| Section |
|
Latest
Transmittal |
| HI 00805.001 |
Supplementary Medical Insurance (Part B) |
TN 101 02-24 |
| HI 00805.005 |
Eligibility for SMI |
TN 56 10-22 |
| HI 00805.006 |
Enrollee Ceases to Meet Eligibility Requirements |
TN 56 10-22 |
| HI 00805.007 |
SMI Eligibility for Foreign Residents |
TN 74 02-23 |
| HI 00805.010 |
Rules on Enrollment Periods |
TN 101 02-24 |
| HI 00805.015 |
Initial Enrollment Period |
TN 56 10-22 |
| HI 00805.020 |
Determining the IEP for Aged Alien Non-Beneficiaries |
TN 60 11-22 |
| HI 00805.025 |
General Enrollment Period (GEP) |
TN 87 07-23 |
| HI 00805.030 |
Relationship Between Initial and General Enrollment Periods |
TN 60 11-22 |
| AUTOMATIC (DEEMED) ENROLLMENT
|
| HI 00805.035 |
Nature and Purpose of Automatic Enrollment |
TN 19 03-93 |
| HI 00805.040 |
Automatic (Deemed) Enrollment - Aged and Disabled Individuals |
TN 87 07-23 |
| HI 00805.045 |
Deemed Enrollment - R-HI Beneficiaries |
TN 60 11-22 |
| HI 00805.050 |
When Deemed Enrollment Does Not Apply |
TN 74 02-23 |
| HI 00805.055 |
Notice of Right to Refuse Deemed Enrollment |
TN 74 02-23 |
| HI 00805.060 |
Voluntary Request for Supplementary Medical Insurance (SMI) Enrollment |
TN 82 06-23 |
| HI 00805.065 |
Enrollment Form Not in File |
TN 63 11-22 |
| HI 00805.070 |
Who May Execute a Valid Request for SMI Enrollment |
TN 98 02-24 |
| HI 00805.075 |
Prescribed SMI Enrollment Forms |
TN 98 02-24 |
| HI 00805.080 |
Withdrawal of Enrollment Before It Goes Into Effect |
TN 63 11-22 |
| HI 00805.085 |
Effect of Reentitlement to HI After Termination |
TN 63 11-22 |
| HI 00805.090 |
SMI Enrollment of Reentitled Disability Beneficiaries |
TN 97 02-24 |
| HI 00805.095 |
What Constitutes an Effective Enrollment |
TN 98 02-24 |
| HI 00805.100 |
Individual Incapacitated During IEP, GEP, or SEP |
TN 64 11-22 |
| HI 00805.105 |
Enrollee Needs Help in Paying Premiums or Claiming Reimbursement |
TN 64 11-22 |
| HI 00805.110 |
SMI Enrollment Processes |
TN 94 01-24 |
| HI 00805.115 |
Enrolling Beneficiaries in SMI who Reside in Puerto Rico |
TN 99 02-24 |
| HI 00805.120 |
Enrolling Beneficiaries in SMI who Reside in a Foreign Country |
TN 99 02-24 |
| HI 00805.125 |
Description of CMS Medicare Initial Enrollment Period Package Information Sent to
Beneficiaries
|
TN 99 02-24 |
| HI 00805.126 |
Exhibits of Medicare Initial Enrollment Period Packages |
TN 102 02-24 |
| HI 00805.130 |
When an Enrollment Received by Mail Is Considered Filed |
TN 64 11-22 |
| HI 00805.135 |
Extending the Enrollment Period |
TN 64 11-22 |
| HI 00805.140 |
Enrollment Action - Claim for Entitlement Pending When IEP or GEP Begins |
TN 64 11-22 |
| HI 00805.150 |
Deemed IEP Based on Alleged Date of Attainment of Age 65 |
TN 65 12-22 |
| HI 00805.151 |
The Date of Birth to Be Established |
TN 65 12-22 |
| HI 00805.152 |
Examples of Deemed IEP |
TN 65 12-22 |
| HI 00805.153 |
Prior Month Attainment Rule |
TN 81 06-23 |
| HI 00805.154 |
Use of the Deemed IEP |
TN 65 12-22 |
| HI 00805.155 |
Enrollment Request Filed After Age 65 But Before Deemed Date of Attainment |
TN 65 12-22 |
| COVERAGE PERIOD
|
| HI 00805.160 |
Coverage Period Defined |
TN 19 03-93 |
| HI 00805.165 |
Individual Enrollment - When A Coverage Period Begins |
TN 66 12-22 |
| EQUITABLE RELIEF
|
| HI 00805.170 |
Conditions for Providing Equitable Relief |
TN 66 12-22 |
| HI 00805.175 |
Evidence of Government Error or Delay |
TN 66 12-22 |
| HI 00805.180 |
Payment of Premium Arrearage |
TN 92 10-23 |
| HI 00805.185 |
Processing Equitable Relief Cases |
TN 102 02-24 |
| HI 00805.190 |
Common Situations Involving Equitable Relief |
TN 19 03-93 |
| HI 00805.195 |
Enrollment Not Processed Timely |
TN 75 02-23 |
| HI 00805.200 |
SMI Awarded on Later of 2 Timely Enrollment Requests |
TN 75 02-23 |
| HI 00805.205 |
Delayed or Incorrect Advice Frustrated Enrollment or Termination Rights |
TN 75 02-23 |
| HI 00805.210 |
SMI Awarded Erroneously |
TN 75 02-23 |
| HI 00805.215 |
SMI Terminated Erroneously |
TN 54 10-22 |
| HI 00805.220 |
Inadvertent Failure to Bill for or Deduct Premiums - Non-Buy-In Cases |
TN 75 02-23 |
| HI 00805.230 |
Delayed Deletion from State Buy-In Rolls Prejudices Termination Rights |
TN 75 02-23 |
| HI 00805.235 |
Special Considerations for Premium-HI |
TN 54 10-22 |
| HI 00805.236 |
Current Equitable Relief Considerations Involving CHAMPUS |
TN 97 02-24 |
| HI 00805.240 |
Other Situations Where Equitable Relief May Apply |
TN 75 02-23 |
| HI 00805.245 |
Development for SMI Enrollment of Civil Service Annuitants and Their Spouses |
TN 83 06-23 |
| HI 00805.250 |
SMI Enrollment for Qualified Railroad Retirement Beneficiary |
TN 55 10-22 |
| HI 00805.255 |
SMI Enrollment of Holocaust Survivors |
TN 75 02-23 |
| HI 00805.260 |
Medicare Entitlement for Residents of the Northern Mariana Islands |
TN 55 10-22 |
| HI 00805.265 |
The Special Enrollment Period -- Definition - Group Health Plans |
TN 77 03-23 |
| HI 00805.266 |
Description of Terms Used in the Special Enrollment Period and Premium Surcharge Rollback
Provisions - Group Health Plans
|
TN 102 02-24 |
| HI 00805.270 |
General Eligibility Requirements for the Special Enrollment Period - Group Health
Plans
|
TN 77 03-23 |
| HI 00805.275 |
Special Enrollment Period (SEP) Enrollments - Group Health Plans |
TN 75 02-23 |
| HI 00805.276 |
SMI Effective Date for SEP Enrollments - Group Health Plans |
TN 77 03-23 |
| HI 00805.277 |
Processing Special Enrollment Period (SEP) Enrollments |
TN 89 08-23 |
| HI 00805.278 |
SEP Enrollments for Aged Beneficiaries with Hours’ Bank Arrangements - Group Health
Plans
|
TN 78 03-23 |
| HI 00805.280 |
Premium Surcharge Rollback for Individuals With GHP/LGHP Coverage |
TN 68 12-22 |
| HI 00805.281 |
Examples of the Elimination or Rollback of Premium Surcharges for Individuals With
GHP/LGHP Coverage
|
TN 75 02-23 |
| HI 00805.285 |
The SEP and Premium Surcharge Rollback for Individuals Eligible for Premium-HI - Group
Health Plans
|
TN 78 03-23 |
| HI 00805.290 |
SEP Requirements for Self-employed Beneficiaries - Group Health Plans |
TN 95 01-24 |
| HI 00805.295 |
Evidence of GHP or LGHP Coverage Based on Current Employment Status |
TN 95 01-24 |
| HI 00805.300 |
Disability SEP for Beneficiaries for Whom Medicare is Now the Primary Payer - Group
Health Plans
|
TN 95 01-24 |
| HI 00805.310 |
Disability SEP Enrollments - Group Health Plans |
TN 76 03-23 |
| HI 00805.315 |
GEP Enrollment For Disabled Beneficiaries Who Do Not Enroll During The D-SEP - Group
Health Plans
|
TN 103 03-24 |
| HI 00805.320 |
Equitable Relief for Disabled Individuals Covered Under a GHP/LGHP |
TN 103 03-24 |
| HI 00805.322 |
Equitable Relief for Domestic (Or Life) Partners Covered Under a GHP |
TN 103 03-24 |
| HI 00805.324 |
Equitable Relief for Enrollment Request Affected by Major Disasters |
TN 100 02-24 |
| HI 00805.325 |
GHP Coverage Under TRICARE (Formerly CHAMPUS) |
TN 23 04-01 |
| HI 00805.330 |
Individuals with GHP Coverage Under COBRA |
TN 57 10-22 |
| HI 00805.340 |
Exhibit of Form CMS (L564 Request for Employment Information) |
TN 27 11-14 |
| HI 00805.345 |
CMS Regional Office MSP Coordinators |
TN 23 04-01 |
| HI 00805.346 |
Special Enrollment Period (SEP) for Eligible Postal Annuitants and Eligible Family
Members to Enroll in Medicare Part B
|
TN 104 03-24 |
| HI 00805.350 |
Special Enrollment Period for International Volunteers |
TN 100 02-24 |
| HI 00805.355 |
Evidentiary Requirements for the SEP or Premium-Surcharge Rollback for International
Volunteers
|
TN 25 04-12 |
| HI 00805.365 |
Premium Surcharge Rollback for International Volunteers |
TN 24 03-07 |
| HI 00805.370 |
Processing Requests for SMI and/or Premium - HI Termination |
TN 105 04-24 |
| HI 00805.382 |
Special Enrollment Period (SEP) for Exceptional Conditions |
TN 71 12-22 |
| HI 00805.383 |
Exceptional Conditions Special Enrollment Period (SEP) for Individuals Impacted by
an Emergency or Disaster Declared by Federal, State or Local Government Entities
|
TN 71 12-22 |
| HI 00805.384 |
Exceptional Conditions Special Enrollment Period (SEP) for Group Health Plan (GHP)
or Employer Misrepresentation
|
TN 71 12-22 |
| HI 00805.385 |
Exceptional Conditions Special Enrollment Period (SEP) for Termination of Medicaid
Eligibility
|
TN 91 10-23 |
| HI 00805.386 |
Exceptional Conditions Special Enrollment Period (SEP) for Formerly Incarcerated |
TN 96 01-24 |
| HI 00805.387 |
Special Enrollment Period (SEP) for Other Exceptional Conditions |
TN 70 12-22 |
| IMMUNOSUPPRESSIVE DRUG COVERAGE
|
| HI 00805.400 |
Medicare Part B Immunosuppressive Drug Coverage (Part B-ID) |
TN 53 08-22 |
| INFORMATIONAL BACKGROUND
|
| HI 00805.700 |
Outmoded Rules on Enrollment Periods and Coverage |
TN 59 11-22 |
| HI 00805.705 |
Supreme Court Decision Affecting the Alien Residence Requirement for SMI ( Mathews v. Diaz )
|
TN 19 03-93 |
| HI 00805.720 |
Equitable Relief for Certain Former CHAMPUS Beneficiaries |
TN 59 11-22 |
| HI 00805.721 |
Equitable Relief for Certain Individuals Dually Enrolled in Both Medicare and a Marketplace
Plan
|
TN 59 11-22 |
| HI 00805.725 |
Equitable Relief for Certain CHAMPVA Beneficiaries |
TN 59 11-22 |
| HI 00805.730 |
Certain Military Retirees and Dependents Receiving Health Care at Military Hospitals |
TN 59 11-22 |
| HI 00805.731 |
Change in CHAMPUS Law Required Relief in 1992 |
TN 19 03-93 |
| HI 00805.735 |
Cuban Refugees Whose Status Was Adjusted Under P.L. 89-732 |
TN 59 11-22 |
| HI 00805.740 |
SEP and Premium Surcharge Provisions for the Ages Prior to the 1986 Amendments |
TN 23 04-01 |
| HI 00805.750 |
SEP and Premium Surcharge Requirements in Effect for the Aged Prior to August 1986 |
TN 59 11-22 |
| HI 00805.751 |
SEP and Premium Surcharge Requirements for the Aged Effective 8/86 |
TN 59 11-22 |
| HI 00805.752 |
SEP Enrollment Requirements for Disabled Beneficiaries Covered Under an LGHP Prior
to the 1994 Amendments (Disabled Active Individuals)
|
TN 59 11-22 |