The type of social security benefits that premature babies can receive is called supplemental security income, or SSI. The Social Security Administration provides SSI benefits for any child with disabilities, and some preemies with low birth weight or developmental delays are eligible.
SSI Eligibility for Preemies
Simply being born prematurely doesn’t qualify your child for social security benefits. To be eligible for SSI, a baby must have one of the following conditions:
Low weight at birth: Any baby who weighs less than 2 pounds, 10 ounces at birth qualifies for SSI. Low birth weight for their gestational age: Babies who are very small for their gestational age—what age they are from conception, not birth—can qualify for SSI. For example, a full-term baby, born between 37 and 40 weeks, still qualifies for SSI if they weigh less than 4 pounds, 6 ounces at birth.
After your baby is discharged, the amount of benefit you receive will depend on your family income and how many other children you have. It will also vary by state, as some states supplement SSI with additional payments. Recent data show that the average SSI monthly payment that the federal government provides to families of children with any disability is around $690.
How to Apply for Social Security Benefits
If you think your baby may qualify for SSI benefits, you should apply as soon as you are able. It can take three to five months for the Social Security Administration to decide eligibility for most children with disabilities, although it will grant SSI immediately for babies who weigh less than 2 pounds 10 ounces at birth. Your infant’s birth weight must be documented by an original or certified copy of the birth certificate or in a medical record signed by a physician. If your child fails to grow as expected and has developmental delays, it’s important to collect and submit regular doctor’s records with your application. To apply for SSI benefits, you can visit your local social security office or call the Social Security Administration at 1-800-772-1213. Also, don’t hesitate to check if the hospital where you delivered your baby can help; many neonatal intensive care units (NICUs) have representatives who are pros at guiding parents through the SSI application process.
Expiration of SSI Benefits for Preemies
Parents should know that SSI payments are intended to expire when a child is on an age-appropriate weight and development track. As welcome as a little monthly financial boost is, the decision to discontinue payments is likely recognition of something positive: Your child’s attainment of or return to good health. If your baby receives SSI for low weight at birth, the government will review their health status and eligibility again around their first birthday. If your child isn’t gaining weight or developing as expected, benefits will continue until the next review cycle. For children who qualify for SSI later due to growth failure and associated developmental delays, benefits personnel will review their health progress and medical records at least every three years to determine eligibility. If your child receives SSI, you are required to report to the Social Security Administration if you or your co-parent has a change in income. If you start earning more money, your child’s benefit payments could be reduced or end altogether.
Other Financial Assistance Programs
If you have a preemie or baby with weight and growth problems and lack private insurance, there are other ways to get some financial relief to help curb costs for their care.
Food, shelter, and safety needs (including child care)Medical and dental care not covered by insurancePersonal needs, like clothing and enrichment programs
Medicaid: Depending on the state, a family who qualifies for SSI on behalf of a child may also qualify for Medicaid, a healthcare program for low-income people. Even if your child doesn’t qualify for SSI, they might be eligible for Medicaid and other state and local programs. Check with your state Medicaid office and your state or county social services office. CHIP: The Children’s Health Insurance Program (CHIP) covers medical and dental costs for millions of kids whose families aren’t insured otherwise. You can apply for coverage and find participating doctors on the federal Insure Kids Now website. WIC: Managed by the United States Department of Agriculture (USDA), the Supplemental Nutrition Program for Women, Infants, and Children (WIC) is designed to promote the health of expecting parents and their children up to age 5. To meet WIC eligibility for these monthly food vouchers, families must have an income at or below the poverty line and have demonstrated nutritional needs or deficiencies.
There was an error. Please try again.
