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A Guide to Housing Resources For the Elderly In Philadelphia

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DEFINITIONS OF TERMST T 1-13<br />

SECTION 8 EXISTING RENTAL ASSISTANCE<br />

A Federal program that provides rental assistance <strong>to</strong> low-income families who are unable <strong>to</strong> afford market rents.<br />

Assistance may be in <strong>the</strong> form of vouchers or certificates.<br />

SECTION 8 HOMEOWNERSHIP PROGRAM<br />

Allows low-income families who qualify for Section 8 rental assistance <strong>to</strong> use <strong>the</strong>ir certificates or vouchers <strong>to</strong> pay<br />

for homeownership costs under a mortgage.<br />

SKILLED NURSING FACILITY (SNF)<br />

A nursing facility that delivers skilled, intermediate, and cus<strong>to</strong>dial care. Registered nurses provide 24-hour nursing<br />

services that must be prescribed by a physician. These facilities are licensed by each state.<br />

SOCIAL SECURITY ACT OF 1935<br />

TITLE II - Federal Old-Age, Survivors, and Disability <strong>In</strong>surance Benefits (OASDI). Enacted in 1935, Social<br />

Security replaces a portion of earned income lost as a result of a person's retirement, disability, or death. Monthly<br />

benefits are paid as a matter of earned right <strong>to</strong> workers who gain insured status and <strong>to</strong> <strong>the</strong>ir eligible spouses, children,<br />

and survivors. Retirement benefits can begin at age 62 and are payable for life. Disability benefits are payable <strong>to</strong><br />

those insured workers who meet <strong>the</strong> act's definition of disability.<br />

TITLE XVI - Supplemental Security <strong>In</strong>come for <strong>the</strong> Aged, Blind, and Disabled (SSI). The SSI program was<br />

enacted as part of <strong>the</strong> 1971 Social Security amendments. It replaced <strong>the</strong> federal-state public assistance programs <strong>to</strong> <strong>the</strong><br />

aged, blind, and disabled, which <strong>the</strong> states had administered. The program is now federally administered and provides<br />

a supplemental public assistance payment <strong>to</strong> those who are eligible. States have <strong>the</strong> option of increasing <strong>the</strong> amount of<br />

<strong>the</strong> supplement at <strong>the</strong>ir expense. <strong>In</strong> many cases, SSI recipients are au<strong>to</strong>matically eligible for o<strong>the</strong>r forms of assistance<br />

such as Medicaid, food stamps, and social services.<br />

TITLE XVIII - Health <strong>In</strong>surance for <strong>the</strong> Aged and Disabled (Medicare). The Medicare program was enacted in<br />

1965, providing health insurance coverage for persons age 65 or older, some disabled persons under age 65, and<br />

persons who have end-stage renal disease. The program consists of three parts:<br />

• Part A, Hospital <strong>In</strong>surance (HI) provides basic protection against <strong>the</strong> costs of hospital and related post-hospital<br />

care, home health services, and hospice care<br />

• Part B, Supplemental Medical <strong>In</strong>surance (SMI is a voluntary program for which enrollees in Part A must pay<br />

80 percent of reasonable charges for medical and related health services and supplies furnished by physicians<br />

(or o<strong>the</strong>rs in connection with physicians' services). Generally, it does not pay for out-of-hospital prescription<br />

drugs, glasses, hearing aids, or immunizations.<br />

• Part D, Prescription Drug Coverage is a voluntary program in which enrollees pay a premium receive for<br />

prescription drug coverage. Coverage varies depending on <strong>the</strong> plans offered.<br />

The program is administered by <strong>the</strong> Centers for Medicare and Medicaid Services (CMS). See www.medicare.gov.<br />

TITLE XIX - Medical Assistance Program (Medicaid). This program also became law in 1965. It provides<br />

medical assistance for certain low-income individuals and families. It is financed jointly by state and federal funds<br />

and administered by <strong>the</strong> individual states within broad federal guidelines. Generally, all who qualify for public<br />

assistance under federally funded categories (aged, blind, disabled, and families with dependent children) are eligible<br />

for Medicaid. O<strong>the</strong>rs may qualify at a state's option. <strong>For</strong> <strong>the</strong> low-income elderly, Medicaid provides a particularly<br />

important provision, payment of nursing home care. All states except Arizona currently have Medicaid programs.<br />

Programs vary from state <strong>to</strong> state.

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