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3.8 Does using the BOND offset affect my Medicaid eligibility?

After you return to work, your Medicaid can continue, even if your earnings (alone or in combination with your other income) become too high for an SSI cash payment.

To qualify, you must meet all of the following qualifications:

The "threshold amount" is the measure that is used to decide whether your earnings are high enough to replace your SSI and Medicaid benefits. Your threshold amount is based on:

If your gross earnings are higher than the threshold amount for your state, you may still be eligible if you have:

The loss of Medicaid eligibility may not be critically important. For example, you may also have Medicare coverage and low medical expenses. In addition, you can potentially enroll in a Medicaid Buy-In program, if your state has one.

But if you are an SSDI-only beneficiary enrolled in a Medicaid Buy-In program, your premiums might increase if your earnings increase. This could be particularly problematic if you have not completed the 24-month Medicare waiting period after SSDI entitlement, and if you have substantial health expenses not covered by Medicare.