TN 25 (09-93)

A. Policy

To withdraw from the HI program, an individual must submit a written request for withdrawal and must refund any HI benefits paid on his/her behalf as explained in GN 00206.095 B.1.c.

An individual who filed an application for both monthly benefits and HI may:

• withdraw the claim for monthly benefits without jeopardizing HI entitlement; or

• withdraw the claim for both monthly benefits and HI.

The individual may not elect to withdraw only the HI claim.

An individual who filed an application for HI only may withdraw the claim at any time (see HI 00801.002).

NOTE: Even though a NH may withdraw a claim for monthly benefits and HI or for HI only, the NH's aged spouse (or other aged auxiliary) retains HI entitlement unless the spouse (or auxiliary) also specifically elects to withdraw the application for HI.

B. Reference

See GN 00206.020 for a complete discussion of withdrawal considerations.