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Rosie Harper

Will my husband lose Medicare when switching from SSI to Social Security retirement at 62?

My husband has been receiving SSI since he was 54 due to disability (currently gets about $115/month, down from $980). I started taking my Social Security retirement benefits early at 62 (now getting $1,705 monthly at age 65). When I started collecting, they drastically reduced his SSI because of my income, but thankfully he kept his Medicare coverage. He turns 62 next June and I'm confused about what happens next. Will SSA automatically switch him from SSI to regular Social Security retirement? More importantly, will he lose his Medicare coverage when that happens? The Medicare is absolutely crucial for his health conditions. We can't afford to lose it, but we're also counting on his retirement benefit to help with our expenses. Has anyone gone through this transition from SSI to retirement benefits? I've tried calling SSA three times but keep getting disconnected after waiting for hours. Really appreciate any help!

Your husband won't lose Medicare when he transitions from SSI to retirement benefits. Medicare eligibility is tied to his disability status, not the specific benefit type he receives. Since he's been disabled and on SSI, he'll keep Medicare when he transitions to retirement benefits. However, the transition is NOT automatic - he needs to apply for retirement benefits. SSA doesn't automatically switch people. He should apply about 3 months before his 62nd birthday. Be aware that taking retirement at 62 means a permanently reduced benefit compared to his Full Retirement Age (FRA). Also, depending on your husband's work history, his retirement benefit might be higher than his current SSI. In some cases, he might even qualify for a spousal benefit based on your work record if that would be higher.

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Rosie Harper

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Thank you so much for the detailed information! That's a huge relief about the Medicare. I had no idea he needs to actually apply - I thought it would just switch over. I'll help him apply before June then. Do you know if we need to go to the office in person or can we do it online?

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Demi Hall

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when my wife wnet from ssi to regular ss she DID loose her medicade for like 2 months!!! it was a nightmaer!! we had to pay for her meds out of pocket. call them and make SURE they dont mess it up like they did for us

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Rosie Harper

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Oh no! That's exactly what I'm worried about. Did you eventually get it restored or did you have to reapply? Did they reimburse you for the costs during those two months?

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The system is so confusing!! My brother went through something similar and the whole Medicare vs Medicaid thing is what really throws people off. SSI comes with Medicaid in most states, but the Medicare is from his disability qualification. Just make sure you keep all the paperwork straight!

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Kara Yoshida

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THIS. People mix up Medicare and Medicaid constantly. They're TWO DIFFERENT PROGRAMS!! Medicare is federal health insurance primarily for people 65+ OR on SSDI. Medicaid is state-run insurance for low-income people. SSI often comes with Medicaid eligibility, but switching to retirement benefits might affect Medicaid (not Medicare). The SSA is TERRIBLE at explaining this distinction to people!!

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Philip Cowan

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Based on your situation, here's what will happen: 1. Your husband won't automatically switch to retirement benefits - he must apply about 3 months before turning 62 2. He will keep Medicare without interruption because his Medicare eligibility is based on his disability status (24 months after disability approval) 3. He may potentially receive a higher benefit, especially if he qualifies for a spousal benefit based on your earnings record 4. If he currently has Medicaid through SSI (different from Medicare), that might be affected when SSI ends I recommend scheduling an appointment with SSA to discuss all options. Look at potential benefit amounts and determine if taking reduced retirement at 62 makes the most financial sense in your situation.

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Rosie Harper

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Thank you for breaking it down so clearly! I didn't realize there might be a spousal benefit option. His work history is pretty minimal because of his health issues starting in his 40s. I've been trying to get an appointment, but it's been impossible to reach anyone by phone.

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Caesar Grant

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I was in the same situation last year with my wife transitioning from SSI to retirement. Calling SSA was a nightmare - spent hours on hold only to be disconnected. I finally discovered Claimyr (claimyr.com) which got me connected to an actual SSA representative in under 20 minutes! They have a video showing how it works: https://youtu.be/Z-BRbJw3puU They helped us get everything straightened out so my wife kept her Medicare coverage during the transition. The rep even helped us determine whether spousal benefits would be better in our case. Definitely worth it to avoid the phone frustration.

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Lena Schultz

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does this service cost money? seems sketchy that you need to pay just to talk to social security...

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Caesar Grant

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It does have a fee, but after spending literally 8+ hours over multiple days trying to get through, it was worth it to me. Nothing sketchy about it - they just connect you directly to SSA instead of waiting on hold forever. You still talk directly to official SSA representatives.

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Demi Hall

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make sure he applys for BOTH his own ss retirement AND a spousal benefit!!! my friend got an extra $230 a month from her husbands record even tho she worked to!! u have to ask for it they dont tell u about it!!!

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This isn't quite right. SSA automatically calculates and pays the higher of either your own retirement benefit or the spousal benefit. You don't need to apply separately, and you don't get both - just the higher amount. However, it's always good to mention both when applying to ensure they consider everything correctly.

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Rosie Harper

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Thank you all for the helpful responses! I've taken notes on everything. I'm going to help my husband apply for retirement benefits about 3 months before his birthday in June, and I'll specifically ask about spousal benefits too. I'll also double-check about the Medicare continuation - sounds like that should continue, but I want to make sure there's no gap in coverage. I might try that Claimyr service since it seems impossible to get through to SSA otherwise. The peace of mind would be worth it to make sure everything transitions smoothly. I appreciate everyone's help and experiences! This community has been so much more helpful than my hours of waiting on hold.

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Raul Neal

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Just wanted to add a few key points that might help with your planning: 1. **Timing is crucial** - Apply exactly 3 months before his 62nd birthday in June. This ensures no gap in benefits and gives SSA time to process everything smoothly. 2. **Bring documentation** - When you apply (whether online or in person), have his SSI award letter, Medicare card, and your Social Security statement ready. This speeds up the process significantly. 3. **Consider waiting if possible** - While I understand you need the income, remember that taking retirement at 62 means a permanent reduction of about 25% compared to his full retirement age benefit. If his health allows and you can manage financially, even waiting a year or two could mean hundreds more per month for life. 4. **Medicare continuation is almost certain** - Since he qualified for Medicare through disability (not age), this should continue seamlessly. The 24-month waiting period he already completed won't reset. 5. **Get it in writing** - When you do speak with SSA, ask them to document in writing that his Medicare will continue during the transition. This can help if there are any computer glitches later. Good luck with everything! It sounds like you're being very proactive about this transition.

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This is incredibly helpful advice! I especially appreciate the tip about getting the Medicare continuation in writing - I never would have thought of that but it makes perfect sense given some of the horror stories I've heard. You're absolutely right about the timing being crucial. We've been going back and forth about whether he should wait beyond 62, but honestly with his health conditions and our current financial strain, I think we need to take the benefits when he's eligible. The peace of mind of having that extra income will be worth more to us than the higher amount later. The documentation checklist is great too - I'm going to make sure we have everything ready before we start the application process. Thank you for taking the time to lay all this out so clearly!

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