[Code of Federal Regulations]
[Title 20, Volume 2]
[Revised as of April 1, 2006]
From the U.S. Government Printing Office via GPO Access
[CITE: 20CFR418]

[Page 1182]
 
                      TITLE 20--EMPLOYEES' BENEFITS
 
               CHAPTER III--SOCIAL SECURITY ADMINISTRATION
 
PART 418_MEDICARE SUBSIDIES--Table of Contents
 
                   Subpart D_Medicare Part D Subsidies
 
Sec.  418.3110  What happens when you apply for a subsidy?

    (a) When you or your personal representative apply for a subsidy, we 
will ask for information that we need to determine if you meet all the 
requirements for a subsidy. You must give us complete information. If, 
based on the information you present to us, you do not meet all the 
requirements for eligibility listed in Sec.  418.3101, or if one of the 
events listed in Sec.  418.3115 exists, or you fail to submit 
information we request, we will deny your claim.
    (b) If you meet all the requirements for eligibility listed in Sec.  
418.3101, or you meet all the requirements except for enrollment in a 
Medicare Part D plan or Medicare Advantage plan with prescription drug 
coverage, we will send you a notice telling you the following:
    (1) You are eligible for a full or partial subsidy for a period not 
to exceed 1 year;
    (2) What information we used to make this determination including 
how we calculated your income and resources;
    (3) What you may do if your circumstances change as described in 
Sec.  418.3120; and
    (4) Your appeal rights.
    (c) If you are not already enrolled with a Medicare prescription 
drug plan or a Medicare Advantage plan with prescription drug coverage, 
you must enroll in order to receive your subsidy.
    (d) If you do not meet all the requirements for eligibility listed 
in Sec.  418.3101 or if Sec.  418.3115 applies to you except for 
enrollment in a Medicare Part D plan or Medicare Advantage plan with 
prescription drug coverage as described in Sec.  418.3225, we will send 
you a notice telling you the following:
    (1) You are not eligible for a subsidy;
    (2) The information we used to make this determination including how 
we calculated your income or resources;
    (3) You may reapply if your situation changes; and
    (4) Your appeal rights.