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Idaho • Chronic Illness
If you have heart disease in Idaho, you may qualify for federal disability benefits (SSDI/SSI), Medicaid, and state support programs. This guide explains eligibility, how to apply, and what changes are coming in 2025.
To qualify for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) with heart disease, you must have a severe condition that stops you from working for at least 12 months. SSDI requires a work history and enough Social Security credits. SSI is for those with limited income and resources, regardless of work history. Both programs use the Social Security Administration’s definition of disability, which includes heart disease if it meets their criteria for severity and duration. In 2025, the Substantial Gainful Activity (SGA) limit is expected to rise, allowing beneficiaries to earn slightly more before benefits are affected. The cost-of-living adjustment (COLA) for 2025 is 2.5%, increasing monthly payments for most recipients [1].
Children with heart disease may qualify for benefits if they meet the SSA’s definition of disability. Adults whose disability began before age 22 may be eligible for Disabled Adult Child (DAC) benefits based on a parent’s record, provided they are unmarried and meet the SGA earnings limit [5].
In Idaho, Medicaid eligibility for heart disease is based on income and meeting the state’s definition of disability. You must first apply for Medicaid and be found financially eligible. If you have a chronic condition like heart disease that substantially limits your ability to function in at least three major life activities (such as self-care, mobility, or economic self-sufficiency), you may qualify for Medicaid and related services. Idaho also offers Medicaid waivers for home and community-based services (HCBS), which can help with long-term care needs related to heart disease. These waivers require both financial and functional eligibility, and may have waiting lists. Idaho’s Disability Determinations Service (DDS) reviews medical evidence for SSDI and SSI claims, but does not accept applications directly [3].
Adults with developmental disabilities, including those with heart disease, may qualify for additional support if their condition appeared before age 22 and meets specific criteria. However, heart disease alone does not automatically qualify unless it causes significant functional limitations [2].
ABLE accounts allow people with disabilities to save money without losing eligibility for SSI, Medicaid, or other benefits. In Idaho, you can open an ABLE account to save for qualified disability expenses, such as medical care, housing, and education. Contributions are limited, and withdrawals must be for qualified expenses. ABLE accounts can help those with heart disease manage long-term financial needs [ABLE Accounts].
For SSDI, there is no strict income limit, but you must not earn more than the Substantial Gainful Activity (SGA) limit. In 2025, the SGA limit is expected to be around $1,620 per month for non-blind individuals and $2,700 for blind individuals. For SSI, the federal income limit is $943 per month for an individual in 2025, but some income is excluded. Idaho Medicaid has its own income limits, which vary by program and household size [5].
You must report changes in income, work, or health to SSA and Medicaid to avoid overpayments. Overpayments can result in benefit reductions or repayment. Reporting changes promptly helps ensure you receive the correct amount of benefits and avoid penalties. Use the SSA’s online portal or contact your local office to report changes [Avoiding Overpayments & Reporting Changes].
In 2025, SSDI and SSI benefits will increase by 2.5% due to COLA. The SGA limit will also rise, allowing beneficiaries to earn slightly more before benefits are affected.
Yes, if your heart disease is severe enough to prevent you from working for at least 12 months and meets the SSA’s definition of disability. You must also meet the work history or income requirements for SSDI or SSI [5].
The SGA limit for 2025 is expected to be about $1,620 per month for non-blind individuals and $2,700 for blind individuals. Earning more than this may affect your SSDI or SSI benefits [5].
You must first apply for Medicaid and be found financially eligible. If you have a chronic condition like heart disease that limits your ability to function, you may qualify for Medicaid and related services. Apply online, by phone, or in person [2].
Medicaid waivers in Idaho provide home and community-based services for those with long-term care needs, including heart disease. These waivers require both financial and functional eligibility, and may have waiting lists [2].
Yes, but you must not earn more than the SGA limit. SSDI and SSI have work incentives that allow you to test your ability to work without losing benefits. Report any changes in income to avoid overpayments [SSI & SSDI Work Incentives].
The 2025 COLA increase for SSDI and SSI is 2.5%. This means most recipients will see a 2.5% increase in their monthly benefits to keep up with inflation [1].
Disclaimer: This guide is for informational purposes only and does not constitute legal or financial advice. Always consult with a qualified professional for personalized guidance.
Yes, children with heart disease may qualify for SSI if they meet the SSA’s definition of disability and their family meets income requirements. Adults whose disability began before age 22 may qualify for DAC benefits based on a parent’s record [5].
The Idaho DDS reviews medical evidence for SSDI and SSI claims, but does not accept applications directly. Applicants must apply through SSA, and the DDS will review the medical portion of the claim [3].
You must report changes in income, work, or health to SSA and Medicaid to avoid overpayments. Use the SSA’s online portal or contact your local office to report changes promptly [Avoiding Overpayments & Reporting Changes].
An ABLE account allows people with disabilities to save money without losing eligibility for SSI, Medicaid, or other benefits. Idaho residents can open an ABLE account to save for qualified disability expenses [ABLE Accounts].
