What occurs when a Title II beneficiary terminates from benefits due to performing Substantial Gainful Activity (SGA) level work after the Extended Period of Eligibility?

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When a Title II beneficiary terminates from benefits because they are engaging in Substantial Gainful Activity (SGA) after the Extended Period of Eligibility, they qualify for an expedited period of Medicare coverage. This provision allows the individual to maintain Medicare coverage for a period after their benefits have ended due to earning over the SGA threshold.

The reason this is significant is that individuals can transition from receiving Social Security Disability Insurance (SSDI) benefits to still having access to necessary medical care through Medicare, despite no longer receiving cash benefits. This can support their reintegration into the workforce without abruptly losing healthcare coverage, which can be a significant barrier for many individuals with disabilities.

Other choices do not accurately reflect the policy provisions concerning beneficiaries who cease receiving benefits due to SGA. The Beneficiary Reassessment Period is not a standard term used in this context. Medicare Coverage Extension is misleading, as it does not capture the expedited nature of the coverage continuation after benefits are terminated. Lastly, the Unemployment Benefit Period does not relate to how Medicare interacts with SSDI and SGA, as these are separate programs with distinct eligibility requirements.

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