI is a needs-based program specifically designed to cover those basic needs. Insurance benefits, on the other hand, are considered a resource you've either paid for through premiums or earned through Medicare contributions during your working years.
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Grant Vikers
I'm actually dealing with a similar situation right now! I'm on SSI and was hesitant to sign up for a Medicare Advantage plan because I was worried about ANY additional benefits affecting my eligibility. Reading through all these responses has been really helpful - especially hearing from the benefit specialist and people who've actually been using these plans without issues. It's frustrating how hard it can be to get clear answers about what counts as income and what doesn't. Thanks everyone for sharing your experiences!
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Sophia Clark
•I'm glad this discussion has been helpful for you! I was in the exact same boat - being on benefits makes you so cautious about anything that might affect your eligibility. It's really reassuring to hear from multiple people who've been using these plans successfully. The SSA rules can be so confusing, and getting straight answers is nearly impossible sometimes. Good luck with whichever plan you choose!
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NeonNova
I'm a newcomer here but wanted to share my experience - I switched to a Medicare Advantage plan with the OTC card benefit about 6 months ago while on SSDI. I was super nervous about it too, but my benefits worker at the local office confirmed these cards don't count as income. I get $100/month and use it for vitamins, first aid supplies, and some healthy snacks. Haven't had any issues with my SSDI payments at all. The peace of mind plus the actual help with expenses has been amazing!
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Adrian Hughes
•Welcome to the community! Your experience is really valuable to hear, especially as someone who's been using the plan for 6 months already. It's great that you were able to get confirmation directly from your local SSA office - that must have given you a lot of peace of mind. The fact that you're getting $100/month and haven't had any issues with your SSDI payments is really reassuring for those of us still on the fence about these plans. Thanks for sharing your real-world experience!
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Victoria Scott
As someone new to this community, I really appreciate all the detailed responses here! I'm currently on SSDI and have been considering switching to a Medicare Advantage plan with these OTC benefits, but I've been so worried about accidentally doing something that could affect my benefits. It's really helpful to hear from both the benefit specialist and people who have actual experience using these plans. The fact that multiple people have confirmed these cards are treated as health insurance benefits rather than income gives me confidence to move forward. Does anyone know if there are any specific Medicare Advantage plans that are particularly good for people on disability benefits?
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Isabella Brown
•Welcome to the community! I'm also relatively new here but have learned so much from everyone's shared experiences. From what I've gathered reading through this thread, the key thing is making sure the plan you choose has the OTC allowance as a standard health benefit (which most major Medicare Advantage plans do). I've heard good things about plans from Humana, AARP/UnitedHealthcare, and some Anthem plans - they tend to have generous OTC allowances ranging from $75-120/month. The important thing is that these are all legitimate health insurance benefits, so you don't need to worry about them affecting your SSDI. I'd recommend calling the plans directly and asking about their OTC benefits specifically for people on disability - some even have additional perks or higher allowances. Good luck with your search!
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Dana Doyle
As someone new to this community and currently navigating Medicare options while on SSDI, this entire discussion has been incredibly enlightening! I was actually about to skip Medicare Advantage plans entirely because I was so worried about any potential impact on my benefits. Reading through all these experiences - especially from people who've been successfully using these plans for months or even years without issues - has really put my mind at ease. The clarification from the benefit specialist about these being health insurance benefits rather than countable income makes perfect sense when you think about it that way. I'm definitely going to look into some of the plans mentioned here, particularly the ones with higher OTC allowances. Thank you all for sharing your real-world experiences - it's so much more helpful than trying to decipher the official SSA guidance on your own!
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Carmen Ortiz
•Welcome to the community! I'm also new here and was in the exact same situation - so worried about accidentally affecting my SSDI that I was avoiding potentially helpful programs. This thread has been such a relief! It's amazing how much clearer things become when you hear from people who are actually living with these benefits day-to-day. I'm definitely feeling more confident about exploring Medicare Advantage options now. The peace of mind that comes from knowing these OTC allowances won't impact our benefits is huge - especially when every dollar matters on SSDI. Thanks for putting into words exactly what I was thinking!
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Gavin King
As a newcomer to this community, I want to thank everyone for this incredibly helpful discussion! I'm currently on SSDI and have been hesitant to explore Medicare Advantage plans because I was terrified of accidentally doing something that could jeopardize my benefits. Reading through all these real experiences - from people who've been successfully using these OTC cards for months and years without any issues with their SSDI - has been such a relief. The explanation from the benefit specialist really helped clarify the difference between actual income versus health insurance benefits. It makes so much sense when you frame it that way - just like how insurance covering a doctor visit isn't considered income to us. I'm definitely going to look into some of these plans now, especially knowing that the OTC allowances can really help stretch our limited budgets. Thank you all for being so generous with sharing your experiences and knowledge!
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StardustSeeker
•Welcome to the community! I'm also new here and was in a very similar situation - on SSDI and afraid to make any changes that might affect my benefits. This whole thread has been so reassuring! It's incredible how much anxiety we carry about these decisions when you're dependent on disability benefits. The fact that so many people have shared their positive experiences with these Medicare Advantage OTC cards really helps. I was especially relieved to hear from the benefit specialist explaining how these are treated as health insurance benefits rather than income. It's such a weight off my shoulders to know I can actually take advantage of programs designed to help without worrying about unintended consequences. Thanks to everyone who shared - it really makes a difference for those of us trying to navigate these complex systems!
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Aaron Boston
As a newcomer to this community, I just wanted to say how valuable this entire discussion has been! I'm currently on SSDI and have been putting off exploring Medicare Advantage plans because I was so worried about any potential complications with my benefits. Reading through everyone's experiences - especially hearing from people who've been successfully using these OTC allowance cards for extended periods without any issues - has given me the confidence I needed. The clarification from the benefit specialist about these being health insurance benefits rather than countable income really clicked for me. It's the same concept as how my Medicare Part B covering a specialist visit isn't considered income to me. I'm particularly encouraged by hearing about the $75-120/month allowances that people are getting - that would make a real difference in my monthly budget for vitamins and health supplies. Thank you to everyone who took the time to share their real-world experiences. It's so much more helpful than trying to interpret the official SSA guidelines on my own!
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Nora Brooks
•Welcome to the community, Aaron! Your comment really resonates with me as someone who's also new here and was in a very similar situation. I've been on SSDI for a few years now and have been so cautious about making any changes that might affect my benefits that I've probably missed out on helpful programs. This whole discussion has been eye-opening! The way the benefit specialist explained it - comparing these OTC cards to how insurance covering medical expenses isn't counted as income - really helped it click for me too. I'm actually planning to call a few Medicare Advantage plans this week to learn more about their OTC allowances. It's such a relief to know we can take advantage of these benefits without worrying about jeopardizing our SSDI. Thanks to everyone in this thread for sharing their experiences - it's made such a difference in helping newcomers like us feel confident about exploring these options!
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Mateo Sanchez
As a newcomer to this community, I can't tell you how helpful this entire thread has been! I'm currently on SSDI and have been avoiding Medicare Advantage plans for months because I was terrified of accidentally affecting my benefits. The anxiety of living on disability benefits makes you second-guess every decision. Reading through all these real experiences from people who've been using these OTC cards successfully without any SSDI issues has been such a huge relief. The benefit specialist's explanation really helped me understand the difference between health insurance benefits and actual income - it's like how my current Medicare covering lab work isn't counted as income to me. I'm definitely going to start researching Medicare Advantage plans now, especially ones with those higher OTC allowances. Thank you to everyone who shared their experiences - it means so much to newcomers like me who are trying to navigate these complex systems while protecting our essential benefits!
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GalaxyGazer
•Welcome to the community, Mateo! Your comment perfectly captures what so many of us newcomers have been feeling - that constant anxiety about making any changes when you're dependent on SSDI. I'm also new here and was in the exact same boat, avoiding Medicare Advantage plans entirely out of fear. This whole discussion has been like a masterclass in understanding how these benefits actually work! The benefit specialist's analogy about insurance coverage not being income really made it clear for me too. It's incredible how much stress we carry about these decisions when every dollar and every benefit matters so much. I'm feeling much more confident now about exploring these OTC allowance options - knowing that multiple people have been using them successfully for months and years without any SSDI complications is such a relief. Thank you for articulating exactly what I was thinking! It's reassuring to know other newcomers are going through the same learning process.
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Sean Murphy
As a newcomer to this community, I want to express my gratitude for this incredibly thorough and helpful discussion! I'm currently on SSDI and have been hesitant to explore Medicare Advantage plans because I was so worried about any potential impact on my benefits. Like many others who have commented, the fear of accidentally jeopardizing my SSDI has made me overly cautious about making any changes to my healthcare coverage. Reading through everyone's real-world experiences - especially from those who've been successfully using these OTC allowance cards for extended periods without any SSDI issues - has been tremendously reassuring. The benefit specialist's explanation about these cards being health insurance benefits rather than countable income really helped clarify the distinction for me. It makes perfect sense when you compare it to how regular Medicare coverage for medical services isn't considered income. I'm particularly encouraged by hearing about the monthly allowances ranging from $75-120 that people are receiving. That kind of help with vitamins, OTC medications, and health supplies would make a meaningful difference in my monthly budget. I'm definitely going to start researching Medicare Advantage plans with these benefits now that I understand they won't affect my SSDI eligibility. Thank you to everyone who took the time to share their experiences and knowledge - it's invaluable for newcomers like me who are trying to navigate these complex systems while protecting our essential benefits!
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Jacob Smithson
•Welcome to the community, Sean! Your message really resonates with me as another newcomer who's been dealing with similar concerns. I'm also on SSDI and have been putting off looking into Medicare Advantage plans for the same reasons - that constant worry about accidentally doing something that could affect our benefits is so real when you're dependent on them for survival. This entire discussion has been like finding a goldmine of practical information! I've learned more from reading everyone's real experiences here than I have from trying to navigate the official SSA websites and documentation. The benefit specialist's explanations have been particularly helpful in breaking down the difference between actual income versus health insurance benefits. I'm really encouraged to hear about those monthly OTC allowances too - $75-120 would definitely help stretch my budget for health supplies and vitamins. It's such a relief to know that multiple people have been using these benefits for months and years without any complications with their SSDI payments. Thank you for putting into words what so many of us newcomers have been feeling. It's comforting to know we're not alone in being cautious about these decisions, and even more comforting to learn we can actually take advantage of helpful programs without fear!
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Jace Caspullo
As a newcomer to this community, I just wanted to add my voice to thank everyone for this incredibly informative discussion! I'm currently on SSDI and have been avoiding Medicare Advantage plans entirely because I was terrified of doing anything that might jeopardize my benefits. The constant anxiety of living on disability makes you question every single decision. Reading through all these real experiences has been such a game-changer for my understanding. Hearing from people who've actually been using these OTC cards for months and years without any SSDI complications is so much more valuable than trying to decipher official government documentation. The benefit specialist's explanation really drove it home for me - these allowance cards are health insurance benefits, just like how Medicare covering my doctor visits isn't counted as income. I'm particularly interested in the plans that offer $90-120/month for OTC items - that would genuinely help with my monthly expenses for vitamins and health supplies. It's amazing how much stress I've been carrying about this when the answer was actually straightforward. Thank you to everyone who shared their experiences, especially those who took the time to provide detailed explanations. This kind of peer support and real-world knowledge sharing is exactly what newcomers like me need to make informed decisions about our healthcare while protecting our essential benefits!
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Fatima Al-Farsi
•Welcome to the community, Jace! Your message perfectly captures the experience so many of us newcomers have had - that overwhelming anxiety about making any changes when your SSDI is your lifeline. I'm also new here and was in the exact same position, avoiding Medicare Advantage plans completely out of fear. This whole thread has been absolutely transformative in helping me understand how these benefits actually work. The real-world experiences shared here are worth their weight in gold compared to trying to navigate confusing government websites alone. I was especially relieved to hear from the benefit specialist's clear explanation and see so many people confirm they've been using these OTC cards without any SSDI issues. Those monthly allowances of $90-120 would definitely make a difference for health-related expenses - it's incredible that we can actually access these helpful programs without fear of jeopardizing our benefits. Thank you for sharing your perspective, and thank you to everyone in this community for being so generous with their knowledge and experiences. It's made all the difference for newcomers like us!
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Natalie Adams
As a newcomer to this community, I want to thank everyone for this incredibly detailed and reassuring discussion! I'm currently on SSDI and have been putting off exploring Medicare Advantage plans for months because I was so worried about accidentally affecting my benefits. The fear of making any mistake when you're dependent on disability benefits is really overwhelming. Reading through all these real-world experiences from people who've been successfully using these OTC allowance cards without any SSDI issues has given me so much confidence. The benefit specialist's explanation about these being health insurance benefits rather than income really clicked for me - it's just like how my current Medicare covering prescription drugs isn't counted as income. I'm especially encouraged hearing about the monthly allowances of $75-120 that people are getting. That would genuinely help with my tight budget for vitamins and health supplies. It's such a relief to know I can actually take advantage of these programs without jeopardizing my essential benefits. Thank you to everyone who shared their experiences and knowledge - this kind of peer support is exactly what newcomers like me need to make informed decisions while protecting our benefits!
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Isla Fischer
•Welcome to the community, Natalie! I'm also a newcomer here and your message really resonates with me. I've been on SSDI for a couple of years now and have had that same paralyzing fear about making any changes to my healthcare coverage. This entire discussion has been such an eye-opener! Like you, I was avoiding Medicare Advantage plans completely because I was terrified of accidentally doing something that could affect my benefits. Reading through everyone's real experiences - especially hearing from people who've been using these OTC cards for extended periods without any SSDI complications - has been incredibly reassuring. The benefit specialist's explanation really helped me understand the distinction too. When you think about it as health insurance benefits rather than income, it makes perfect sense - just like how our Medicare covering medical appointments isn't counted as income to us. I'm definitely planning to start researching these plans now, especially the ones with higher OTC allowances. It's amazing how much stress we carry about these decisions when we're dependent on our benefits, but this community has made me feel so much more confident about exploring helpful programs without fear. Thank you for sharing your perspective - it's comforting to know other newcomers are going through the same learning process!
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Zoe Kyriakidou
As a newcomer to this community, I want to thank everyone for this incredibly comprehensive discussion! I'm currently on SSDI and have been hesitant to explore Medicare Advantage plans because I was worried about any potential impact on my benefits. Like so many others have mentioned, when you're dependent on disability benefits, you become extremely cautious about making any changes. Reading through all these real-world experiences has been so enlightening - especially hearing from people who've been successfully using these OTC cards for months and years without any SSDI complications. The benefit specialist's explanation really helped clarify things for me. When you think about it as health insurance benefits rather than income, it makes complete sense - just like how Medicare covering my doctor visits isn't considered income. I'm particularly interested in learning more about the plans with higher monthly allowances ($90-120) since that would really help with my budget for vitamins and health supplies. It's such a relief to know I can explore these options without fear of jeopardizing my benefits. Thank you to everyone who shared their experiences - this kind of peer support and knowledge sharing is invaluable for newcomers trying to navigate these systems!
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Aisha Hussain
•Welcome to the community, Zoe! I'm also a newcomer here and your experience mirrors mine exactly - that cautious feeling when you're on SSDI and worried about making any changes that could affect your benefits. This entire thread has been such a lifesaver for understanding these Medicare Advantage options! I was particularly nervous about these OTC cards because I'd heard conflicting information elsewhere, but seeing so many real people share their positive experiences over months and years has been incredibly reassuring. The benefit specialist's explanation really sealed the deal for me - thinking of it as health insurance benefits rather than income makes it so much clearer. Those higher allowance amounts you mentioned ($90-120) would definitely make a meaningful difference for health-related expenses. I'm planning to start calling some plans this week to learn more about their specific offerings. It's amazing how much anxiety we carry about these decisions, but this community has given me the confidence to move forward without fear. Thank you for adding your voice to this discussion - it's so helpful to hear from other newcomers going through the same learning process!
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