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Glossary of Terms from the Social Security Redbook

 

Blind Work Expenses (SSI)
If you are blind, when we decide your SSI eligibility and payment we do not count any earned income that you use to meet expenses in earning that income.

Break Even Point (SSI)
The dollar amount of total income that will (after applicable deductions are applied) reduce the SSI payment to 0 in a given set of case facts.  Your break even point depends on your earned and unearned income, living arrangement, applicable income exclusions, and State supplement if any.

Continuing Disability Review (SSDI and SSI)
Our process of obtaining complete current information about your condition and any work activity to decide if your SSDI and/or SSI benefits should continue.

Continuation of Medicare Coverage (SSDI)
You can receive at least 93 consecutive months of hospital and medical insurance after the trial work period.  This provision allows health insurance to continue when you go to work and are engaging and SGA.

Countable Income (SSI)
The amount of money left after we have subtracted all available deductions from your total income.  We use this amount to decide your SSI eligibility and payment amount.

Deeming (SSI)
Our process of considering some of the income and resources of your parent, or spouse, or sponsor (if you are an alien) to be your income and resources when you are applying for or receiving SSI benefits.

Extended Period of Eligibility (SSDI).
During the 36 consecutive months following the trial work period, if you are qualified, we may restart your SSDI benefits without a new application, disability determination, or waiting period.

Impairment Related Work Expenses (SSDI and SSI)
We deduct the cost of items and services that you need to work because of your impairment (e.g., attendant care services, medical devices, etc.) when we decide if you are engaging in SGA.  It does not matter if you also need the items for normal daily activities.  We can usually deduct the cost of these same items from earned income to figure your SSI payment.

Income (SSI)
SSI income is: Earned Income - money received from wages, including from a sheltered workshop or work activity center, self-employment earnings, and some royalties and honoraria; and Unearned Income - money received from all other sources, e.g., gifts, interest, Social Security, veterans benefits, pensions.  Unearned income also includes "in kind income" (free food, clothing or shelter) and "deemed income" (some of the income of a spouse, or parent, or sponsor of an alien).

Medicaid (SSI)
Medical coverage provided to a person by the State Title XVI program.

Medical Improvement Expected (SSDI and SSI).
When we decide if you have a disabling impairment, we also decide that the disabling impairment may improve and we diary the case for a future review.

Medicare (SSDI)
Two-part health insurance program for eligible disabled and people age 65 or older: Hospital Insurance under Medicaid (HI, Part A); Supplementary Medical Insurance under Medicare (SMI, Part B), and Medicare Prescription Drug Coverage (Part D.)

Medicare for People with Disabilities Who Work (SSDI)
Some people with disabilities who have returned to work can buy continued Medicare coverage when their premium free Medicare ends due to work activity.  States are required to help with hospital insurance premiums for some working individuals with disabilities.

Plan for Achieving Self Support (PASS) (SSI)
Under an approved PASS, you may set aside income and/or resources over a reasonable time which will enable you to reach the work goal to become financially self supporting.  You then can use the income and resources that you set-aside to obtain occupational training or education, purchase occupational equipment, establishing business, etc.  We do not account the income and resources that you set aside under a PASS when we decide SSI eligibility and payment amount.

Property Essential to Self Support (SSI)
We do not cast some or all of certain property necessary for self support when we apply the SSI resource test.

Resources (SSI)
Resources are anything you own, such as a bank account, stocks, business assets, real property, or personal property that you can use for your support and maintenance.  We do not count all your resources when we decide your SSI eligibility.

Substantial Gainful Activity (SGA) (SSD and SSI)
We evaluate the work activity of persons claiming or receiving disability benefits under SSDI, and/or claiming benefits because of the disability (other than blindness) under SSI.  Under both programs, we use earnings guidelines to evaluate your work activity to decide whether the work activity is substantial gainful activity and whether we may consider you disabled under the law.  While this is only one of the past used to decide if you're disabled, it is a critical for staff and disability evaluation.

SSDI
Social Security Disability Insurance authorized under Title II of the Social Security Act.

SSI
Supplemental Security Income program authorized under Title XVI of the Social Security Act.

Subsidy and Special Conditions (SSDI and SSI)
Supports you receive on the job that may result in more pay than the actual value of the services you perform.  We deduct the value of subsidy and special conditions from your earnings when we make an SGA decision.  Subsidy is considered for eligibility purposes only for SSI.

Trial Work Period (SSDI)
The trial work period is an incentive for the personal rehabilitation efforts of SSDI beneficiaries who work.  The trial work period lets you test your ability to work or run a business for at least nine months and receive full SSDI benefits no matter how high your earnings are if your impairment does not improve.

Unincurred Business Expense
Self-employment business support contributed to you self-employment effort by someone else.  If you are self-employed, we deduct unincurred business expenses from earnings when we make a SGA decision.

Unsuccessful Work Attempt
An effort to do substantial work (in employment or self-employment) which you stop or reduced to below SGA level after a short time (6 months or less).  This change must have resulted because of your impairment, or removal of special conditions related to your impairment that were essential to the further performance of your work.  We do not count earnings during an unsuccessful work attempt when we make an SGA decision.