People with Down Syndrome in California can access federal and state disability benefits, including SSI, SSDI, Medicaid, and ABLE accounts. California also offers State Disability Insurance (SDI) and Paid Family Leave (PFL) with increased benefits in 2025. This guide explains eligibility, how to apply, and key programs.
Step 1: Gather Documents
Step 2: Apply for SSI/SSDI
Step 3: Apply for SDI/PFL
Step 4: Apply for Medicaid (Medi-Cal)
Step 5: Apply for ABLE Account
California State Disability Insurance (SDI) and Paid Family Leave (PFL) benefits increased in 2025. Benefits are now 70% to 90% of wages, up to $1,681 per week, with no wage ceiling.
The main benefits are SSI, SSDI, Medicaid (Medi-Cal), ABLE accounts, and State Disability Insurance (SDI). These programs provide financial support, health coverage, and savings options for individuals with Down Syndrome and their families.
You can apply online at ssa.gov, by phone at 1-800-772-1213, or at a local Social Security office. You will need to provide medical records, proof of income, and identification.
The maximum weekly SDI benefit in California for 2025 is $1,681. Benefits are 70% to 90% of wages, with no wage ceiling.
Yes, individuals with Down Syndrome may qualify for Medicaid (Medi-Cal) if their income and resources are below the limit. Medi-Cal provides health coverage and long-term care services.
An ABLE account allows individuals with disabilities to save for disability-related expenses without losing SSI or Medicaid benefits. Contributions grow tax-free and can be used for qualified expenses like education and housing.
The 2025 federal SSI income limit is $943 per month for an individual. California may have higher limits due to state supplements. Income from work may be partially excluded.
This guide is for informational purposes only and is not legal or financial advice. Always consult with a qualified professional for personalized guidance.
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SSI is based on financial need and is available to individuals with limited income and resources. SSDI is based on work history and is available to individuals who have worked and paid Social Security taxes.
Yes, you can work while receiving disability benefits, but there are limits on how much you can earn. Earnings above the substantial gainful activity limit may affect your benefits.
Report changes in income, resources, or living situation to the agency that pays your benefits as soon as possible. This helps avoid overpayments and ensures you receive the correct amount.
Children with Down Syndrome may qualify for SSI, Medicaid, early intervention services, special education, and Medi-Cal Waivers (HCBS) for home and community-based services.
