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JIM'S STORY
Jim is one of many
Hoosiers who lives
in a small town
where everyone knows
your name. Most of
the time he doesn’t
mind it, but when he
had his accident on
the farm of his
employer a few years
ago, it seemed
everyone knew more
about his disability
than he did. One day
in an accident on
the farm where he
worked, Jim got
tangled in a rope
and tumbled out of a
hayloft. Left with a
permanent physical
disability, Jim and
his family learned
how to adapt to
their new lifestyle.
One of Jim’s main
concerns was his
health insurance.
Though he was
eligible for
Social Security
Disability Insurance
(SSDI), his
Medicare health
insurance had a
24-month waiting
period. What was he
suppose to do in the
meantime? The bills
had kept mounting
and he was getting
very concerned.
His doctor suggested
that he talk with
the local
Division of Family
Resource
office about
Medicaid. Jim
wasn’t sure if he
would be eligible
because he was
working and his
employer had taken
him back on a
reduced work week.
Still, the mounting
medical expenses
overcame his fear
and he made the call
to the local
Division of Family
Resources. The
caseworker at his
local office helped
him with the
necessary paperwork
(financial
information and
medical information)
and he was
eventually
determined eligible
for Medicaid.
The fear of losing
your health
insurance can
sometimes keep you
from even wanting to
try to go to work.
But Jim found out
that you can
work and keep your
Medicaid through
called
MED Works
program. When he
went into his local
caseworker to apply
for Medicaid, the
caseworker reviewed
his income to find
out if he was
eligible. Through
MED Works, he
paid a small monthly
premium to keep his
Medicaid coverage. MED Works is a
flexible program,
and adjusts the
premium based on the
changes his and his
wife’s combined
income.
Because of his work
history, Jim
receives Social
Security Disability
Insurance (SSDI).
The monthly cash
benefit greatly
helps his family but
Jim wanted to go
back to work. He
loves working
outdoors and though
his disability has
forced him to reduce
his hours, he wants
to see how his
strength holds up as
he goes back to
work. The Social
Security Disability
Insurance work
incentive rules are
his safety nets as
he returns to the
job he loves.
Through Social
Security Disability
Insurance, he has a
Trial Work Period.
This will let him
see how much he can
work and maintain
his health without
fear of losing his
cash benefits. After
he completes his
Trial Work Period,
he can use other
work incentives
available to him
under the Social
Security Disability
Insurance program.
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The Disability Benefits and Work website was
funded by the Medicaid Infrastructure Grant (CFDA # 93.768)
This site is intended for informational purposes only.
Individual situations vary widely and must be evaluated on
an individual basis by Division of Family Resources
eligibility caseworkers, or Social Security Claims
Representatives and/or Indiana Works-Community Works
Incentive Coordinators. Links from this site are provided to
help people research various topics and do not constitute
endorsements by the State of Indiana or its partners. |