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 arrearage
s 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, 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 is still eligible for the coverage.