Disabled working individuals with premium-HI coverage will be entitled to premium-free
HI during the provisional benefit period.
If the individual is currently paying a premium surcharge for SMI, then the surcharge
will continue to apply during the provisional benefit period. Any premium arrearages
will be deducted from the provisional benefits.
The provisional benefit period does not begin a new IEP. If the individual does not
currently have SMI coverage, he or she can apply for SMI during a general enrollment
period (GEP) or special enrollment period (SEP) that occurs during the provisional
benefit period. Normal rules apply for GEP or SEP enrollments.
Premium-HI (and SMI, if applicable) can continue after the provisional benefit period
ends only if the field office obtains a statement from the individual requesting premium-HI
coverage to be reinstated and he or she is still eligible for the coverage.