HI 03094.605 Application Filed by Deemed Eligible
The “Application Filed by Deemed Eligible” notice is generated when a subsidy application is filed by a Supplemental Security Income (SSI) beneficiary. The notice advises the beneficiary that he is already deemed eligible as a result of being on SSI. This notice is generated by MAPS.
B. Sample Notice for Application Filed By Deemed Eligible
Social Security Administration
Medicare Prescription Drug Assistance
Great Lakes Program Service Center
600 West Madison Street
Chicago, Illinois 60661-2474
Date: November 1, 2005
Social Security Number: 123-00-6789
JOHN Q. PUBLIC
123 MAIN ST
SPRINGFIELD OH 45501
On October 25, 2005, you submitted an Application for Help with Medicare Prescription Drug Plan Costs. Because you receive Supplemental Security Income, you are automatically eligible for extra help with Medicare prescription drug plan costs. We do not need to process your application.
If You Have Any Questions
For information about Medicare prescription drug plans or other Medicare issues, visit www.medicare.gov on the Internet or call toll-free 1-800-MEDICARE (1-800-633-4227). If you are deaf or hard of hearing, you may call the Medicare TTY number toll-free at 1-877-486-2048.
For information about the extra help with the costs related to Medicare prescription drug plans or general information about Social Security, visit our website at www.socialsecurity.gov on the Internet. You may also call Social Security toll-free at 1-800-772-1213. If you are deaf or hard of hearing, you may call our TTY number toll-free at 1-800-325-0778. We can answer most questions by phone.
If you do call, please have this letter with you. It will help us answer your questions.