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SSI vs. SSDI: Understanding the Differences and Knowing When to Apply in Florida

  • Randy Narkir, Esq.
  • Oct 8, 2025
  • 5 min read
Young man with a disability smiling in a wheelchair at home, representing Florida families navigating SSI and SSDI benefits and Medicaid eligibility.


For families navigating the complex world of disability benefits, two acronyms rise to the top: SSI and SSDI. At a glance, they sound similar. In practice, they serve entirely different purposes. 

For parents of children with special needs or adults supporting a loved one with a disability, understanding the distinctions between SSI and SSDI and how they interact is critical to securing financial support, medical coverage, and long-term stability. 

This guide was written specifically for Florida families. We'll walk you through exactly what each benefit offers, who qualifies, how to apply, and what decisions can affect benefit eligibility down the line. 

 

What Is SSI? 

Supplemental Security Income (SSI) is a needs-based federal program that provides a modest monthly income to individuals with disabilities who have little to no income or resources. 

It is often the first and most essential benefit for children and adults who will need lifelong care and do not have a work history. 


Key Characteristics of SSI: 

  • Administered by the Social Security Administration (SSA) 

  • Funded by general tax revenues, not Social Security payroll taxes 

  • Designed to help people who are aged 65+, blind, or disabled 

  • Strict financial requirements: countable assets must be under $2,000 ($3,000 for a couple) 

  • No work history required 


Monthly Benefit: 

In 2024, the maximum federal benefit for an individual is $943/month, with a small state supplement in Florida that can bring the total slightly higher, especially in adult care facilities. 


Automatic Medicaid Eligibility in Florida: 

Florida is one of the few states where anyone who qualifies for SSI automatically receives Medicaid critical for access to: 

  • Long-term supports and services (LTSS) 

  • In-home aides and nursing support 

  • Waiver programs (such as the iBudget Waiver) 

  • Prescription medications, durable medical equipment, and more  


What Is SSDI? 

Social Security Disability Insurance (SSDI) is an earned benefit. It's intended for individuals who have worked and paid into the Social Security system, but are now unable to work due to a qualifying disability. 

SSDI is also available to certain adult children with disabilities based on a parent’s work history, under a rule called Disabled Adult Child (DAC) benefits


Key Characteristics of SSDI: 

  • Administered by the Social Security Administration 

  • Funded by Social Security payroll taxes 

  • Requires a qualifying work history (or parent’s, in DAC cases) 

  • No income or asset limits 

  • Benefits depend on your (or your parent’s) earnings record 


Health Coverage: 

  • SSDI recipients do not receive Medicaid automatically in Florida 

  • Instead, they qualify for Medicare after a 24-month waiting period 

  • SSDI recipients who also receive SSI may gain dual coverage (Medicare + Medicaid) 


Common SSDI Recipients: 

  • Adults who became disabled after years of employment 

  • Young adults disabled before age 22, now receiving DAC benefits after a parent retires, becomes disabled, or dies 


Disabled Adult Child (DAC) Benefits: A Special SSDI Category 

This provision allows an adult child with a qualifying disability (one that began before age 22) to collect SSDI benefits based on their parent’s work record, rather than their own. 


When DAC Applies: 

  • The adult has never worked or has limited work history 

  • The disability began before age 22 

  • The parent is retired, disabled, or deceased and is eligible for Social Security benefits 


DAC benefits often result in higher monthly payments than SSI and do not impact the parent's own Social Security income

  

SSI vs. SSDI: A Side-by-Side Comparison 

Feature 

SSI 

SSDI 

Type of Benefit 

Needs-based (welfare) 

Insurance-based (earned benefit) 

Funding Source 

Federal tax revenue 

Social Security payroll taxes 

Work History Required? 

No 

Yes (or DAC via parent) 

Asset Limit 

Yes – $2,000 for individuals 

None 

Income Limit 

Yes – strict 

None (though work may affect eligibility) 

Health Insurance Provided 

Medicaid (immediately in Florida) 

Medicare (after 2-year wait) 

Monthly Benefit 

~$943/month (2024) + FL supplement 

Varies based on lifetime earnings 

Available to Children? 

Yes 

Only if they qualify through DAC or have work history 

State Supplement? 

Yes – in Florida 

No 

Best Fit For... 

Those with no or low income/assets 

Those with work history or DAC status 


Can You Receive Both SSI and SSDI? 

Yes, concurrent benefits are possible if your SSDI payment is lower than the SSI maximum. 

To qualify: 

  • You must meet all the SSI financial/resource rules 

  • Your SSDI benefit must be below the current SSI threshold 

  • You can receive SSI to make up the difference and still maintain Medicaid access 


Example: 

 Your adult child receives $550/month in DAC SSDI. SSI may provide up to $393/month more to bring their income to the $943 federal limit (plus FL supplement), assuming they have no other countable income or assets. 


When Should You Apply? 

Apply for SSI: 

  • As early as childhood (even infants can qualify with medical proof) 

  • Immediately at age 18, when your child is evaluated based on their own income/resources (not yours) 

  • When applying for Medicaid Waiver programs in Florida, SSI often acts as the key to gain eligibility 


Apply for SSDI: 

  • If your loved one has a qualifying work history 

  • When a parent retires, becomes disabled, or dies, and the child meets DAC criteria 

  • If you are working with a benefits coordinator to layer income streams without disrupting Medicaid access  


Florida-Specific Considerations 

Florida has unique rules and benefits families should be aware of: 

  • SSI automatically qualifies recipients for Medicaid, a major advantage for families needing access to long-term care, therapies, or waiver services 

  • SSDI does not automatically trigger Medicaid eligibility in Florida—this can surprise families coming from other states 

  • SSI recipients may get additional help, including: 

    • Housing support access 

    • Priority placement on waitlists 

    • Coordination with Florida iBudget and MedWaiver services 

  • Dual enrollment (SSI + SSDI) may be the best path to maximize income while preserving Medicaid access 


What Mistakes Do Families Make? 

Some of the most common mistakes we see include: 

  • Waiting too long to apply for SSI, delaying access to Medicaid and services 

  • Not transitioning at age 18, missing the opportunity to qualify when parental income no longer counts 

  • Applying for SSDI without understanding Medicaid loss risks 

  • Not coordinating benefits through a comprehensive special needs plan 

  • Leaving SSDI or DAC eligibility out of estate planning, which can result in missed opportunities or disqualification 


Final Thoughts

Understanding the difference between SSI and SSDI isn’t just about forms and applications; it’s about protecting your loved one’s future. The wrong choice can mean losing Medicaid, missing therapies, or leaving money on the table. The right plan can secure income, health coverage, and stability for decades to come.


At Legacy Solutions Law Firm, we help Florida families navigate this maze every single day. If you’re unsure which benefit applies or how to protect eligibility while planning for the future, don’t wait until a mistake costs you.

 


 


 
 
 

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