---
kind: "section"
citation: "20 C.F.R. § 418.3110"
title: "20"
number: "418.3110"
heading: "What happens when you apply for a subsidy?"
url: "https://uscodex.org/cfr/20/418.3110"
---

# §418.3110. What happens when you apply for a subsidy?

- (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](/cfr/20/418.3101.md), or if one of the events listed in [§ 418.3115](/cfr/20/418.3115.md) exists, or you fail to submit information we request, we will deny your claim.
- (b) If you meet all the requirements for eligibility listed in [§ 418.3101](/cfr/20/418.3101.md), 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:
  - (1) You are eligible for a full or partial subsidy for a period not to exceed 1 year;
  - (2) What information we used to make this determination including how we calculated your income and resources;
  - (3) What you may do if your circumstances change as described in [§ 418.3120](/cfr/20/418.3120.md); and
  - (4) **Your appeal rights.**
- (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.
- (d) If you do not meet all the requirements for eligibility listed in [§ 418.3101](/cfr/20/418.3101.md) or if [§ 418.3115](/cfr/20/418.3115.md) 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](/cfr/20/418.3225.md), we will send you a notice telling you the following:
  - (1) You are not eligible for a subsidy;
  - (2) The information we used to make this determination including how we calculated your income or resources;
  - (3) You may reapply if your situation changes; and
  - (4) **Your appeal rights.**

## Notes

### Authority

Authority: Secs. 702(a)(5) and 1860D-1, 1860D-14 and -15 of the Social Security Act (42 U.S.C. 902(a)(5),1395w-101, 1395w-114, and -115).

### Source

Source: 70 FR 77675, Dec. 30, 2005, unless otherwise noted.