{"data":{"id":"us/20-cfr-418.3110","jurisdiction":"us","citation":"20 CFR 418.3110","heading":"What happens when you apply for a subsidy?","body":"(a) When you or your personal representative apply for a subsidy, we will ask for information that we need to determine if you meet all the requirements for a subsidy. You must give us complete information. If, based on the information you present to us, you do not meet all the requirements for eligibility listed in § 418.3101, or if one of the events listed in § 418.3115 exists, or you fail to submit information we request, we will deny your claim.\n(b) If you meet all the requirements for eligibility listed in § 418.3101, or you meet all the requirements except for enrollment in a Medicare Part D plan or Medicare Advantage plan with prescription drug coverage, we will send you a notice telling you the following:\n(1) You are eligible for a full or partial subsidy for a period not to exceed 1 year;\n(2) What information we used to make this determination including how we calculated your income and resources;\n(3) What you may do if your circumstances change as described in § 418.3120; and\n(4) Your appeal rights.\n(c) If you are not already enrolled with a Medicare prescription drug plan or a Medicare Advantage plan with prescription drug coverage, you must enroll in order to receive your subsidy.\n(d) If you do not meet all the requirements for eligibility listed in § 418.3101 or if § 418.3115 applies to you except for enrollment in a Medicare Part D plan or Medicare Advantage plan with prescription drug coverage as described in § 418.3225, we will send you a notice telling you the following:\n(1) You are not eligible for a subsidy;\n(2) The information we used to make this determination including how we calculated your income or resources;\n(3) You may reapply if your situation changes; and\n(4) Your appeal rights.","path":["Title 20—Employees' Benefits","CHAPTER III—SOCIAL SECURITY ADMINISTRATION","PART 418—MEDICARE SUBSIDIES","Subpart D—Medicare Part D Subsidies"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-20.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:24:45Z","sha256":"f0396c62f3734151711b51f1458e0ad68cb85138807283f32b0301d8b0db615f","source_id":"us-cfr","stale":true,"prev":"us/20-cfr-418.3105","next":"us/20-cfr-418.3115"},"notice":"GroundRules: Original legal text. Not legal advice."}