TN 22 (11-01)
HI 01001.105 Entitlement to Special Age 72 Payments
Section 228 of the Social Security Act provides special monthly payments to people
who are 72 years old or older and meet certain other requirements, even though they
are not fully insured.
Many individuals entitled to, or eligible for, such payments are not receiving payment
and may never receive them because of entitlement to, or eligibility for, a government
pension or because of receipt of certain public assistance payments. Entitlement to
a special age 72 payment does not qualify an enrollee for the insured grace period
applicable to beneficiaries entitled to other benefits.
Premiums due or overdue will be deducted from any special age 72 payment in accordance
with the policies in HI 01001.040. If an enrollee's age 72 payment is not payable, or if his/her claim for the special
age 72 payment is pending but unadjudicated, the due date and grace period will be
determined under the same rules that apply to the direct billed beneficiaries. The
enrollee's premium payment for a month or quarter is due by the 25th of the month
In some cases, premiums which are being deducted from the age 72 payment can no longer
be collected by deduction because the benefit is suspended. These enrollees will be
notified to pay their premiums by direct remittances and that payment is due by the
25th of the month of billing. The grace period extends through the end of the third
month after the month the bill is received. If the special age 72 payment is resumed
for a month before the end of the grace period and all premium arrears can be deducted
from such payments, Supplementary Medical Insurance coverage will continue. Subsequent
payments will be reduced by the amount of the premium for as long as the enrollee
receives these payments.