RSDI beneficiaries whose entitlement continues into the month they attain age 65 are
automatically entitled to HI. Each month, the MBR is screened to identify entitled
beneficiaries who will attain age 65 within 4 months. Entitlement data for each individual
are forwarded for entry onto the Health Insurance Master Record and for preparation
of an SMI automatic enrollment package. The only notice of HI entitlement in these
cases is mailed with the health insurance card.
The date of birth (DB) shown on the MBR for some beneficiaries merely represents an
allegation and has not actually been established. By means of a quarterly screening
of the MBR, these beneficiaries are identified and alert messages are sent to the
PSC 12 months before attainment of age 65. If a beneficiary’s DB has not been established
at the time a record is created on the Health Insurance Master Record, the record
is treated as inactive and an HI card will not be issued until the DB has been established.