Turning 65 years old has traditionally been associated with retirement and enrollment in federal benefit programs. However, people with disabilities may already be receiving federal benefits through Social Security, Medicaid, and Medicare before they turn 65.

Disabled individuals who qualify for Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI) may wonder what happens to their disability benefits when they reach retirement age.

The short answer is that their benefits don’t end, and the amount they received prior to turning 65 remains the same. But given the complexity of the federal benefits system, there may be exceptions to these general rules on a case-by-case basis that need to be discussed with a disability attorney.

Age 65 and Full Retirement Age

For most of Social Security’s history, “full retirement age,” or the age at which someone could receive the maximum amount of Social Security retirement benefits based on their work history, was 65 years old.

Reforms to Social Security in the 1980s raised the full-benefit retirement age to between 66 and 67 years old, depending on when somebody was born. For anybody born in 1960 and later, full retirement age is now 67.

When Does Social Security Disability Convert to Regular Social Security?

The Social Security Administration (SSA) does not permit a person to receive both disability and retirement benefits on one earnings record at the same time. For anyone receiving SSDI payments, their monthly disability benefit automatically switches to Social Security retirement upon reaching full retirement age. When this switch takes place, the monthly payment amount stays the same.

How Long Do Social Security Disability Benefits Last?

SSDI lasts for as long as the recipient has a disabling condition and is unable to work, or until they reach retirement age, at which time the disability benefit converts to a retirement benefit.

Social Security performs a continuing disability review (CDR) of SSDI recipients every three to seven years while the individual is on SSDI. Once SSDI benefits covert to retirement benefits, medical reviews are dispensed with.

SSI and Retirement Age

A person may qualify for SSI if they have little or no income and resources and are: 1) age 64 and younger with a qualifying disability, or 2) age 65 and older.

Qualifying for SSI does not require a work history the way that SSDI does. Someone can qualify for SSI without ever having worked. If someone is receiving SSI for a disability, their benefits can continue after they reach retirement age as long as they still meet the program’s financial requirements.

Disabled SSI recipients are subject to a CDR at least once every three years, or every five to seven years. During the CDR, the SSA also reviews a recipient’s income and resources to ensure they are still eligible for and receiving the correct SSI benefit amount.

Disability, Medicare, and Turning 65

Medicare eligibility ordinarily begins at age 65. However, people under age 65 who’ve gotten SSDI benefits for at least 24 months can start receiving Medicare prior to age 65.

SSDI recipients are entitled to Medicare Part A and Part B after receiving benefits for at least 24 months. They can choose at that time to decline or keep Part B, which covers services from doctors and other health care providers, but they must typically keep Part A.

When individuals with qualifying disabilities turn 65 and gain age-based Medicare eligibility, they can make changes to their current Medicare coverage and enroll in other Medicare programs, such as Medicare Part C and Part D. They do not need to re-enroll in order to continue receiving benefits they already have.

Disability, Medicaid, and Turning 65

Medicaid is government health care for people with limited income, including those with disabilities.

In many states, SSI recipients automatically qualify for Medicaid. Medicaid eligibility that’s based on receiving SSI should not be impacted by turning 65, but there could be considerations related to special needs trust funding at age 65.

Medicaid sometimes covers some costs that Medicare does not. Special needs trusts can help to preserve a beneficiary’s access to benefits like SSI and Medicaid, but the window of time to fund a first-party special needs trust closes at age 65.

Some people are also eligible for both Medicaid and Medicare. They may be able to enroll in a Dual Eligible Special Needs Plan, a type of managed care plan that helps to coordinate coverage for those with complex medical needs.

Work With a Professional

SSDI, SSI, Medicare, and Medicaid all have complex rules that may vary by state. Whether you’re turning 65 or reaching retirement age, connect with an attorney who understands the laws in your state.

If you would like to speak with an experienced elder law attorney regarding your situation or have questions about something you have read, please do not hesitate to contact our office at 1 (800) 680-1717. We look forward to the opportunity to work with you.