If you earn enough that your SSI goes to $0, you have options to keep Medicaid coverage. These are not your only options: they are the most common.

Option 1: 1619b

This is for people who:

• Lose their SSI due to earned income
• Have less than $2,000 in resources
• Have earnings of less than:
  • $60,181 in Washington
  • $45,681 in Oregon
  • $50,583 in Idaho

Option 2: Medicaid Buy In

This is for people who:

• Have a disability and are working any amount
• Have more than $2,000 in resources
• Have earnings of less than:
  • In Washington, there no income or resource limits.
  • $39,125 in Oregon, with less than $5,000 in resources
  • $79,492 in Idaho, with less than $10,000 in resources

To use 1619b, keep reporting your earnings to Social Security, even when you don’t get an SSI check. Social Security determines your eligibility for 1619b.

To use Medicaid Buy In, follow the links below for your state.

Washington Medicaid Buy In - Known as Healthcare for Workers with Disabilities or HWD

Oregon Medicaid Buy In - Known as Employed Persons with Disabilities or EPD

Idaho Medicaid Buy In - Known as Medicaid for Workers with Disabilities or MWD

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To Do: If you are earning or plan to earn enough that you won’t qualify for SSI, make a plan for Medicaid! Explore your state’s options.

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