Section 278 of Public Law (P.L.) 97-248 provides that effective January 1, 1983 government employees will pay hospital insurance
taxes. As a result, government employees (and their spouses, widow(ers), children
or dependent parents) may be covered by Medicare on the basis of age, disability or
end-stage renal disease.
To be eligible for Medicare coverage based on disability an individual must meet the
definition of disability in the Social Security Act. In addition, disabled individuals
are subject to all conditions and reviews to which regular Title II beneficiaries
are subject (for example, extended period of eligibility (EPE), medical improvement
expected (MIE), medical improvement possible (MIP), medical improvement not expected
(MINE), and trial work period (TWP) diaries, see HI 00801.400.