Ticket To Work Program: What It Is and How It Works

By 

Monique Johnson

Full Bio

Monique M. Johnson is an experienced personal finance and healthcare researcher and writer based in Boston. Her work has been featured in Patch.com and Today.com. She is a member of the National Association of Black Journalists (NABJ) as well as Journalism and Women Symposium (JAWS). She is an executive assistant in the pharmaceutical industry.

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Updated October 30, 2023

Reviewed by Margaret James

Fact checked by 

Suzanne Kvilhaug

Part of the Series

Financial Planning for Families with Disabilities

Due to the pandemic and the Great Resignation, more people are working from home, providing people with disabilities more opportunities to stay in the workforce. In fact, employment opportunities for working individuals increased significantly during the pandemic. The number of employed workers with disabilities changed from 37.8% of the labor force population in September 2022 to 40.3% in September 2023, according to the U.S. Department of Labor (DOL).1

Laws such as the Americans with Disabilities Act (ADA) ensure that disabled employees have more access and equal opportunities. The Ticket to Work program supports and encourages disabled workers on the journey to financial independence and self-sufficiency without causing them to lose critical healthcare and other benefits before they’re firmly established in a work environment that can provide benefits. Learn more about this program, how it works, and when it got started.

Key Takeways

• The Ticket to Work Program helps disabled participants gain independence and paid employment without losing access to critical health care coverage. 
• Eligible beneficiaries can receive assistance through qualified service providers, which are organizations that offer employment services, vocational rehabilitation services, and other types of support.2
• Participation in the Ticket Program is free and voluntary.3
• Tickets are used with approved employment networks or state vocational rehabilitation agencies.4
• These networks are eligible for payments when the ticket holders they are serving achieve defined goals of work and earnings.4

What Is the Ticket to Work Program?

The Ticket to Work program helps people with disabilities return to work. The program was created in 1999 through the Ticket to Work and Work Incentives Improvement Act and signed into law by President Bill Clinton.56 The program allows workers with disabilities to test their ability to work without losing access to health care on the basis of their disability determination by the Social Security Administration (SSA).

The program’s mission was to address concerns about how few people who receive Social Security disability benefits, whether Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), were able to leave the disability rolls to work and earn a salary. Another issue was that beneficiaries who wanted to work had only one choice: a state vocational rehabilitation agency, which partners with public and private-sector employers to help individuals with disabilities to enter the workforce. Each year, over one mil­lion people with disabilities are served by state VR agencies across the country.7

A key provision of Ticket to Work addresses the biggest anxiety of many Social Security disability recipients: losing health care coverage. Program participants can keep their Medicare coverage for at least eight and a half years after returning to work.6 SSDI beneficiaries who work qualify for premium-free Part A, which covers hospitalizations. Individuals will still be eligible for Medicare Part B but must pay for it themselves unless covered by another third party.8

How the Ticket to Work Program Works

Ticket to Work is a free and voluntary program that supports disabled workers aged 18 to 64 with job placement training and other services to aid workplace success. The program’s goal is to help disabled workers achieve financial independence without relying on benefits from the SSA.9

For 2023, the maximum monthly SSI federal cash payments for individuals are $914 for individuals and $1,371 for couples. In 2024, these figures will update to $943 for individuals and $1,415 for couples.10 The SSDI payment depends on the number of dependents and other factors.11

If a disabled employee receives SSI or Social Security they automatically qualify. When eligible workers call the Ticket to Work Help Line at 1-866-968-7842 or 1-866-833-2967 (TTY), they are given a ticket number and a work placement through an employment network or vocational rehabilitation facility.

Participants design a career development plan with a timeline and are held accountable by the SSA to achieve specific goals within a set time frame.12

Important

Ticket to Work allows individuals with uninterrupted access to Medicare or Medicaid coverage for as long as they pay the premiums, for up to 93 months after their SSI or SSDI payments have stopped.6

Employment for Ticket to Work Participants

Ticket to Work participants can find employment resources and opportunities through an employment network or from a VR agency. These two entities are distinct, such that:

• An employment network consists of employers, nonprofit organizations (NPOs), government agencies, or combinations of these that deliver or coordinate services for Ticket to Work participants, including training, career advice, job placement, and workplace support.13
• VR agencies are state-level agencies that provide education, skills training, and other aid for people who need greater assistance for work.14

Program Incentives

The biggest concern for many individuals with disabilities receiving SSI or SSDI benefits is losing their health insurance. Ticket to Work allows individuals continued access to Medicare or Medicaid coverage for as long as they pay the premiums for up to 93 months after their SSI or SSDI payments have stopped.9

It is important to note that many individuals may qualify for cheaper plans through the Affordable Care Act (ACA) and their state’s health insurance marketplace than the cost of most Medicare and supplement plan premiums.15 If, after a beneficiary’s payments have stopped, they choose an ACA plan and cancel Medicare, they will not be able to get back on Medicare unless they get approved for SSI or SSDI through a process called expedited reinstatement.

In this case, the individuals may also have to sign up for Medicare again during the general enrollment period and pay penalties for the years they did not have Medicare if they cannot qualify for their state to buy them into medicare.1617

Fast Fact

One big part of the Ticket to Work program is that individuals with an open ticket are not flagged for a medical review of their disability solely on the basis of returning to work.18

Other Work Incentives

The SSA has several other work incentives to help individuals with disabilities start work or go back to work. They include the trial work period and extended period of eligibility as well as expedited reinstatements.19

Note that the trial work period and extended period of eligibility only apply to SSDI benefits—not to SSI benefits. Expedited reinstatements apply to both. If you are on benefits and at any time you worked before now, make sure that you verify whether or not you have used up your trial work period months by calling your local SSA field office.202117