Mary was entitled to Medicare effective 3/95. Her 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 she may elect SMI coverage effective 6/05 if she files
a written request within 30 days of the notice. She is also given the option of refusing