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Ssi Medicaid Planning

SSI and Medicaid Rules Weren't Written for Families — They Were Written for Applicants

Ssi & Medicaid Planning

Supplemental Security Income and Medicaid are both means-tested: eligibility depends on staying under strict limits on income and countable assets — commonly just $2,000 in resources for an individual. For a family planning around a loved one with a disability, that threshold isn’t an abstraction; it’s the line between benefits continuing uninterrupted and benefits being suspended the day a well-meaning relative’s gift or inheritance arrives.

Effective planning in this area is coordination work as much as legal drafting: aligning estate planning documents, trust structures, and even the family’s everyday financial decisions so that support for a loved one enhances their life without ever pushing them over an eligibility line that took years to qualify under.

SPECIAL NEEDS TRUST PLANNING

The Core Tool: A Special Needs Trust

The primary instrument for this kind of planning is the special needs trust — a structure that holds assets for a beneficiary’s benefit without those assets being counted against either SSI’s asset limit or Medicaid’s eligibility requirements. See our Special Needs Trusts page for the mechanics, and our Supplemental Trusts page for the closely related terminology.

COORDINATED PLANNING

Common Situations That Require Careful Coordination

01

A parent's own estate plan

Wills, trusts, and beneficiary designations across the whole family need to route any inheritance for the beneficiary into a properly structured trust rather than to the individual directly.

02

A personal injury or medical malpractice settlement

Structuring the settlement into a first-party special needs trust before funds are disbursed preserves eligibility that would otherwise be lost the moment the settlement is paid directly.

03

Well-meaning gifts from extended family

Grandparents and other relatives often want to help directly, without realizing a check or gift given outright can jeopardize benefits; coordinating these contributions through the trust protects both the gift's intent and the beneficiary's eligibility.

04

Transition to adulthood

As a child with a disability turns eighteen, eligibility rules for SSI shift from being based on parental income to the individual's own resources — a transition that often opens new planning opportunities and requires its own review.

ONGOING PLAN MAINTENANCE

Life Doesn't Stop at Age 18 — Neither Should the Plan

SSI and Medicaid rules, benefit amounts, and program structures change over time, as does a beneficiary’s own needs as they age. A plan built when a child was young may need real adjustment as they move into adulthood, into supported employment, or into a different residential setting. Our TLC™ Estate Plan Maintenance & Fee Guarantee Program is designed to catch exactly these shifts, on an ongoing basis, rather than leaving a family to notice them alone.

Frequently Asked Questions

How much can my child with a disability own before losing SSI?
Generally around $2,000 in countable resources for an individual, though certain assets — a primary home, one vehicle, and assets properly held in a special needs trust — don’t count toward that limit.
What happens if a relative leaves money directly to my child with a disability?
It’s counted as the child’s asset immediately and can suspend SSI and Medicaid the same month it’s received. Coordinating with extended family in advance, so gifts and inheritances flow through a special needs trust instead, prevents this.
Does my child's eligibility change at 18?
Often, yes — SSI shifts from evaluating parental income and resources to evaluating the individual’s own, which can open new eligibility and planning considerations worth reviewing specifically at that transition.
Can a personal injury settlement be protected without losing benefits?
Yes, if structured into a properly drafted first-party special needs trust before the settlement is disbursed directly to the beneficiary
How often should an SSI/Medicaid plan for a family member be reviewed?
At least annually, and after any change in the beneficiary’s living situation, income, or the underlying benefits rules — our TLC™ program builds this review into an ongoing process.

A WORD ON DIY WILLS

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