The option to elect SBC only applies to the following individuals:
Primary disability insurance beneficiaries.
Auxiliaries receiving benefits on the record of a primary disability beneficiary.
(The primary Title II beneficiary has to elect SBC for him/herself in order for the
auxiliary to receive SBC. The primary disability beneficiary also must elect to continue
the benefit of an auxiliary for that auxiliary to continue to receive that benefit
under SBC provisions.) See DI 12027.007B.
Disabled adult children.
Mothers/fathers receiving benefits based on having a disabled adult child in their
Mothers/fathers receiving benefits based on having in their care a child under age
18 but over age 15 who is disabled and receiving child’s benefits.
For SSI recipients whose benefits are based on disability or blindness.
Medicaid eligibility will continue for SSI recipients electing SBC in those states
where the Social Security Administration (SSA) determines Medicaid eligibility.
Individuals receiving special cash payments and/or Medicaid eligibility under Section
1619(a) and (b) Title XVI provisions may elect SBC. See SI 02302.000 regarding 1619(a) and 1619(b) cases for Title XVI.
In a concurrent case, a beneficiary may elect to receive SBC on one title (either
Title II or Title XVI) or both titles.
NOTE: See DI 12095.171 for sample exhibits of the SSA-795 Election Statement.
When the primary Title II beneficiary elects SBC, he/she:
Has the option to elect or decline to have benefits continued for any auxiliaries.
May specify which auxiliary(ies) may receive SBC and what benefit(s) may be continued.
May receive SBC only if the primary beneficiary also elects to have benefits/Medicare
continued for that auxiliary.
Each auxiliary receiving benefits on a primary disability beneficiary record has the
option to elect or decline to have benefits/Medicare continued.
Each auxiliary beneficiary (or representative payee on their behalf, where appropriate,
see DI 12027.010A.) must sign a separate SBC election statement (SSA-795) to receive SBC.