HI 00805.000 Supplementary Medical Insurance Entitlement

Subchapter Table of Contents
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Transmittal
HI 00805.001 Supplementary Medical Insurance (Part B) TN 19 03-93
ELIGIBILITY REQUIREMENTS
HI 00805.005 Eligibility for SMI TN 19 03-93
HI 00805.006 Enrollee Ceases to Meet Eligibility Requirements TN 19 03-93
HI 00805.007 SMI Eligibility for Foreign Residents TN 19 03-93
INITIAL AND GENERAL ENROLLMENT PERIODS
HI 00805.010 Rules on Enrollment Periods TN 19 03-93
HI 00805.015 Initial Enrollment Period TN 19 03-93
HI 00805.020 Determining the IEP for Aged Alien Non-Beneficiaries TN 19 03-93
HI 00805.025 General Enrollment Period (GEP) TN 19 03-93
HI 00805.030 Relationship Between Initial and General Enrollment Periods TN 19 03-93
AUTOMATIC (DEEMED) ENROLLMENT
HI 00805.035 Nature and Purpose of Automatic Enrollment TN 19 03-93
HI 00805.040 Automatic (Deemed) Enrollment - Aged and Disabled Individuals TN 19 03-93
HI 00805.045 Deemed Enrollment - R-HI Beneficiaries TN 19 03-93
HI 00805.050 When Deemed Enrollment Does Not Apply TN 19 03-93
HI 00805.055 Notice of Right to Refuse Deemed Enrollment TN 28 11-14
INDIVIDUAL ENROLLMENT
HI 00805.060 Voluntary Request for Enrollment TN 19 03-93
HI 00805.065 Enrollment Form Not in File TN 19 03-93
HI 00805.070 Who May Execute a Valid Request for SMI Enrollment TN 19 03-93
HI 00805.075 Prescribed SMI Enrollment Forms TN 26 11-14
HI 00805.080 Withdrawal of Enrollment Before It Goes Into Effect TN 19 03-93
ADDITIONAL ENROLLMENT CONSIDERATIONS
HI 00805.085 Effect of Reentitlement to HI After Termination TN 19 03-93
HI 00805.090 SMI Enrollment of Reentitled Disability Beneficiaries TN 19 03-93
ENROLLMENT PROCEDURES
HI 00805.095 What Constitutes an Effective Enrollment TN 19 03-93
HI 00805.100 Individual Incapacitated During IEP, GEP, or SEP TN 19 03-93
HI 00805.105 Enrollee Needs Help in Paying Premiums or Claiming Reimbursement TN 19 03-93
HI 00805.110 SMI Enrollment Processes TN 26 11-14
HI 00805.115 Enrolling Beneficiaries in SMI who Reside in Puerto Rico TN 26 11-14
HI 00805.120 Enrolling Beneficiaries in SMI who Reside in a Foreign Country TN 28 11-14
HI 00805.125 Description of CMS Medicare Initial Enrollment Period Package Information Sent to Beneficiaries TN 28 11-14
HI 00805.126 Exhibits of Medicare Initial Enrollment Period Packages TN 29 10-17
HI 00805.130 When an Enrollment Received by Mail Is Considered Filed TN 19 03-93
HI 00805.135 Extending the Enrollment Period TN 19 03-93
HI 00805.140 Enrollment Action - Claim for Entitlement Pending When IEP or GEP Begins TN 19 03-93
DEEMED INITIAL ENROLLMENT PERIOD
HI 00805.150 Deemed IEP Based on Alleged Date of Attainment of Age 65 TN 19 03-93
HI 00805.151 The Date of Birth to Be Established TN 19 03-93
HI 00805.152 Examples of Deemed IEP TN 19 03-93
HI 00805.153 Prior Month Attainment Rule TN 19 03-93
HI 00805.154 Use of the Deemed IEP TN 19 03-93
HI 00805.155 Enrollment Request Filed After Age 65 But Before Deemed Date of Attainment TN 19 03-93
COVERAGE PERIOD
HI 00805.160 Coverage Period Defined TN 19 03-93
HI 00805.165 Individual Enrollment - When A Coverage Period Begins TN 19 03-93
EQUITABLE RELIEF
HI 00805.170 Conditions for Providing Equitable Relief TN 19 03-93
HI 00805.175 Evidence of Government Error or Delay TN 19 03-93
HI 00805.180 Payment of Premium Arrearage TN 19 03-93
HI 00805.185 Processing Equitable Relief Cases TN 19 03-93
HI 00805.190 Common Situations Involving Equitable Relief TN 19 03-93
HI 00805.195 Enrollment Not Processed Timely TN 19 03-93
HI 00805.200 SMI Awarded on Later of 2 Timely Enrollment Requests TN 19 03-93
HI 00805.205 Delayed or Incorrect Advice Frustrated Enrollment or Termination Rights TN 19 03-93
HI 00805.210 SMI Awarded Erroneously TN 19 03-93
HI 00805.215 SMI Terminated Erroneously TN 19 03-93
HI 00805.220 Inadvertent Failure to Bill for or Deduct Premiums - Non-Buy-In Cases TN 19 03-93
HI 00805.230 Delayed Deletion from State Buy-In Rolls Prejudices Termination Rights TN 19 03-93
HI 00805.235 Special Considerations for Premium-HI TN 19 03-93
HI 00805.236 Current Equitable Relief Considerations Involving CHAMPUS TN 19 03-93
HI 00805.240 Other Situations Where Equitable Relief May Apply TN 19 03-93
ENROLLMENT PROCEDURES - SPECIFIC CATEGORIES
HI 00805.245 Development for SMI Enrollment of Civil Service Annuitants and Their Spouses TN 19 03-93
HI 00805.250 SMI Enrollment for Qualified Railroad Retirement Beneficiary TN 19 03-93
HI 00805.255 SMI Enrollment of Holocaust Survivors TN 19 03-93
HI 00805.260 Medicare Entitlement for Residents of the Northern Mariana Islands TN 19 03-93
SPECIAL ENROLLMENT PERIOD AND PREMIUM SURCHARGE ROLLBACK
HI 00805.265 The Special Enrollment Period -- Definition TN 23 04-01
HI 00805.266 Description of Terms Used in the Special Enrollment Period and Premium Surcharge Rollback Provisions TN 25 04-12
HI 00805.270 General Eligibility Requirements for the Special Enrollment Period TN 25 04-12
HI 00805.275 Special Enrollment Period (SEP) Enrollments TN 25 04-12
HI 00805.276 SMI Effective Date for SEP Enrollments TN 23 04-01
HI 00805.277 Processing SEP Enrollments TN 27 11-14
HI 00805.278 SEP Enrollments for Aged Beneficiaries with Hours’ Bank Arrangements TN 27 11-14
HI 00805.280 Premium Surcharge Rollback for Individuals With GHP/LGHP Coverage TN 23 04-01
HI 00805.281 Examples of the Elimination or Rollback of Premium Surcharges for Individuals With GHP/LGHP Coverage TN 23 04-01
HI 00805.285 The SEP and Premium Surcharge Rollback for Individuals Eligible for Premium-HI TN 23 04-01
HI 00805.290 SEP Requirements for Self-employed Beneficiaries TN 27 11-14
HI 00805.295 Evidence of GHP or LGHP Coverage Based on Current Employment Status TN 27 11-14
HI 00805.300 Disability SEP for Beneficiaries for Whom Medicare is Now the Primary Payer TN 23 04-01
HI 00805.310 Disability SEP Enrollments TN 27 11-14
HI 00805.315 GEP Enrollment For Disabled Beneficiaries Who Do Not Enroll During The D-SEP TN 23 04-01
HI 00805.320 Equitable Relief for Disabled Individuals Covered Under a GHP/LGHP TN 23 04-01
HI 00805.322 Equitable Relief for Domestic (Or Life) Partners Covered Under a GHP TN 25 04-12
HI 00805.325 GHP Coverage Under TRICARE (Formerly CHAMPUS) TN 23 04-01
HI 00805.330 Individuals with GHP Coverage Under COBRA TN 23 04-01
HI 00805.340 Exhibit of Form CMS (L564 Request for Employment Information) TN 27 11-14
HI 00805.345 CMS Regional Office MSP Coordinators TN 23 04-01
HI 00805.350 Special Enrollment Period for International Volunteers TN 25 04-12
HI 00805.355 Evidentiary Requirements for the SEP or Premium-Surcharge Rollback for International Volunteers TN 25 04-12
HI 00805.360 Processing SEP Enrollments for International Volunteers TN 24 03-07
HI 00805.365 Premium Surcharge Rollback for International Volunteers TN 24 03-07
HI 00805.370 Processing Requests for SMI and/or Premium - HI Termination TN 24 03-07
INFORMATIONAL BACKGROUND
HI 00805.700 Outmoded Rules on Enrollment Periods and Coverage TN 19 03-93
HI 00805.705 Supreme Court Decision Affecting the Alien Residence Requirement for SMI ( Mathews v. Diaz ) TN 19 03-93
HI 00805.710 Special One-Time Enrollment for Certain Merchant Seamen TN 19 03-93
HI 00805.720 Equitable Relief for Certain Former CHAMPUS Beneficiaries TN 19 03-93
HI 00805.725 Equitable Relief for Certain CHAMPVA Beneficiaries TN 19 03-93
HI 00805.730 Certain Military Retirees and Dependents Receiving Health Care at Military Hospitals TN 19 03-93
HI 00805.731 Change in CHAMPUS Law Required Relief in 1992 TN 19 03-93
HI 00805.735 Cuban Refugees Whose Status Was Adjusted Under P.L. 89-732 TN 19 03-93
HI 00805.740 SEP and Premium Surcharge Provisions for the Ages Prior to the 1986 Amendments TN 23 04-01
HI 00805.750 SEP and Premium Surcharge Requirements in Effect for the Aged Prior to August 1986 TN 23 04-01
HI 00805.751 SEP and Premium Surcharge Requirements for the Aged Effective 8/86 TN 23 04-01
HI 00805.752 SEP Enrollment Requirements for Disabled Beneficiaries Covered Under an LGHP Prior to the 1994 Amendments (Disabled Active Individuals) TN 23 04-01

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HI 00805.000 - Supplementary Medical Insurance Entitlement - Table of Contents - 10/10/2017
Batch run: 10/10/2017
Rev:10/10/2017