TN 70 (03-24)

HI 00801.052 Application Requirement and Effective Date for Hospital Insurance for Deemed Insured Beneficiaries

A. Policy

1. General

An individual (or proper applicant) must file an application to be entitled under the deemed insured provision. Except as provided in this section, the regular rules on applications apply (e.g., who may file, what constitutes an application).

The HCFA-18-F5 (Application for Hospital Insurance Entitlement) is the application specifically designed for establishing deemed insured entitlement. However, all retirement age applications which will be disallowed because the individual is not eligible for such benefits may serve as an application for deemed insured hospital insurance (HI).

NOTE: The HCFA-18-F5 is also an application for monthly Retirement and Survivors Insurance (RSI) benefits.

2. Prospective life

An application for deemed insured HI can be effective prospectively for 3 months before the first month all other eligibility requirements are met.

3. Retroactive life

An application for deemed insured HI may be effective for up to 12 months prior to the month of filing but no earlier than the month all other eligibility requirements are met.

4. Withdrawal

The application may be withdrawn at any time. To be effective, the individual must:

  • submit a written request for withdrawal, and

  • repay any Part A benefits paid on the individual's behalf.

B. Reference

GN 00206.020 Hospital Insurance (HI) and Withdrawal (WD)


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600801052
HI 00801.052 - Application Requirement and Effective Date for Hospital Insurance for Deemed Insured Beneficiaries - 03/06/2024
Batch run: 03/06/2024
Rev:03/06/2024