Code of Federal Regulations (alpha)

CFR /  Title 20  /  Part 418  /  Sec. 418.3225 How long will your application remain in effect?

(a) Your application will remain in effect until our determination or decision has become final and binding under Sec. 418.3620. If you appeal our initial determination, the determination does not become final until we issue a decision on any appeal you have filed under Sec. 418.3655 (see Sec. 418.3675) or dismiss the request for a hearing under Sec. 418.3670.

(b) If, at the time your application is filed or before our determination or decision becomes final and binding, you meet all the requirements for a subsidy as described in 42 CFR 423.773 except for enrollment in a Medicare Part D plan or Medicare Advantage plan with prescription drug coverage, we will send you a notice advising you of your eligibility for the subsidy and the requirement to enroll in such a plan.

(c) If you are not entitled to Medicare Part A and/or enrolled in Medicare Part B at the time your subsidy application is filed but you appear to be in an enrollment period, we will send you a notice advising you that we will not make a determination on your application until you become entitled to Medicare Part A and/or enrolled in Medicare Part B. If you are not entitled to Medicare Part A and/or enrolled in Medicare Part B at the time your application is filed and you do not appear to be in an enrollment period, we will send you a notice advising you that you are not eligible for the subsidy because you are not entitled to Medicare Part A and/or enrolled in Medicare Part B and explain your appeal rights.