HI 00630.030 Developing Foreign RSDI Claims When Claimant May Be Eligible for SMI

Claimants residing outside the United States currently filing for benefits must be informed of their right to enroll for SMI coverage if they are within 3 months of attaining age 65, or older and in an enrollment period. In those rare cases in which a claimant does not indicate his age but it appears that he may be near or at least age 65, this information will also be furnished since it may later be determined that he is eligible to enroll.

SSA Publication No. 05-10137, “Your Payments While You Are Outside the United States, and 10043 “Medicare” and SSA Publication No. 05-10005, which describes the limitations on medical insurance coverage for medical expenses incurred outside the United States, will be forwarded with the application, and the application will be annotated to show the publications were sent. All references to automatic enrollment to SMI will be deleted from the application.

If a claimant files before his initial enrollment period and becomes eligible to enroll before the claim is adjudicated, a supplemental application, as described above, will be sent to obtain his election or rejection of SMI coverage. SSA Publication No. 05-10137 and SSA Publication No. 10043 will accompany the supplemental application.


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HI 00630.030 - Developing Foreign RSDI Claims When Claimant May Be Eligible for SMI - 10/07/2016
Batch run: 10/07/2016
Rev:10/07/2016