社安局启动联邦医疗保险资格审查：身份无法确认者须补交证明，否则2027年2月1日起停保
美国社会保障署（SSA）11月10日宣布，已开始按《公共法》第119-21号法律第71201条审查联邦医疗保险（Medicare，红蓝卡）的参保资格：身份属于四类的人才可继续享有或新加入联邦医疗保险，社安局本周起向资格无法确认的现有参保人发出通知，收到通知的人须在期限内补交公民或合资格移民身份的证明，否则其保险最快2027年2月1日起终止。
按新规，合资格的四类人是：美国公民或美国国民；合法永久居民（绿卡持有人）；古巴与海地入境者；以及按《自由联合协定》合法居住在美国的密克罗尼西亚联邦、马绍尔群岛共和国与帕劳公民。社安局是代表联邦医疗保险与医助服务中心（CMS）为参保人办理联邦医疗保险登记的机构，资格认定按 CMS 依法律制定的规则执行。社安局特别说明，这次改动不影响社会保障福利本身的领取资格与发放规则。
对已经在保的人，保险不会立即中断：不符合新规者，其联邦医疗保险一般可保留到2027年1月31日，终止自2027年2月1日起生效。社安局本周起一方面把新资格要求用于新的申请与登记，另一方面开始通知资格无法确认的现有参保人，提醒他们保险可能在2027年2月1日结束，除非在适用期限内证明自己合资格。
收到通知的人应先仔细读完通知，按上面的说明在截止日期前回应。证明自己是美国公民的文件包括美国护照与入籍证书；证明移民身份的文件包括永久居民卡（I-551表，绿卡）、入出境记录（I-94表）与就业许可文件（I-766表）。提交方式有三种：登录个人 my Social Security 账户、选择「Upload Documents」（上传文件）在线提交；带齐文件去当地社安局办公室；或致电社安局，美国境内打 1-844-507-7131，美国境外打 855-522-6939，听障专线 TTY 1-800-325-0778，来电时请提及这封通知信。
如果保险被终止或申请被拒绝，参保人可以申诉：须在收到决定信后60天内以书面提出，可用社安局的在线非医疗申诉表，或填写 SSA-561-U2《复议申请》表。日后取得合资格移民身份的人，届时可再联系社安局申请联邦医疗保险。确实不符合新资格的人，社安局建议联系所在州的社会服务办公室看有无州级项目可帮移民取得其他医疗保险，或考虑参加本人或配偶的雇主医保，社区医疗中心也可提供免费或低收费的医疗服务。
关联：联邦医疗保险开放期12月7日截止：换计划2027年1月1日生效，处方药自付封顶2,400美元
（来源：美国社会保障署）
Social Security Administration Begins Medicare Eligibility Reviews: Beneficiaries Who Cannot Confirm Their Status Must Submit Proof or Lose Coverage on February 1, 2027
The U.S. Social Security Administration (SSA) announced on November 10 that it has begun reviewing eligibility for Medicare under Section 71201 of Public Law 119-21: only people in four status categories may be entitled to or enrolled in Medicare. Starting this week, the agency is notifying current beneficiaries whose eligibility it cannot confirm, and those who receive a notice must submit proof of U.S. citizenship or an eligible immigration status by the deadline given, or their coverage may end as early as February 1, 2027.
Under the new law, the four eligible categories are U.S. citizens or nationals; lawful permanent residents (green card holders); Cuban-Haitian entrants; and citizens of the Federated States of Micronesia, the Republic of the Marshall Islands and Palau who are lawfully residing in the United States under the Compacts of Free Association. SSA enrolls people in Medicare on behalf of the Centers for Medicare & Medicaid Services (CMS) and follows CMS rules based on the law. The agency stressed that the changes do not affect Social Security benefit eligibility or payment rules.
For people already covered, insurance does not end right away: those who are not eligible under the new rules will generally keep their Medicare through January 31, 2027, with termination effective February 1, 2027. This week SSA began both applying the new requirements to Medicare applications and enrollments, and notifying current beneficiaries whose eligibility it cannot confirm that their coverage may end on February 1, 2027, unless they establish eligibility within the applicable timeframe.
Anyone who receives a notice should read it carefully and respond by the deadline provided. Evidence of U.S. citizenship includes a U.S. passport or a Certificate of Naturalization; evidence of immigration status includes a Permanent Resident Card (Form I-551), an Arrival/Departure Record (Form I-94) or an Employment Authorization Document (Form I-766). Documents can be submitted by signing in to a personal my Social Security account and selecting Upload Documents, by bringing the documents to a local Social Security office, or by calling 1-844-507-7131 from inside the United States or 855-522-6939 from outside the country; the TTY number for people who are deaf or hard of hearing is 1-800-325-0778, and callers should mention the letter.
Beneficiaries whose Medicare is terminated or denied may appeal in writing within 60 days of receiving the decision letter, using SSA's online Non-Medical Appeal form or the Request for Reconsideration form, SSA-561-U2. People who later obtain an eligible immigration status may contact Social Security about Medicare at that time. For those who do not qualify under the new criteria, SSA suggests contacting their state's Social Services office about state programs that help immigrants obtain other health insurance, considering a workplace health plan through their own or a spouse's job, and notes that community health centers may provide free or low-cost health care.
(Source: Social Security Administration)
来源：美国社会保障署
发布：GSM·美国（发布链接）
图片来源：图：美国社会保障署总部大楼群（马里兰州 Woodlawn）。Coolcaesar 摄，CC BY-SA 3.0，经 Wikimedia Commons，本站联邦图库固定图。 / Photo: Headquarters of the U.S. Social Security Administration in Woodlawn, Maryland. Photo by Coolcaesar, CC BY-SA 3.0, via Wikimedia Commons; GSM federal asset library.
GSM Global · 本篇英文版 English edition of this story
