Welcome to the Wizard!
This program will determine the ending date of Medicare coverage for a Disability Wage Earner who has returned to work. By entering a few dates you can determine this date in situations involving the new Ticket To Work and Work Incentives Act. The Disability Medicare Wizard is not a substitute for, nor does it replace determinations made by the Social Security Administration.
It is recommended that you read the instructions for this Wizard, which are available from the Wizard Help link at the top right of this page.
Start Here
Start by selecting the LAST month of the Trial Work Period from the drop-down menu below and click on the "Submit" button.
CAUTION: DO NOT USE THIS PROGRAM IF FRAUD OR SIMILAR FAULT APPLIES AND THE EPE ENDING DATE IS BEFORE 6/2000. NEW "TICKET" RULES MAY NOT APPLY. In these cases:
- Manually compute using Pre-"TICKET" rules.
- If the Medicare termination date is prior to 10/1/2000, DO NOT USE THIS PROGRAM.
- If the Medicare termination date is 10/1/2000 or later, USE THIS PROGRAM.
You've selected as the last month of the Trial Work Period [TWP]. The 14th month of the Extended Period of Eligibility [EPE] will be and the 36th month of the EPE is .
Medicare ends the last day of
You've selected as the end of the TWP and the first month of SGA following
the end of the TWP as , which occurs AFTER the 13th month of the EPE,
.
D-HI ends with the last day of ,
the 80th month following the first month of SGA occurring after the TWP.
You've selected as the end of the TWP and as the first month of SGA following the end of the TWP.
is the last month of the TWP and the first month of SGA after this date is .
Medicare ends the last day of
The last month of the Trial Work Period was . The worker was engaged (or expects to be engaged) in SGA in , the 16th month of the EPE, so D-HI would end with the last day of , which is the 57th month following the end of the 36 month EPE.
Medicare eligibility will not terminate if the recipient attains age 65 prior to .
You've indicated that the recipient does not (or will not) engage in SGA in the 16th month of the EPE.
Medicare ends the last day of
The last month of the Trial Work Period was . The first month of SGA following the end of the TWP occurs prior to the 14th month of the EPE, , and the recipient did NOT engage in SGA in the 16th month of the EPE, , so the D-HI ends with the last day of , which is the 77th month following the first month of SGA, , occurring after the 16th month of the EPE.
Medicare eligibility will not terminate if the recipient attains age 65 prior to .
You've selected as the end of the TWP and shown that there was (or will be) work at SGA after the end of the 36th month of the EPE.
Medicare coverage will continue.
There is no Cash Benefit Termination Month because there is no work at SGA level
after the 36th month of the EPE, .
Medicare coverage will continue.
Caution: Work at SGA level after the EPE will trigger a benefit termination and a future end date for Medicare. Use the Wizard to calculate the Medicare end date when there is work at SGA after the EPE or expected work after the EPE. You will need to know when SGA was performed within the EPE in order to calculate the proper ending date for Medicare.
Medicare ends the last day of
You've selected as the end of the TWP and the first month of SGA following the end of the TWP as , which occurs AFTER the 13th month of the EPE, . D-HI ends with the last day of , which is the 80th month following the first month of SGA occurring after the TWP.
Medicare eligibility will not terminate if the recipient attains age 65 prior to .
Medicare ends the last day of
You've selected as the end of the TWP and the first month of SGA following the end of the TWP as . Medicare eligibility ends with the last day of , the month following the first month of SGA after the 36th month of the EPE.
Medicare eligibility will not terminate if the recipient attains age 65 prior to .
Issue termination notice.
Using the new Ticket rules, the D-HI would have ended with the last day of . Unless Fraud or Similar Fault are involved, issue a Medicare termination notice now and D-HI eligibility will end with the last day of next month.