HI SMI

5. Center for _________ Services
6. If you do not want medicare you send this form telling us you ______ it.
7. ESRD is an issue with what organ?
8. At 64 years and 8 months you are subject to this enrollment.
10. ________ medical insurance covers doctor visits and outpatient care.
13. Medicare __________ Plans cover expanded health services administered by a private insurer.
14. This is the period you enroll in after you retire and were previously covered by a GHP.

1. These beneficiaries draw only Medicare and nothing else.
2. This is the period you enroll in January through March.
3. __________ insurance covers when you are admitted hospital or cared nursing facility.
4. You are eligible for aged Medicare at this time.
9. Part D covers these type of things issued by a doctor.
11. You are eligible for disabled medicare at this month.
12. Claimants with spouse who have enough quarters of coverage are considered?