“”

Contents

Extended Medicare Coverage Under TWIIA

Section 202 of TWWIIA extended Medicare coverage effective 10/01/2000 for most Title II beneficiaries who work. Under this provision, Medicare coverage can continue for at least 93 months following the end of the TWP.

Specifically, effective 10/01/2000, where Title II benefits end because of SGA following a TWP, Medicare coverage ends based on one of the following:

1. If the first month of SGA following the end of the TWP occurs prior to the 14th month of the EPE and the individual performed SGA in the 16th month of the EPE, Disability Health Insurance (D-HI) ends the last day of the 57th month following the 36th month of the EPE. It terminates on the first day of the 58th month.

2. If the first month of SGA following the end of TWP occurs prior to the 14th month of the EPE and the individual does not engage in SGA in the 16th month of the EPE, D-HI ends with the last day of the 77th month following the first month of SGA occurring after the 16th month. It terminates on the first day of the 78th month.

3. If the first month of SGA following the end of the TWP occurs on the 14th month of the EPE or later, D-HI ends with the last day of the 80th month following that first month of SGA occurring after the TWP. It terminates on the first day of the 81st month.

Remember that Medicare never terminates retroactively and it never terminates earlier than notice month plus 2 months. For example: Date of termination notice is 3/15/18. Medicare ends 4/30/04 and terminates 5/01/18.



Previous Back to Top Next
“”