Eligibility Guidelines - SSI vs. SSDI

Supplemental Security Income (SSI)

Is a federal program that provides monthly benefits for people, with limited income and resources, who are disabled, blind, age 65 or older. Blind or disabled children may also qualify for SSI.

Social Security Disability Insurance (SSDI)

Is a federal insurance program with monthly benefits to people who have a medically determinable disability that restricts their ability to be employed. SSDI Eligibility is based on disability and work credits.

Acceptable Eligibility Documentation Guidelines – Supplemental Security Income

Documentation must display:

• The applicant’s name or the name of the applicant’s benefit-qualifying-dependent
• Supplemental Security Income or SSI
• A monthly benefit amount greater than $0.00
• A date not more than three-hundred sixty-five (365) calendar days prior to the date the TPA receives the application and supporting documents

Acceptable Eligibility Documentation Examples – SSI

• Social Security Administration Supplemental Security Income Notice of Award.
• Social Security Administration Supplemental Security Income Notice of Planned Action, such as a notice of change to the SSI monthly benefit amount.
• A Social Security Administration record confirming that the participant receives SSI Benefits. Note: If the name is not present on the document the SSN must be present and must match the SSN on the application/renewal form.
• Bank statement that clearly designates SSI as the source of the deposit amount.