PART 407—SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT Authority: 42 U.S.C. 1302, 1395p, 1395q, and 1395hh. Source: 53 FR 47204, Nov. 22, 1988, unless otherwise noted. Subpart A—General Provisions § 407.1 Basis and scope. (a) Statutory basis. (1) Section 1831 of the Act establishes the program. (2) Sections 1836 and 1837 set forth the eligibility and enrollment requirements. (3) Section 1838 specifies the entitlement periods, which vary depending on the time and method of enrollment and on the basis for termination. (4) Section 1843 sets forth the requirements for State buy-in agreements under which States may enroll, and pay the SMI premiums for, eligible individuals who are also eligible for cash assistance or Medicaid. (5) Section 104(b) of the Social Security Amendments of 1965 (Pub. L. 89-87) specifies the limitations that apply to certain aliens and persons convicted of subversive activities. (6) Sections 1836(b) and 1837(n) of the Act provide for coverage of immunosuppressive drugs as described in section 1861(s)(2)(J) of the Act under Part B beginning on or after January 1, 2023, for eligible individuals whose benefits under Medicare Part A and eligibility to enroll in Part B on the basis of ESRD would otherwise end with the 36th month after the month in which the individual receives a kidney transplant by reason of section 226A(b)(2) of the Act. (b) Scope. (1) Supplementary medical insurance. (The rules about premiums are in part 408 of this chapter.) (2) The immunosuppressive drug benefit provided for under sections 1836(b) and 1837(n) of the Act, hereinafter referred to as the Part B-Immunosuppressive Drug Benefit (Part B-ID). [53 FR 47204, Nov. 22, 1988, as amended at 87 FR 66505, Nov. 3, 2022] § 407.2 General description of program. Part B of Title XVIII of the Act provides for voluntary “supplementary medical insurance” available to most individuals age 65 or over and to disabled individuals who are under age 65 and entitled to hospital insurance. The SMI program is financed by premiums paid by (or for) each individual enrolled in the program, plus contributions from Federal funds. It covers certain physicians' services, outpatient services, home health services, services furnished by rural health clinics (RHCs), Federally qualified health centers (FQHCS), ambulatory surgical centers (ASCs), and comprehensive outpatient rehabilitation facilities (CORFs), and other medical and other health services. [57 FR 24980, June 12, 1992] § 407.4 Basic requirements for entitlement. (a) An individual must meet the following requirements to be entitled to SMI: (1) Eligibility. (2) Enrollment. (b) SMI pays only for covered expenses incurred during an individual's period of entitlement. Subpart B—Individual Enrollment and Entitlement for SMI § 407.10 Eligibility to enroll. (a) Basic rule. (1) Is entitled to hospital insurance under any of the rules set forth in §§ 406.10 through 406.15 of this chapter; or (2) Meets the following requirements: (i) Has attained age 65. (An individual is considered to have attained age 65 on the day before the 65th anniversary of his or her birth.) (ii) Is a resident of the United States. (iii) Is a citizen of the United States, or an alien lawfully admitted for permanent residence who has resided continuously in the United States during the 5 years preceding the month in which he or she applies for enrollment. (b) Exception. (1) Spying, sabotage, treason, or subversive activities under chapter 37, 105, or 115 of title 18 of the United States Code; or (2) Conspiracy to establish dictatorship under section 4 of the Internal Security Act of 1950. § 407.11 Forms used to apply for enrollment under Medicare Part B. Forms used to apply for enrollment under the supplementary medical insurance program are available free of charge by mail from CMS, or at any Social Security branch or district office and online at the CMS and SSA websites. As an alternative, the individual may request enrollment by signing a simple statement of request, if he or she is eligible to enroll at that time. [87 FR 66505, Nov. 3, 2022] § 407.12 General enrollment provisions. (a) Opportunity to enroll. (2) An individual who fails to enroll during his or her initial enrollment period or whose enrollment has been terminated may enroll or reenroll during a general enrollment period, or, if he or she meets the specified conditions, during a special enrollment period. (b) Enrollment periods ending on a nonworkday. (2) A Federal nonworkday is any Saturday, Sunday, or Federal legal holiday or a day that is declared by statute or executive order to be a day on which Federal employees are not required to work. § 407.14 Initial enrollment period. (a) Duration. (2) In determining the initial enrollment period of an individual who is age 65 or over and eligible for enrollment solely because of entitlement to hospital insurance, the individual is considered as first meeting the eligibility requirements for SMI n the first day he or she becomes entitled to hospital insurance or would have been entitled if he or she filed an application for that program. (b) Deemed initial enrollment period. (2) A deemed initial enrollment period established under paragraph (b)(1) of this section is used to determine the individual's premium and right to enroll in a general enrollment period if that is advantageous to the individual. § 407.15 General enrollment period. (a) Except as specified in paragraph (b) of this section, the general enrollment period is January through March of each calendar year. (b) An unlimited general enrollment period existed between April 1 and September 30, 1981. Any eligible individual whose initial enrollment period had ended, or whose previous period of entitlement had terminated, could have enrolled or reenrolled during any month of that 6-month period. § 407.17 Automatic enrollment. (a) Who is automatically enrolled. (1) Resides in the United States, except in Puerto Rico; (2) Becomes entitled to hospital insurance under any of the provisions set forth in §§ 406.10 through 406.15 of this chapter; and (3) Does not decline SMI enrollment. (b) Opportunity to decline automatic enrollment. (2) The individual may decline enrollment by submitting to SSA or CMS a signed statement that he or she does not wish SMI. (3) The statement must be submitted before entitlement begins, or if later, within the time limits set in the notice of enrollment. § 407.18 Determining month of automatic enrollment. (a) An individual who is automatically enrolled in SMI under § 407.17 will have the month of enrollment determined in accordance with paragraphs (b) through (f) of this section. The month of enrollment determines the month of entitlement. (b) An individual is automatically enrolled in the third month of the initial enrollment period if he or she— (1) Is entitled to social security benefits under section 202 of the Act on the first day of the initial enrollment period; (2) Is entitled to hospital insurance based on end-stage renal disease; on entitlement to disability benefits as a social security or railroad retirement beneficiary; or on deemed entitlement to disability benefits on the basis of Medicare-qualified government employment; or (3) Establishes entitlement to hospital insurance by filing an application and meeting all other requirements (as set forth in subpart B of part 406 of this chapter) during the first 3 months of the initial enrollment period. (c) If an individual establishes entitlement to hospital insurance on the basis of an application filed in the last 4 months of the SMI initial enrollment period, he or she is automatically enrolled for SMI in the month in which the application is filed. (d) If an individual establishes entitlement to hospital insurance on the basis of an application filed after the SMI initial enrollment period but not during a general enrollment period in effect before April 1, 1981, or after September 30, 1981, he or she is automatically enrolled for SMI on the first day of the next general enrollment period. (e) If the individual establishes entitlement to hospital insurance on the basis of an application filed during a SMI general enrollment period in effect before April 1, 1981 or after September 30, 1981, he or she is automatically enrolled on the first day of that period. (f) If an individual established entitlement to hospital insurance on the basis of an application filed during the general enrollment period of April 1, 1981, through September 30, 1981, he or she was automatically enrolled for SMI on the first day of the month in which the application was filed. § 407.20 Special enrollment period related to coverage under group health plans. (a) Terminology Group health plan (GHP) and large group health plan (LGHP). (2) Special enrollment period (SEP). (b) General rule. (1) They are eligible to enroll for SMI on the basis of age or disability, but not on the basis of end-stage renal disease. (2) When first eligible for SMI coverage (4th month of their initial enrollment period), they were covered under a GHP or LGHP on the basis of current employment status or, if not so covered, they enrolled in SMI during their initial enrollment period; and (3) For all months thereafter, they maintained coverage under either SMI or a GHP or LGHP. (Generally, if an individual fails to enroll in SMI during any available SEP, he or she is not entitled to any additional SEPs. However, if an individual fails to enroll during a SEP because coverage under the same or a different GHP or LGHP was restored before the end of that particular SEP, that failure to enroll does not preclude additional SEPs.) (c) Special rule: Individual age 65 or over. (d) Special rules: Disabled individual. 4 4 (1) For a disabled individual who is or was covered under a GHP, coverage must be on the basis of the current employment status of the individual or the individual's spouse. (2) For a disabled individual who is or was covered under an LGHP, coverage must be as follows: (i) Before August 10, 1993, as an “active individual”, that is, as an employee, employer, self-employed individual (such as the employer), individual associated with the employer in a business relationship, or as a member of the family of any of those persons. (ii) On or after August 10, 1993, by reason of current employment status of the individual or a member of the individual's family. (e) Effective date of coverage. [61 FR 40346, Aug. 2, 1996] § 407.21 Special enrollment period for volunteers outside the United States. (a) General rule. (1) The individual is serving as a volunteer outside of the United States in a program that covers at least a 12-month period. (2) The individual is in a program that is sponsored by an organization described in section 501(c)(3) of the Internal Revenue Code of 1986 and is exempt from taxation under section 501(a) of the Internal Revenue Code of 1986. (3) The individual demonstrates that he or she has health insurance that covers medical services that the individual receives outside of the United States while serving in the program. (b) Duration of SEP. (c) Effective date of coverage. [73 FR 36468, June 27, 2008] § 407.22 Request for individual enrollment. (a) A request for enrollment is required of an individual who meets the eligibility requirements of § 407.10 and desires SMI, if the individual— (1) Is not entitled to hospital insurance; (2) Has previously declined enrollment in SMI; (3) Has had a previous period of SMI entitlement which terminated; (4) Resides in Puerto Rico or outside the United States; or (5) Is enrolling or reenrolling during a special enrollment period under § 407.20. (b) A request for enrollment under paragraph (a) of this section must: (1) Be signed by the individual or someone acting in his or her behalf; and (2) Be filed with SSA or CMS during the initial enrollment period, a general enrollment period, or a special enrollment period as provided in § 407.20. § 407.23 Special enrollment periods for exceptional conditions. (a) General rule: (b) Special enrollment period for individuals impacted by an emergency or disaster. (1) SEP parameters. (2) SEP duration. (3) Entitlement. (c) Special enrollment period for individuals affected by a health plan or employer misrepresentation. (1) SEP parameters. (i) He or she did not enroll in SMI during another enrollment period in which they were eligible based on information received from an employer or GHP, agents or brokers of health plans, or any person authorized to act on such organization's behalf. (ii) An employer, GHP, agent or broker of a health plan, or their representative materially misrepresented information or provided incorrect information relating to enrollment in SMI. (2) SEP duration. (3) Entitlement. (d) SEP for formerly incarcerated individuals. (1) SEP parameters and duration before January 1, 2025 Eligibility. (ii) SEP duration. (2) SEP parameters and duration beginning January 1, 2025 Eligibility. (ii) SEP duration. (3) Entitlement General rule. (ii) Special rule. (e) Special enrollment period for termination of Medicaid coverage. (1) SEP parameters. (i) They are eligible for Part B under § 407.4(a); and (ii) Their Medicaid eligibility is being terminated on or after January 1, 2023, or after the last day of the Coronavirus Disease 2019 public health emergency (COVID-19 PHE) as determined by the Secretary, whichever is earlier. (2) SEP duration. (i) After the last day of the COVID-19 PHE and before January 1, 2023, the SEP starts on January 1, 2023 and ends on June 30, 2023. (ii) On or after January 1, 2023, the SEP starts when the individual is notified of termination of Medicaid eligibility and ends 6 months after the termination of eligibility. (3) Entitlement General rule. (ii) Special COVID-19 PHE rule. (iii) Other special rule. (4) Effect on previously accrued late enrollment penalties. (f) Special enrollment period for other exceptional conditions. (1) SEP parameters. (i) The individual demonstrates that they missed an enrollment period in which they were eligible because of an event or circumstance outside of the individual's control which prevented them from enrolling in SMI. (ii) It is determined that the conditions were exceptional in nature. (2) SEP duration. (3) Entitlement. [87 FR 66505, Nov. 3, 2022, as amended at 89 FR 94587, Nov. 27, 2024] § 407.25 Beginning of entitlement: Individual enrollment. The following apply whether an individual is self-enrolled or automatically enrolled in SMI: (a) Enrollment during initial enrollment period. (1) Before January 1, 2023, the following entitlement dates apply: (i) If an individual enrolls during the first 3 months of the initial enrollment period, entitlement begins with the first month of eligibility. (ii) If an individual enrolls during the fourth month of the initial enrollment period, entitlement begins with the following month. (iii) If an individual enrolls during the fifth month of the initial enrollment period, entitlement begins with the second month after the month of enrollment. (iv) If an individual enrolls in either of the last 2 months of the initial enrollment period, entitlement begins with the third month after the month of enrollment. (v) For example, if an individual first meets the eligibility requirements for enrollment in April, then the individual's initial enrollment period is January through July. The month in which the individual enrolls determines the month that begins the period of entitlement, as follows: Table 1 to Paragraph (a) (v) Enrolls in initial enrollment Entitlement begins on— January April 1 (month eligibility requirements first met). February April 1. March April 1. April May 1 (month following month of enrollment). May July 1 (second month after month of enrollment). June September 1 (third month after month of enrollment). July October 1 (third month after month of enrollment). (2) On or after January 1, 2023, the following entitlement dates apply: (i) If an individual enrolls during the first 3 months of the initial enrollment period, entitlement begins with the first month of eligibility. (ii) If an individual enrolls during the last 4 months of the initial enrollment period, entitlement begins with the month following the month in which they enroll. (b) Enrollment on reenrollment during general enrollment period. (2) If an individual enrolled or reenrolled during the general enrollment period between April 1, 1981 and September 20, 1981, entitlement began with the third month after the month in which the enrollment request was filed. (3) If an individual enrolls or reenrolls during a general enrollment period on or after January 1, 2023, entitlement begins on the first day of the month following the month in which they enroll. (c) Enrollment or reenrollment during a SEP. [53 FR 47204, Nov. 22, 1988, as amended at 61 FR 40347, Aug. 2, 1996; 87 FR 66506, Nov. 3, 2022; 87 FR 80469, Dec. 30, 2022] § 407.27 Termination of entitlement: Individual enrollment. An individual's entitlement will terminate for any of the following reasons: (a) Death. (b) Termination of hospital insurance benefits. (c) Request by individual. (1) Before July 1987, entitlement ended at the end of the calendar quarter after the quarter in which the individual filed the disenrollment request. (2) For disenrollment requests filed in or after July 1987, entitlement ends at the end of the month after the month in which the individual files the disenrollment request. (d) Nonpayment of premiums. § 407.30 Limitations on enrollment. (a) Initial enrollment periods Individual under age 65. (2) Individuals who have attained age 65. (b) Number of enrollments. (c) Coverage under buy-in agreements. § 407.32 Prejudice to enrollment rights because of Federal Government misrepresentation, inaction, or error. If an individual's enrollment or nonenrollment in SMI is unintentional, inadvertent, or erroneous because of the error, misrepresentation, on inaction of a Federal employee or any person authorized by the Federal Government to act in its behalf, the Social Security Administration or CMS may take whatever action it determines is necessary to provide appropriate relief. The action may include: (a) Designation of a special initial or general enrollment period; (b) Designation of an entitlement period based on that enrollment period; (c) Adjustment of premiums; (d) Any combination of actions under paragraphs (a) through (c) of this section; or (e) Any other remedial action that may be necessary to correct or eliminate the effects of the error, misrepresentation, or inaction. Subpart C—State Buy-In Agreements § 407.40 Enrollment under a State buy-in agreement. (a) Statutory basis. (2) Section 945(e) of the Omnibus Reconciliation Act of 1980 (Pub. L. 96-499) further amended section 1843 to provide that, during calendar year 1981, a State could request a buy-in agreement if it did not already have one, or request a broader coverage group for an existing agreement. (3) Several laws enacted during 1980-1987 had the effect of requiring that the buy-in groups available under section 1843 of the Act be expanded to include certain individuals who lose eligibility for cash assistance payments but are treated as if they were cash assistance beneficiaries for Medicaid eligibility purposes. (4) Section 301(e)(1) of the Medicare Catastrophic Coverage Act of 1988 (Pub. L. 100-360) amends section 1843 of the Act to restore the 1981 provisions on a permanent basis, effective “after 1988.” (5) The same section 301, as amended by section 608(d)(14)(H) of the Family Support Act of 1988 (Pub. L. 100-485), further amended section 1843 of the Act, beginning January 1, 1989, to establish a new buy-in category consisting of Qualified Medicare Beneficiaries and to provide that a State may request a buy-in agreement if it does not already have one, or request a broader buy-in group for the existing agreement. (6) Section 4501 of the Omnibus Budget Reconciliation Act of 1990 (Pub. L. 101-508) established the Specified Low-Income Medicare Beneficiary or SLMB eligibility group effective January 1993. (7) Section 4732 of the Balanced Budget Act of 1997 (Pub. L. 105-33) established the Qualifying Individual or QI eligibility group effective January 1998. (8) Section 112 of the Medicare Improvements for Patients and Providers Act of 2008 (Pub. L. 110-275) increased the resource standard for QMB, SLMB, and QI to 3 times the maximum resources available under the Supplemental Security Income program, adjusted annually by increases in the Consumer Price Index effective January 1, 2010. (9) Title II, section 211, of the Medicare Access and CHIP Reauthorization Act (Pub. L. 114-10), effective April 16, 2015, permanently extended the QI eligibility group. (10) Title II, section 402 of the Consolidated Appropriations Act of 2021 (Pub. L. 116-260), effective January 1, 2023, expands QMB, SLMB, and QI to cover individuals who are enrolled in Medicare Part B for coverage of immunosuppressive drugs. (b) Definitions. Buy-in group Cash assistance AABD AB AFDC APTD OAA SSI SSP Railroad retirement beneficiary 1634 State State State buy-in agreement or buy-in agreement (c) Basic rules. (2) Any State that does not have a buy-in agreement in effect may request buy-in for any one of the groups specified in §§ 407.42 and 407.43. (3) Any State that does have an agreement may request a modification to cover a broader buy-in group or cancel its current agreement and request a new agreement to cover a narrower group. (4) Any State that has a buy-in agreement in effect must participate in daily exchanges of enrollment data with CMS. (5) In a 1634 State, CMS enrolls SSI beneficiaries in Medicare Part B, on behalf of the State, with the State paying the beneficiary's Part B premiums. (6) Premiums paid under a State buy-in agreement are not subject to increase because of late enrollment or reenrollment. [56 FR 38080, Aug. 12, 1991; 56 FR 50058, Oct. 3, 1991; as amended at 85 FR 25632, May 1, 2020; 87 FR 66507, Nov. 3, 2022] § 407.42 Buy-in groups available to the 50 States, the District of Columbia, and the Northern Mariana Islands. (a) Basic rule. (b) Buy-in groups available Group 1. (i) Individuals who receive SSI or SSP or both and are covered under the State's Medicaid state plan as categorically needy. (ii) Individuals who under the Act or any other provision of Federal Law are treated, for Medicaid eligibility purposes, as though the individual was receiving SSI or SSP and are covered under the State's Medicaid state plan as categorically needy. (iii) At State option, individuals whom the State must consider to be recipients of AFDC. Individuals a State would be required to include in electing this option would be, but not limited to, individuals eligible for Medicaid on the basis of section 1931(b) of the Act or their receipt of adoption assistance, foster care or guardianship care under Part E of title IV of the Act, in accordance with § 435.145 of this chapter. (2) Group 2. (i) Group 1. (ii) Individuals enrolled in the— (A) Qualified Medicare Beneficiary eligibility group described in § 435.123 of this chapter; (B) Specified Low-Income Beneficiary eligibility group described in § 435.124 of this chapter; and (C) Qualifying Individual eligibility group described in § 435.125 of this chapter. (3) Group 3. [87 FR 66507, Nov. 3, 2022] § 407.43 Buy-in groups available to Puerto Rico, Guam, the Virgin Islands, and American Samoa. (a) Categories included in buy-in groups. (1) Category A: (2) Category B: (3) Category C: (4) Category D: 1 1 (5) Category E: (b) Buy-in groups available. (1) Group 1: (2) Group 2: (3) Group 3: (4) Group 4: (5) Group 5: (6) Group 6: (7) Group 7: (8) Group 8: (9) Group 9: [56 FR 38082, Aug. 12, 1991] § 407.47 Beginning of coverage under a State buy-in agreement. (a) General rule. (1) The individual's meeting the SMI eligibility requirements and the requirements for being a member of the buy-in group; and (2) The effective date of the buy-in agreement or agreement modification that covers the buy-in group to which the individual belongs, and which may not be earlier than the third month after the month in which the agreement or modification is executed. The State must apply the earliest applicable start date for the applicable buy-in group. (b) Application of general rule: Medicaid eligibles who are, or are treated as, cash assistance beneficiaries. (1) The first month in which the individual— (i) Meets the SMI eligibility requirements specified in § 407.10; and (ii) Is, or is treated as, a cash assistance beneficiary. (2) The month in which the buy-in agreement is effective. (c) Application of general rule: Qualified Medicare Beneficiaries. (1) The first month in which the individual meets the SMI eligibility requirements specified in § 407.10, and has QMB status. (2) The month in which the buy-in agreement or agreement modification covering QMBs is effective. (d) Application of general rule: Other individuals eligible for Medicaid. (1) The second month after the month in which the individual— (i) Meets the SMI eligibility requirements specified in § 407.10; and (ii) Is determined to be eligible for Medicaid. (2) The month in which the buy-in agreement or agreement modification is effective. (e) Coverage based on erroneous report. (f) Exception to the general rule: Limitations on retroactive adjustments in the case of retroactive Medicare Part A entitlement. (2) The Secretary may grant good cause exceptions for periods of greater or less than 36 months if application of paragraph (f)(1) of the section would result in harm to a beneficiary or if the State cannot benefit from Medicare and further limiting State liability would not result in harm to the beneficiary. (g) Part B enrollment under a buy-in agreement. [56 FR 38082, Aug. 12, 1991, as amended at 87 FR 66508, Nov. 3, 2022] § 407.48 Termination of coverage under a State buy-in agreement. An individual's coverage under a buy-in agreement terminates with the earliest of the following events: (a) Death. (b) Loss of entitlement to hospital insurance benefits before age 65. (c) Loss of eligibility for the buy-in group. (1) On the last day of the last month for which he or she is eligible for inclusion in the buy-in group, if CMS determines ineligibility or receives a State ineligibility notice by a processing cut-off date as described in paragraph (e) of this section, by the second month after the month in which the individual becomes ineligible for inclusion in the buy-in group. (2) On the last day of the second month before the month in which CMS receives a State ineligibility notice later than the time specified in paragraph (c)(1) of this section. If CMS receives a notice after the processing cut-off date conveyed under paragraph (e) of this section, CMS considers it to have been received the following month. (d) Termination or modification of buy-in agreement. (e) Processing cut-off dates for each calendar month. [53 FR 47204, Nov. 22, 1988, as amended at 56 FR 38082, Aug. 12, 1991; 87 FR 66508, Nov. 3, 2022] § 407.50 Continuation of coverage: Individual enrollment following end of coverage under a State buy-in agreement. (a) Deemed enrollment. (1) Is considered to have enrolled during his or her initial enrollment period; and (2) Will be entitled to SMI on this basis and liable for SMI premiums beginning with the first month for which he or she is no longer covered under the buy-in agreement. (b) Voluntary termination. (2) Voluntary disenrollment is effective as follows: (i) If the individual files a request within 30 days after the date of CMS's notice that buy-in coverage has ended, the individual's entitlement ends on the last day of the last month for which the State paid the premium. (ii) If the individual files the request more than 30 days but not more than 6 months after buy-in coverage ends, entitlement ends on the last day of the month in which the request is filed. (iii) If the individual files the request later than the 6th month after buy-in coverage ends, entitlement ends at the end of the month after the month in which request is filed. 1 1 [53 FR 47204, Nov. 22, 1988, as amended at 56 FR 38082, Aug. 12, 1991] Subpart D—Part B Immunosuppressive Drug Benefit Source: 87 FR 66508, Nov. 3, 2022 unless otherwise noted. § 407.55 Eligibility to enroll. (a) Basic rule. (b) Exception. (1) A group health plan or group or individual health insurance coverage, as such terms are defined in section 2791 of the Public Health Service Act. (2) Coverage under the TRICARE for Life program under section 1086(d) of title 10, United States Code. (3) A State plan (or waiver of such plan) under title XIX and is eligible to receive benefits for immunosuppressive drugs described in section 1836(b) of the Act under such plan (or such waiver). (4) A State child health plan (or waiver of such plan) under title XXI and is eligible to receive benefits for such drugs under such plan (or such waiver). (5) The patient enrollment system of the Department of Veterans Affairs established and operated under section 1705 of title 38, United States Code and is either of the following: (i) Not required to enroll under section 1705 of title 38 to receive immunosuppressive drugs described in section 1836(b) of the Act. (ii) Otherwise eligible under a provision of title 38, United States Code, other than section 1710 of such title, to receive immunosuppressive drugs described in section 1836(b) of the Act. (c) Appeals. § 407.57 Part B-ID benefit enrollment. (a) Deemed enrollment. (b) Individual enrollment. (1) If the individual's entitlement ends prior to January 1, 2023, he or she may enroll in the Part B-ID benefit beginning on October 1, 2022. (2) If individual's entitlement ends on or after January 1, 2023, the individual may enroll at any time after their entitlement ends. (c) Reenrollment. (d) Attestation. (e) Entitlement date. (1) For enrollments provided under paragraph (a) of this section, entitlement is effective the month Part A benefits are terminated. (2) For enrollments provided under paragraphs (b) and (c) of this section, the Part B-ID benefit is effective the month following the month in which the individual provides the attestation required in § 407.59. (3) Exception. § 407.59 Attestation. As a condition of enrollment, an individual must attest to SSA in either a verbal attestation, signed paper form provided by SSA, by electronic submission, or fax, using procedures determined by SSA, that— (a) The individual is not enrolled and does not expect to enroll in other coverage described in § 407.55(b); and (b) If the individual does enroll in other coverage described in § 407.55(b), the individual will notify SSA within 60 days of enrollment in such other coverage. § 407.62 Termination of coverage. (a) Other coverage. (1) If the individual notifies SSA of such coverage consistent with § 407.59(b), their enrollment in the Part B-ID benefit will be terminated effective the first day of the month after the month of notification unless the individual requests a different, prospective termination date that is not after the effective date of enrollment in other health insurance coverage, as described in § 407.55(b). (2) If the individual does not notify SSA of this coverage consistent with § 407.59(b), their enrollment in the Part B-ID benefit will be terminated effective the first day of the month after the month in which there is a determination of the individual's enrollment in coverage described in § 407.55(b). (b) Death. (c) Nonpayment of premiums. (d) Request by individual. (e) Entitlement to Hospital Insurance benefits. (f) Appeals.