POMS Reference

NL 00725: Modernized Claims System (MCS) Notices

TN 23 (12-17)

CTZ005 SMI Only Disallowance

 (1)  did not work long enough under Social Security to qualify for Medicare.

Work under Social Security is figured in credits. Please read the enclosed pamphlet, “How You Earn Social Security Credits,” which explains how the credits are earned.For  (2)  to qualify for Medicare,  (3)  needed to have earned  (4)  credits.  (5)  earned  (6)  credits. These figures are based on  (7)   (8)  date of birth,  (9)  .

In addition,  (10)  cannot qualify for medical insurance because  (11)  neither a United States citizen nor an alien lawfully admitted for permanent residence and residing in the United States for at least 5 years in a row before filing for Medicare.

Fill-ins:

(1) “You”/NHFN

(2) “you”/SN

(3) “you”/NHSN

(4) Quarters of coverage required (QCR) in format 40

(5) “She”/“He”

(6) Quarters of coverage earned

(7) “your”/NHSN possessive

(8) “correct”/null

(9) birthdate in the format, June 10, 1990

(10) “you”/“she”/“he”

(11) “you are”/“she is”/“he is”

CTZ007 Medicare Disallowance - Citizen

 (1)  cannot qualify for Medicare because  (2)  neither a United States citizen nor an alien who was lawfully admitted for permanent residence and residing in the United States for at least five years in a row before filing for Medicare.

 (3)  may be able to buy Medicare coverage in the future.  (4)  can buy Medicare only after  (5)  lived in the United States for five years in a row. These must be the five years right before  (6)  for Medicare. Also as an alien,  (7)  must be lawfully admitted for permanent residence.

Fill-ins:

(1) “You”/“She”/“He”

(2) “you are”/“she is”/“he is”

(3) “You”/“She”/“He”

(4) “You”/“She”/“He”

(5) “you have”/“she has”/“he has”

(6) “you apply”/“she applies”/“he applies”

(7) “You”/“She”/“He”