Revision 09-4; Effective December 1, 2009

Q-6610 Medicare Part A Entitlement

Revision 09-4; Effective December 1, 2009

Ask the person if he/she is entitled to Medicare Part A benefits.

  • If the person is currently enrolled, verify by checking:
    • the person's Medicare card;
    • a TPQY inquiry; or
    • the letter from the Social Security Administration (SSA) notifying the person of the imminent termination of Part A.
  • If the person has been entitled but is not currently enrolled, determine when his/her entitlement ended.
    • If entitlement has ended, but the person can still enroll during his/her initial enrollment period, refer him to SSA to begin enrollment procedures. He or She must obtain proof of enrollment from SSA.
    • If both entitlement and the initial enrollment period have ended, the person cannot be eligible for QDWI benefits until after enrolling with SSA during the general enrollment period (January through March of each year). QDWI benefits begin in July of the year of enrollment.