TX HHS Form H1200-MSP-D. Medicare Savings Program Denial Notice

The TX HHS Form H1200-MSP-D, Medicare Savings Program Denial Notice, is a document issued by the Texas Health and Human Services (HHS) to notify individuals of their denial from the Medicare Savings Program. This program helps eligible recipients pay for Medicare Part A and Part B costs such as premiums, deductibles, and co-insurance.

The notice explains the reason for denial, which may include not living in Texas or having assets or resources exceeding program limits. The document also outlines the individual's right to appeal the decision, including the option to request a hearing within 90 days of receipt. Key features highlighted in the text include the requirement to ask for a hearing within the specified timeframe and the potential to continue receiving benefits during the appeal process.

Individuals who receive this notice have several options to proceed with their appeal. They can call 2-1-1 (or 1-877-541-7905 if outside Texas) to request an appeal hearing or seek free legal services from a designated organization. The notice also provides information on how to continue receiving benefits during the appeal process and what may happen if the appeal is unsuccessful.

• The TX HHS Form H1200-MSP-D, Medicare Savings Program Denial Notice, is used to notify individuals of their denial from the Medicare Savings Program.
• The notice outlines the reason for denial and provides information on the individual's right to appeal the decision.
• Appeals must be requested within 90 days of receipt of the notice.