[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR407.30]



[Page 267]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 407_SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT

--Table of Contents

 

         Subpart B_Individual Enrollment and Entitlement for SMI

 

Sec. 407.30  Limitations on enrollment.



    (a) Initial enrollment periods--(1) Individual under age 65. An 

individual who has not attained age 65 may have one or more periods of 

entitlement to hospital insurance, based on disability. Since each 

period of disability entitlement entitles the individual to hospital 

insurance and since entitlement to hospital insurance makes the 

individual eligible for SMI enrollment, an individual may have an SMI 

initial enrollment period for each continous period of entitlement to 

hospital insurance.

    (2) Individuals who have attained age 65. An individual who has 

attained age 65 may not have more than one initial enrollment period on 

the basis of age. However, if the individual develops ESRD after age 65, 

he or she may have another initial enrollment period based on meeting 

the requirements of Sec. 406.13 of this chapter.

    (b) Number of enrollments. There is no limitation on the number of 

enrollments.

    (c) Coverage under buy-in agreements. For purposes of paragraph (a) 

of this section, the continued enrollment of an individual following the 

end of coverage under a State buy-in agreement in considered an initial 

enrollment.