US · guidance
CMS Pub. 100-01, ch. 2, § 10.3
Hospital Insurance for Disability Beneficiaries
A disabled person who is entitled to social security or railroad retirement benefits on the
basis of disability is automatically entitled to HI after 24 months of entitlement to such
benefits. Since there is a 5-month disability benefits waiting period, the person actually
becomes entitled to HI after being disabled for 29 months.
In addition, disabled persons who are not insured for monthly Social Security disability
benefits but would be insured for such benefits if Government QCs were treated as social
security QCs, are deemed to be entitled to disability benefits and automatically entitled to
HI after being disabled for 29 months.
The months in the Medicare qualifying period need not be consecutive so that months
from a previous period of disability benefit entitlement generally may be counted in
determining when the qualifying period requirement is met. HI entitlement on the basis
of disability is available not only to the worker, but to the widow, widower, or child of a
deceased, disabled, or retired worker if any of them become disabled within the meaning
of the Social Security or Railroad Retirement Acts.
If an individual recovers from a disability, HI entitlement ends with the month after the
month he or she is notified of the disability termination. For example, if notification is
November 15, entitlement ends December 31. However, if the individual's disability
benefit entitlement ends only because he or she was working, HI entitlement may
continue for up to 78 additional months.
History
(Rev. 1, 09-11-02)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
96b02c9aa0f70304c4d36260cecb1c4b1c844c5881307d0eda57c50e6b0d5799
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.