Do child SS survivor benefits count towards Medicaid income limits or just my own?
I'm trying to figure out a confusing Medicaid eligibility issue. I receive Social Security survivor benefits after my husband passed away last year. My two children (ages 8 and 11) also receive survivor benefits on his record. I'm working part-time but still struggling financially, so I need to apply for Medicaid. My question is: when determining my income for Medicaid eligibility, do they count JUST my survivor benefit, or do they also include my children's benefits in that calculation? The Medicaid office gave me conflicting information, and I'm scared of filling out the application wrong. Has anyone dealt with this situation before? The difference would put me either under or over the income threshold in my state.
15 comments
Callum Savage
For Medicaid they usually only count YOUR income for YOUR eligibility. Your kids benefits count for THEIR eligibility not yours. Each person is separate. at least thats how it worked when i applied last year.
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Landon Flounder
•Thank you! That's what I thought, but the caseworker I spoke with on the phone seemed unsure and mentioned something about 'household income' which confused me.
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Ally Tailer
The previous response is generally correct, but there are some important details to understand about how Medicaid handles Social Security survivor benefits: 1. For adult Medicaid eligibility, only YOUR survivor benefits count as YOUR income. Your children's benefits are considered their income, not yours. 2. However, Medicaid eligibility is determined based on the MAGI (Modified Adjusted Gross Income) methodology, which considers your tax filing status and household composition. 3. If you claim your children as dependents on your taxes, the household size increases, which actually raises the income threshold for eligibility. 4. Make sure you clearly indicate on your application which benefits belong to whom. Label your children's survivor benefits specifically as theirs, not yours. 5. Different states may have slightly different implementation of these rules, so it's always good to get specific information for your state.
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Landon Flounder
•This is really helpful information, thank you! So if I understand correctly, when I file the application, I should list my income as just my survivor benefit plus my part-time job, and then separately list my children's survivor benefits as their income? And the good news is that having them as dependents actually increases my eligibility threshold?
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Ally Tailer
•Exactly! List your income (your survivor benefit plus part-time earnings) as yours, and your children's survivor benefits as theirs. And yes, having dependents increases the household size, which raises the income threshold for eligibility. For example, the income limit for a household of 3 is higher than for a household of 1. Take documentation showing which benefits belong to whom when you have your interview or submit your application.
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Aliyah Debovski
OMG I went through this EXACT same problem last year!!! The first caseworker I had counted ALL the benefits as my income and denied me. I was DEVASTATED. Then I appealed and got a different caseworker who fixed it and approved me!!! Make sure you bring the award letters that show exactly which benefits are yours and which are your kids'. And don't give up if they deny you the first time!!!
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Landon Flounder
•This is so good to know - thank you for sharing your experience! I'll definitely bring all the award letters showing the separate benefit amounts. Did you have to do anything special for the appeal, or just explain that the first caseworker made a mistake?
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Miranda Singer
Just want to add that I worked for state healthcare enrollment for 6 years, and this confusion happens ALL THE TIME. Technically, Social Security survivor benefits paid to children are the CHILDREN'S income, not the parent's income. But here's where it gets tricky - some caseworkers mistakenly count it all as household income. The key is to be very clear about who each benefit belongs to and have documentation showing the separate payments. Also, when you complete the application, make sure to correctly identify each source of income and who it belongs to. Don't just list a total household income figure.
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Cass Green
•I think this is why theres so much confusion because each state handles medicaid different. In my state they definitely looked at household income for everything not just individual.
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Finley Garrett
If you're having trouble getting through to anyone at the Medicaid office to get this clarified, you might want to try Claimyr (claimyr.com). I used them to get through to Social Security when I had issues with my survivor benefits application. They have a video demo showing how it works: https://youtu.be/Z-BRbJw3puU. It helped me actually reach a real person instead of waiting on hold forever. Since you're dealing with both SS and Medicaid, it might be worth it to get clear information directly from an agent.
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Landon Flounder
•Thanks, I hadn't heard of this service before! I've been on hold with the Medicaid office for over an hour twice this week. I'll check out that video.
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Madison Tipne
I dunno why everyones making this so complicated. Just report EXACTLY what the 1099s say. SSA sends separate 1099s for your benefit and each kid. Medicaid can see whose SSN is on each form. Thats it! Just show them the paperwork!
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Cass Green
•This! ^^ Exactly right. Let the paperwork speak for itself and don't overthink it.
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Landon Flounder
Update: I finally got through to someone at Medicaid who seemed to really know what they were talking about. They confirmed that my children's survivor benefits are NOT counted towards MY income for Medicaid eligibility purposes! They are considered the children's income. However, they said I should bring all the award letters showing the separate payments to my in-person appointment. Thank you everyone for your help - this forum saved me so much stress!
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Aliyah Debovski
•So happy for you!!! It makes such a difference when you get someone who actually knows the rules!!!
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