Mary was entitled to Medicare effective 3/95. Request for reinstatement period was
8/01 – 7/06. Mary had HI coverage until 3/06 (the end of the extended Medicare period),
but SMI coverage ended 5/02 due to non-payment of premiums. Mary requested benefit
reinstatement in 3/06 and filed for SMI under the GEP provisions. Provisional payments
and HI coverage were effective 3/06. A favorable decision is made in 5/06 with benefit
reinstatement effective 6/05.
The HI START date is changed to 3/95. Mary is enrolled in SMI beginning 5/06 since
the favorable decision results in a new IEP.
The notice advises Mary that may elect SMI coverage effective 6/05 if files a written
request within 30 days of the notice. Mary also given the option of refusing SMI coverage.