How does ODS handle disabled, over age dependents?
If a member has a child or dependent who has sustained a disability rendering him or her physically or mentally incapable of self-support, that child may be eligible for coverage even though he or she is over the dependent stop age. To be eligible, the child must be unmarried and principally dependent on the member for support. The incapacity must have arisen before the childs 26th birthday. The member must provide ODS with a written physicians statement confirming that these conditions existed continuously prior to the childs 26th birthday. Documentation of the childs medical condition must be reviewed and approved by the ODS medical consultant. Periodic review by the medical consultant also will be required on an ongoing basis. Disabled children who live in group homes or other facilities, who are still dependent on their parents for support, continue to be eligible for benefits past age 26 if they meet the disability criteria. ODS will continue to provide coverage as long as the mem
