TN 16 (05-25)

HI 00630.020 Initial Enrollment Procedures - Foreign Beneficiaries on the Social Security Rolls Approaching Age 65 or Disabled for 24 Months

CMS notifies beneficiaries living outside the United States about their entitlement to Health Insurance and eligibility to enroll in Supplementary Medical Insurance (SMI) via the foreign initial enrollment period (IEP). CMS mails the foreign IEP package four months prior to reaching age 65 or four months prior to the 25th month of disability benefit entitlement. CMS sends the following foreign IEP package to each beneficiary:

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  Welcome to Medicare letter;

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  Welcome to Medicare booklet that provides an overview of the Medicare program;

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  Form CMS-40B (Application for Enrollment in Medicare Part B (Medical Insurance)); and

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  Return envelope to mail the Form CMS-40B to SSA's Division of International Operations (DIO).

For more information on the IEP, see HI 00805.015.