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Will an Inheritance Affect SSI or Medi-Cal?

This comes up in two very different situations, and the answer is not the same for both. Either you are planning ahead and want to leave money to someone receiving benefits, or money has already arrived and benefits are now at risk. Most of what follows is about the first, because that is the version that can still be solved cleanly.

Which benefit are we talking about?

People use "disability" to mean two different programs, and an inheritance affects them differently.

ProgramAffected by an inheritance?Why
SSIYesNeeds-based, with a resource limit of $2,000 for an individual and $3,000 for an individual with an eligible spouse — figures set in 1989 and never raised. An inheritance counts as a resource. 42 U.S.C. § 1382(a)(3)
SSDINoBased on your work record, not your finances. Title II conditions benefits on disability and insured status and imposes no resource test. 42 U.S.C. § 423
Social Security retirementNoAlso not needs-based.
Medi-CalYes, againCalifornia removed the asset limit for most non-MAGI coverage in 2024, then reinstated one from 1 January 2026. Income is also counted for some programs and the rules vary by category of coverage, so check the current limit before relying on a figure. Cal. Welf. & Inst. Code § 14005.62

What happens when an inheritance is left directly

If someone on SSI is left $100,000 outright, the money is treated as theirs. Benefits generally stop, and do not resume until the money has been spent down below the resource limit — often on medical costs that the benefits would have covered. They then have to reapply, and during the gap they may not be able to see their usual doctor.

So the money gets spent on the things the benefits were already paying for, and the person ends up roughly where they started, minus the inheritance.

Refusing the inheritance usually makes it worse

The fix, if you are the one leaving the money

Leave it to a third-party special needs trust instead of to the person directly. Because the money was never theirs, it is not a resource, benefits continue, and the trust can pay for the things benefits do not cover — uncovered medical care, education, clothing, better housing.

The timing matters: this is set up by the person leaving the money, as part of their own estate plan, while they are alive. It cannot be done afterwards by the person receiving it.

We include third-party special needs trusts in every estate plan at no additional cost, including when you are using legal insurance. More on how our special needs trusts work.

CalABLE accounts

A CalABLE account is California's version of an ABLE account — a savings account for someone with a disability that is largely ignored by the benefit programs. It is not a substitute for a special needs trust, but the two work well together, and most families planning for a child with a disability should know about both.

QuestionAnswer
Does it affect SSI?Only above $100,000. The first $100,000 is disregarded, so it does not count toward the $2,000 resource limit. Above that, SSI payments are suspended rather than terminated, and resume once the balance falls back under — no new application, and the usual rule ending eligibility after twelve months of suspension does not apply. ABLE Act § 103
Does it affect Medi-Cal?No, at any balance — the $100,000 ceiling is an SSI rule only. California has also chosen not to recover Medi-Cal costs from a CalABLE account after the account holder dies, which is not true of every state's ABLE program. That protection covers money still in the account, not money that has already been paid out of it. Cal. Welf. & Inst. Code § 4885(b)
How much can go in each year?Contributions from everyone combined are capped at the federal gift tax annual exclusion, which is adjusted for inflation and changes most years. Someone who works and is not paying into a workplace retirement plan can add more under the ABLE to Work rules — up to their own earnings or the federal poverty line for one person, whichever is lower. 26 U.S.C. § 529A(b)
Is there a lifetime cap?Yes, tied to California's 529 plan limit — but it sits well above the $100,000 figure that matters for SSI.
Who can open one?Someone whose disability began before age 46. Worth re-checking if you looked into this before: the cutoff was age 26 until the ABLE Age Adjustment Act raised it for tax years beginning after 31 December 2025, and a lot of people became eligible who previously were not. 26 U.S.C. § 529A(e)

Why we usually recommend both

The annual cap means a CalABLE account cannot absorb an inheritance — that is what the trust is for. But the account is owned and controlled by the person with the disability, which matters for independence, and it handles day-to-day spending better than a trustee can. The common arrangement is that the trust holds the money and the trustee moves it into CalABLE as it is needed.

If the money has already been received

This is the more urgent version and it needs different help. Money that already belongs to the person with a disability requires a first-party special needs trust — also called a self-settled or d4a trust — or a pooled trust. Those have their own rules, including a provision paying the state back for medical assistance it has provided. 42 U.S.C. § 1396p(d)(4)

Reporting

SSI recipients have to report changes in resources, and an inheritance is one. Reporting late tends to create an overpayment that has to be repaid, which is a worse problem than the one you started with.

Common Questions

Will an inheritance affect my SSI?

Yes, if it is left to you directly. SSI is a needs-based program with a resource limit of $2,000 for an individual and $3,000 for an individual with an eligible spouse. Those figures were set in 1989 and have never been raised. An inheritance paid to you outright counts as a resource, and benefits generally stop until the money has been spent down below the limit.

Does an inheritance affect Social Security disability?

It depends which program you are on, and people often mix the two up. SSDI is based on your work record, not your finances, so an inheritance does not affect it. SSI is needs-based, so an inheritance does affect it. Social Security retirement benefits are also unaffected. If you are unsure which you receive, your award letter will say.

Does an inheritance affect Medi-Cal?

Yes, and this recently changed back. California eliminated the asset limit for most non-MAGI Medi-Cal on 1 January 2024, but the Legislature reinstated one effective 1 January 2026. Current enrollees are checked at their first renewal. Because the rule has moved twice in three years, confirm the current limit with Medi-Cal or an attorney rather than relying on a published figure. SSI has its own separate $2,000 resource limit, which is much lower and did not change.

Can I just refuse the inheritance to keep my benefits?

Not without advice. Social Security can treat giving up an inheritance as a transfer of resources, which carries a penalty period of up to 36 months. Whether a formal disclaimer counts as a transfer is genuinely unsettled and can turn on state disclaimer law, because in California a valid disclaimer is treated as though the person died before the gift was made. The safe course is not to refuse anything until someone has looked at the specific facts.

What should a parent do instead?

Leave the inheritance to a third-party special needs trust rather than to the person directly. Because the money is never theirs, it does not count as a resource, benefits continue, and the trust can still pay for things benefits do not cover. This has to be set up by the person leaving the money, before they pass away.

Does a CalABLE account affect SSI?

Only above $100,000. The first $100,000 in a CalABLE account is disregarded for SSI, so it does not count toward the $2,000 resource limit. If the balance goes above $100,000, SSI payments are suspended rather than terminated, and they start again once the balance drops back below. Medi-Cal is not affected by the balance at all.

How much can you put into a CalABLE account?

Contributions from all sources are capped each year at the federal gift tax annual exclusion. A beneficiary who works and is not contributing to a workplace retirement plan can add more under the ABLE to Work rules, up to their earnings or the federal poverty line for one person, whichever is lower. There is also a lifetime account cap tied to California’s 529 plan limit, which is much higher than the $100,000 SSI threshold.

Who can open a CalABLE account?

Someone whose disability began before age 46. That age was 26 until the ABLE Age Adjustment Act raised it for tax years beginning after 31 December 2025, which made a large number of people newly eligible. You do not have to live in California to use CalABLE.

Should we use a CalABLE account or a special needs trust?

Usually both, because they do different jobs. A CalABLE account is owned and controlled by the person with the disability and works well for everyday spending, but it is capped annually. A third-party special needs trust has no contribution limit and is the right place for an inheritance. A common arrangement is for the trustee to move money from the trust into the CalABLE account as it is needed.

Why would a trustee pay housing costs through a CalABLE account?

Because of how SSI treats housing help. If a special needs trust pays someone’s rent directly, SSI generally counts it as in-kind support and maintenance under the presumed maximum value rule, which can reduce the monthly payment by roughly a third. A distribution from a CalABLE account is not income and not in-kind support and maintenance. One condition matters: a CalABLE housing distribution has to be spent in the same month it comes out, because if it is still sitting there the following month it counts as a resource.

What if the inheritance has already been received?

That is a different situation and a more urgent one. Money that already belongs to the person with a disability needs a first-party special needs trust, sometimes called a self-settled or d4a trust, or a pooled trust. Summerall Law does not prepare those. Speak to an attorney who handles first-party trusts quickly, because timing affects the options.

Do I have to report an inheritance to Social Security?

Yes. SSI recipients are required to report changes in resources, and an inheritance counts. Reporting late can create an overpayment that has to be paid back.

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