HI 00815.021 When A Buy-In Coverage Period Ends

Buy-in coverage ends with the earliest of the events specified in the following paragraphs:

1. A. 

   Death — Coverage ends on the last day of the month in which the individual dies.

2. B. 

   Loss of entitlement to Hospital Insurance benefits — If an individual is under age 65 and loses entitlement to Hospital Insurance, buy-in coverage ends on the last day of the last month for which he is entitled to Hospital Insurance benefits.

3. C. 

   Loss of eligibility in a coverage group — If an individual loses eligibility for inclusion in the State"s coverage group, his buy-in coverage ends on the last day of the month for which he is eligible for inclusion in the coverage group.

4. D. 

   Loss of eligibility for SSI in an accrete State — If CMS initially determined the individual"s eligibility for inclusion in the State"s coverage group as a result of SSI eligibility, CMS will terminate the individual"s buy-in coverage when it receives a termination record from the SSI system.

5. E. 

   Termination of buy-in agreement — If the State"s buy-in agreement is terminated, coverage ends on the last day of the month for which the agreement is in effect.