Short answer: Scheduled Social Security and Supplemental Security Income payments generally continue during a shutdown. Medicare and Medicaid benefits also generally continue. Applications, replacement documents, appeals, verification, and phone support can face delays.
What continues and what may slow
| Program or service | Typical shutdown effect |
|---|---|
| Social Security retirement, disability, and survivor payments | Scheduled payments continue |
| SSI payments | Scheduled payments continue |
| Medicare coverage and claims | Continue |
| Medicaid coverage and payments | Generally continue through federal-state administration |
| New benefit applications | May continue with slower processing |
| Replacement Social Security cards | May be limited or delayed under the current plan |
| Benefit verification, corrections, and hearings | Some work may be delayed |
These are general patterns, not a promise about every office function. SSA and the Department of Health and Human Services issue contingency plans for a specific lapse.
Why checks can continue
Social Security benefits are supported by permanent legal authority rather than only by annual discretionary appropriations. That allows benefit payments to continue even when funding lapses elsewhere. Annual funding still supports employees and administrative systems, so service levels can be affected.
The same distinction matters for Medicare and Medicaid. Benefit authority continues, while some employees who administer policy, oversight, enrollment, or customer service may be furloughed depending on the plan.
What happened in the 2025 shutdown
The October 1 – November 12, 2025 shutdown followed the general pattern above, with a few specifics worth knowing.
| Program or service | What happened in 2025 |
|---|---|
| Social Security and SSI payments | Continued |
| SSA staffing | About 12% of 51,825 employees furloughed under SSA’s plan |
| Benefit verifications, replacement Medicare cards, overpayment work | Suspended under SSA’s plan |
| Medicare and Medicaid payments | Continued; Medicaid’s first quarter of fiscal 2026 had been funded in advance |
| Medicare telehealth flexibilities | Lapsed October 1; restored retroactively by P.L. 119-37 and extended through January 30, 2026 |
The telehealth item shows a different kind of risk. It was not caused by furloughs. A separate Medicare authority with its own expiration date ran out at the same time as annual funding, and the bill that reopened the government also extended it. If your care depends on a time-limited Medicare provision, check whether it has its own deadline.
The Medicaid detail also matters: advance funding covered the first quarter of fiscal 2026. A lapse that ran past that point could raise different questions. Each lapse can differ. See the 2025 government shutdown for the full timeline.
What beneficiaries should do
- Do not change direct deposit or reapply because of a shutdown headline.
- Keep filing and appeal deadlines unless an agency formally extends them.
- Keep medical appointments and present your usual insurance information.
- Check your online account before calling; hold times may increase.
- Confirm an in-person office is open before traveling.
- Treat messages asking for a fee to “protect” benefits as suspicious.
New applications and urgent problems
Apply when you become eligible rather than waiting for a shutdown to end. A submission date can matter. Online services may remain available even when an office has fewer employees.
For a missing or incorrect payment, use the official contact method on SSA.gov or Medicare.gov. Banks, local offices, and state Medicaid agencies can have different operating schedules, so identify where the problem actually occurred.
Sources
- Social Security Administration
- Medicare
- HHS FY 2026 contingency staffing plan
- Congressional Research Service shutdown resources
- FOX 9: Social Security during the October 2025 shutdown
- California Medical Association: Medicare and Medicaid payments continue; telehealth disrupted
- Telehealth.org: Medicare telehealth flexibilities extended through January 30, 2026
For nutrition assistance, see the separate guide to SNAP and WIC during a shutdown.