The Internet application (i1020) is an interactive self-help form designed to capture
all inputs by the claimant (or third party on behalf of the claimant) and subsequently
propagate this data to the Medicare Determination process without any intervening action by an adjudicator. The screens are similar to, and elicit the same information as, MAPS screens and
the scannable application. However, easy-access Help screens containing additional
explanatory information are also available on the i1020 for most questions. The i1020
is available in English and Spanish. It can be accessed via the following website:
NOTE: Although the screens are similar, the i1020 does not use or interface with MAPS
screens to input subsidy application data to the Determination process. However, once
accepted, MAPS screens are used to query and/or change data in an application entered
via the i1020.
The following information is being provided solely to help respond to inquiries that
may be received about the i1020.
Who Should Complete the Subsidy Application?
Claimants may use the i1020 to apply for the subsidy if:
they have or are eligible for Medicare Part A and/or Part B; and
they live in one of the 50 states or the District of Columbia; and
their combined savings, investments, and real estate (other than their home) is not worth more than $13,300 ($13,070 in 2012) if they are single, or $26,580 ($26,120
in 2012) if they are married and living together.
NOTE: Even if the above amounts are exceeded, claimants may still be eligible for the
subsidy – but they will have to contact their state Medicaid agency to find out. However,
claimants may still enroll with an approved Medicare prescription drug provider for
Part D coverage – whether or not they are eligible for the subsidy. To obtain a list
of Medicare-approved prescription drug providers in their area, claimants may call
CMS toll-free at 1-800-MEDICARE (1-800-633-4227) or visit www.medicare.gov. If they
are deaf or hard of hearing, they may call the Medicare TTY number toll-free at 1-877-486-2048.
Who Should Not Complete the Subsidy Application
Some claimants will be deemed eligible for the subsidy and should not complete an
i1020 (or any other subsidy application). Claimants who should not file include those:
who receive SSI payments and have Medicare;
who receive Medicaid with prescription drug coverage and have Medicare; or
whose state pays for their Medicare premiums (e.g., QMBs, SLMBs and QIs).
These claimants will be contacted separately by CMS about their subsidy. CMS will
also notify them of the plan selection and provide instructions for changing plans
or opting out of enrollment. If they don’t want to wait to be contacted, they may
call CMS toll-free at 1-800-MEDICARE (1-800-633-4227) or visit www.medicare.gov. If they are deaf or hard of hearing,
they may call the Medicare TTY number toll-free at 1-877-486-2048.