Award Part B enrollment base on the following scenarios:
Scenario
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Part B coverage starts
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Date of State Buy-in eligibility is earlier than the Part B award date possible under equitable relief
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The month of State Buy-in eligibility
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Date of State Buy-in eligibility is the same date as Part B award date possible under equitable relief
|
The month of State Buy-in eligibility
|
Date of State Buy-in eligibility is later than the Part B award date possible under equitable relief
|
The current operating month or month of the Part B award date possible under equitable
relief. Follow instructions in HI 00805.185D.3.
|
|
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Special Case: There are cases when there is State Buy-in involvement for a person filing an initial
claim outside an enrollment period because of delays by the Department of Homeland
Security (DHS) in changing his or her alien status to lawfully admitted for permanent
residence.
Part B coverage starts the month of State Buy-in eligibility when:
-
•
The claimant meets the requirements for Part B enrollment earlier than the date of
issuance of DHS document I-151 (Alien Registration Receipt Card) or I-551 (Permanent
Resident Card), or
-
•
State Buy-in eligibility occurs before the date of issuance of the DHS document, and
-
•
State Buy-in eligibility starts on or after the earliest Part B eligibility date.
For additional equitable relief policies and instructions regarding delays by DHS,
see HI 00805.240B.7.
Example of a special case: Mr. Velasco files an initial claim to enroll in Part B in April 2018. His documentation
from DHS was issued in March 2018. Based on the data included in his DHS documentation
and his other evidence of age and length of residence, his earliest date of Part B
eligibility is April 2016. Based on his income, he is also eligible for State Buy-in
starting September 2016. Because the State Buy-in eligibility is after Mr. Velasco’s
earliest Part B eligibility date and before the date that DHS issued the documentation,
his Part B award is effective September 2016.