Medicare entitlement continues until the occurrence of a legally prescribed terminating event. The terminating events differ among the various HI entitlement provisions and for SMI.

HI for insured individuals, including R-HI beneficiaries, can be annulled through withdrawal of the application (either monthly benefit or HI only) which resulted in the establishment of HI entitlement. As explained in GN 00206.020 D.3, any HI benefits paid between entitlement and withdrawal must be repaid before the withdrawal can become effective. Withdrawal from SMI and Premium-HI can only occur under the circumstances described in HI 00801.145 and HI 00805.080.

An individual age 65 or over may withdraw an application for monthly RSI benefits without loss of HI. However, an individual under age 65 who withdraws an application for monthly disability benefits also loses HI and SMI. SMI terminates at the end of the month the individual is notified that the withdrawal has been approved.