HI 00801.000 Hospital Insurance Entitlement

Subchapter Table of Contents
Section   Latest
Transmittal
HI 00801.001 Introduction TN 65 01-24
HI 00801.002 Waiver of HI Entitlement by Monthly Beneficiary TN 25 09-93
HI 00801.006 Requirements for Entitlement - Regular Insured Provision TN 57 02-23
HI 00801.008 HI Entitlement for Aged Spouse of Age 62 Worker TN 77 08-24
HI 00801.011 Qualified Railroad Retirement Beneficiary (QRRB) Defined—Aged TN 52 10-22
HI 00801.012 Deemed QRRB TN 57 02-23
HI 00801.017 Proof of Age TN 25 09-93
HI 00801.022 Application Requirement and Effective Date for Hospital Insurance for Insured Beneficiaries TN 72 05-24
HI 00801.027 Taking the Claim TN 70 03-24
HI 00801.029 Special Development Considerations TN 52 10-22
HI 00801.032 Establishing Entitlement TN 52 10-22
HI 00801.034 Withdrawal Considerations TN 52 10-22
HI 00801.047 Requirements for Entitlement - Deemed Insured Provision TN 52 10-22
HI 00801.052 Application Requirement and Effective Date for Hospital Insurance for Deemed Insured Beneficiaries TN 76 08-24
HI 00801.056 Eligibility Under Regular Insured Provision TN 25 09-93
HI 00801.058 Proof of Age TN 70 03-24
HI 00801.061 Residence and Citizenship/Alien Status Requirements TN 51 10-22
HI 00801.066 QC Requirement TN 51 10-22
HI 00801.071 FEHBA eligibility preclusion TN 57 02-23
HI 00801.076 Coverage Under FEHBA TN 72 05-24
HI 00801.081 Establishing FEHBA Eligibility TN 57 02-23
HI 00801.086 Preclusion Because of Crimes Against U.S TN 51 10-22
HI 00801.091 Filing the Claim TN 51 10-22
HI 00801.096 Completion of Items on SSA-18F5 TN 71 05-24
HI 00801.106 RR Involvement TN 57 02-23
HI 00801.111 Determining RR Status TN 53 10-22
HI 00801.116 HI Leads from RRB TN 57 02-23
HI 00801.121 FORM RR-80 (Report of Health Insurance Information — SSA Jurisdiction)
Premium-HI
HI 00801.126 HI for the Uninsured
HI 00801.131 Eligibility for Premium-HI TN 53 10-22
HI 00801.133 Enrollment and Coverage Periods TN 61 03-23
HI 00801.134 HI Premium Reduction for Aged Individuals With At Least 30 Quarters of Coverage TN 57 02-23
HI 00801.135 HI Premium Reduction to Zero for Certain Public Retirees TN 73 05-24
HI 00801.137 Initial Interview TN 71 05-24
HI 00801.138 Application for Premium HI TN 53 10-22
HI 00801.139 QMB Provisions TN 29 08-99
HI 00801.140 Premium-Part A Enrollments for Qualified Medicare Beneficiaries (QMBs) – Part A Buy-In States and Group Payer States TN 53 10-22
HI 00801.142 Transfer Enrollment Period for Individuals Enrolled in Medicare Managed Care Plans TN 73 05-24
HI 00801.143 Evidence of Enrollment in A Medicare Managed Care Plan TN 40 12-20
HI 00801.144 Taking the Claim TN 31 06-04
HI 00801.145 Withdrawal of Application for Enrollment TN 53 10-22
HI FOR THE DISABLED
HI 00801.146 Entitlement to HI for the Disabled TN 73 05-24
HI 00801.151 D-HI for QRRB Annuitants TN 54 10-22
HI 00801.152 Counting Months in Reentitlement Cases TN 73 05-24
HI 00801.153 D-HI Qualifying Period for Individuals Awarded DIB Under Section 332 of P.L. 98-21 TN 25 09-93
HI 00801.154 SSI/SSP Credit for Disabled Deceased Spouse TN 73 05-24
HI 00801.155 Deemed Entitlement to DWB for Medicare TN 73 05-24
HI 00801.161 Medicare Continuation During Appeal of Title II Disability Cessation TN 73 05-24
HI 00801.163 Disability Cessation Affirmed or Reversed After Benefit Continuation TN 54 10-22
HI 00801.164 Medicare Entitlement During the Provisional Benefit Period – Expedited Reinstatement of Disability Benefits TN 78 09-24
HI 00801.165 Medicare Terminations When The Provisional Benefit Period Ends TN 54 10-22
HI 00801.166 Favorable Medical Decisions TN 30 08-01
HI 00801.167 Examples Of How Disability Determinations Affect Medicare Coverage During The Provisional Benefit Period TN 54 10-22
HI 00801.170 Premium-HI for the Working Disabled TN 74 05-24
HI 00801.172 Taking Premium-HI Claims for the Working Disabled TN 74 05-24
HI 00801.174 Withdrawal of Enrollment TN 55 10-22
CHRONIC RENAL DISEASE
HI 00801.186 HI Based on End Stage Renal Disease TN 26 11-93
HI 00801.191 Requirements for Entitlement to R-HI TN 55 10-22
HI 00801.196 ESRD Medicare Application Requirement TN 74 05-24
HI 00801.197 Withdrawal of Application TN 59 02-23
HI 00801.201 R-HI Insured Status TN 59 02-23
HI 00801.206 Course of Dialysis TN 28 07-95
HI 00801.211 Kidney Transplant - Definition TN 28 07-95
HI 00801.215 ESRD Medicare Date of Entitlement - General Policy TN 67 02-24
HI 00801.216 ESRD Medicare Date of Entitlement - Dialysis TN 67 02-24
HI 00801.221 ESRD Medicare Date of Entitlement - Transplant TN 74 05-24
HI 00801.226 Date of ESRD Medicare Entitlement Based on Self-Dialysis Training TN 67 02-24
HI 00801.233 Medical Evidence of ESRD - Form CMS-2728-U3 TN 74 05-24
HI 00801.235 Development of Claims (ESRD) TN 74 05-24
HI 00801.246 R-HI and R-SMI Benefits - Policy TN 31 06-04
HI 00801.247 Medicare as Secondary Payer of ESRD Benefits TN 75 06-24
HI 00801.248 Effect of Immunosuppressive Drug Coverage on Filing for R-HI and R-SMI TN 75 06-24
HI 00801.251 Renal SMI Enrollment TN 75 06-24
HI 00801.256 SMI Premiums TN 23 07-91
HI 00801.257 State Buy-In Considerations TN 28 07-95
HI 00801.258 Relationship Between R-HI, D-HI, and Age 65 HI TN 75 06-24
HI 00801.261 HI Freeze TN 75 06-24
HI 00801.300 District Office Final Authorization (DOFA) of ESRD Medicare Awards and Disallowances TN 31 06-04
HI 00801.302 Medical Review of ESRD Claims TN 69 02-24
HI 00801.308 Form SSA-892-U2 (End-Stage Renal Disease (ESRD) Medicare Determination) TN 75 06-24
HI 00801.309 SSA-892-U2 (End-Stage Renal Disease (ESRD) Medicare Determination) — Exhibit TN 28 07-95
HI 00801.325 Notice to RRB: ESRD Medicare Award — LAF Code on MBR is “E”-Exhibit TN 28 07-95
MEDICARE QUALIFIED GOVERNMENT EMPLOYMENT
HI 00801.400 Medicare Qualified Government Employment (MQGE) TN 31 06-04
HI 00801.405 HI Entitlement for Auxiliaries and Survivors Based on MQGE TN 59 02-23
HI 00801.410 Insured Status Based on MQGE TN 59 02-23
HI 00801.415 Evidence of MQGE — Earned GEQCs TN 27 05-94
HI 00801.420 Deemed GEQCs for Federal Employees — Employee Status During 1/83 TN 59 02-23
HI 00801.425 Deemed GEQCs for Federal Employees — Pre-1983 Earnings TN 59 02-23
HI 00801.430 Using CS DATA Element to Determine Fully Insured Status TN 27 05-94
HI 00801.435 Taking the Claim TN 81 11-24
HI 00801.440 Special Rules Applicable to MQGE Claims TN 59 02-23
HI 00801.901 RR-80;Report of Health Insurance Information, SSA Jurisdiction
HI 00801.902 CMS 2728-U3, End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration - Exhibit TN 47 10-21

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HI 00801.000 - Hospital Insurance Entitlement - Table of Contents - 11/01/2024
Batch run: 11/01/2024
Rev:11/01/2024