Upon withdrawal of the EHH Medicare application, EHH HI terminates retroactive to
the first month of HI entitlement.
If the beneficiary files a withdrawal request within 60 days of the notification of
EHH HI and SMI entitlement, EHH SMI terminates retroactive to the first month of SMI
entitlement. If the beneficiary files a request for withdrawal after the 60-day period,
EHH SMI terminates at the end of the month in which SSA notifies the beneficiary of
approval of the request for withdrawal. SMI premiums paid for the period of entitlement
are not refundable.
If the beneficiary is entitled to Medicare based on age, disability or ESRD, that