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Extended Medicare Provisions Briefing Paper

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Beneficiaries of the Title II disability programs often believe that Medicare entitlement stops when cash payments stop. In fact, this is not necessarily the case. The Extended Period of Medicare Coverage (EPMC) provision allows most beneficiaries who meet the Social Security disability standard to continue Medicare coverage for at least 93-months after the Trial Work Period ends, even if cash benefits ceased due to Substantial Gainful Activity (SGA) level employment.