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                    <h1>If You&#39;re on Disability</h1>
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    <h2 class="titleComp-title">You may be eligible for Medicare before age 65 if you have a qualifying disability. Eligibility usually starts after you’ve received disability benefits for 24 months.</h2>
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    <p>Here&rsquo;s what you need to know:</p>
<ul>
    <li>You&rsquo;ll be automatically enrolled in Original Medicare (Parts A and B). Your Medicare card will arrive in the mail a few weeks before your eligibility date.&nbsp;</li>
    <li>Your coverage starts the first day of the month you receive your 25th disability check.&nbsp;</li>
    <li>You still have an Initial Enrollment Period (IEP) when you may make decisions about your Medicare coverage.</li>
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<p>Your IEP is 7 months long. It includes your 25th month of disability, the 3 months before and the 3 months after.</p>
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                    Do you have ALS or ESRD?
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<!-- START TURNING 65 CONTENT -->
<div class="ta-content">
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                <h4>Turning 65</h4>
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    <div id="56892287" class="ta-content--inner ta-content--selected" role="tabpanel">
        <!-- START QUESTIION -->
        <div class="enroll-question clearfix">
            <p><h3>Enter your date of birth</h3>
Note: This information is used only to help calculate your enrollment dates.</p>
            <div class="pure-g">
                <div class="pure-u-1 pure-u-lg-1-3">
                    <div class="select-wrapper">           
                        <label for="turning-month" class="hidden-label">Month</label>
                        <select id="turning-month" aria-describedby="turning65-validation" class="select month">
                            
                                    
                                
                                    <option value="01" data-abv="JAN.">January</option>
                                
                                    <option value="02" data-abv="FEB.">February</option>
                                
                                    <option value="03" data-abv="MAR.">March</option>
                                
                                    <option value="04" data-abv="APR.">April</option>
                                
                                    <option value="05" data-abv="MAY">May</option>
                                
                                    <option value="06" data-abv="JUNE">June</option>
                                
                                    <option value="07" data-abv="JULY">July</option>
                                
                                    <option value="08" data-abv="AUG.">August</option>
                                
                                    <option value="09" data-abv="SEP.">September</option>
                                
                                    <option value="10" data-abv="OCT.">October</option>
                                
                                    <option value="11" data-abv="NOV.">November</option>
                                
                                    <option value="12" data-abv="DEC.">December</option>
                                
                        </select>
                    </div>
                </div>
                <div class="pure-u-1 pure-u-lg-1-3">
                    <div class="select-wrapper">   
                        <label for="turning-day" class="hidden-label">Day</label>
                        <select id="turning-day" aria-describedby="turning65-validation" class="select day">					  
				      <option value="01">01</option>
			          <option value="02">02</option>
			          <option value="03">03</option>
			          <option value="04">04</option>
			          <option value="05">05</option>
			          <option value="06">06</option>
			          <option value="07">07</option>
			          <option value="08">08</option>
			          <option value="09">09</option>
			          <option value="10">10</option>
			          <option value="11">11</option>
			          <option value="12">12</option>
			          <option value="13">13</option>
			          <option value="14">14</option>
			          <option value="15">15</option>
			          <option value="16">16</option>
			          <option value="17">17</option>
			          <option value="18">18</option>
			          <option value="19">19</option>
			          <option value="20">20</option>
			          <option value="21">21</option>
			          <option value="22">22</option>
			          <option value="23">23</option>
			          <option value="24">24</option>
			          <option value="25">25</option>
			          <option value="26">26</option>
			          <option value="27">27</option>
			          <option value="28">28</option>
			          <option value="29">29</option>
			          <option value="30">30</option>
			          <option value="31">31</option>
                        </select>
                    </div>
                </div>
                <div class="pure-u-1 pure-u-lg-1-3">
                    <div class="select-wrapper">    
                        <label for="turning-year" class="hidden-label">Year</label>
                        <select id="turning-year" aria-describedby="turning65-validation" class="select year">
                            
                                    
                                
                                    <option value="1941">1941</option>
                                
                                    <option value="1942">1942</option>
                                
                                    <option value="1943">1943</option>
                                
                                    <option value="1944">1944</option>
                                
                                    <option value="1945">1945</option>
                                
                                    <option value="1946">1946</option>
                                
                                    <option value="1947">1947</option>
                                
                                    <option value="1948">1948</option>
                                
                                    <option value="1949">1949</option>
                                
                                    <option value="1950">1950</option>
                                
                                    <option value="1951">1951</option>
                                
                                    <option value="1952">1952</option>
                                
                                    <option value="1953">1953</option>
                                
                                    <option value="1954">1954</option>
                                
                                    <option value="1955">1955</option>
                                
                                    <option value="1956">1956</option>
                                
                                    <option value="1957">1957</option>
                                
                                    <option value="1958">1958</option>
                                
                                    <option value="1959">1959</option>
                                
                                    <option value="1960">1960</option>
                                
                                    <option value="1961">1961</option>
                                
                        </select>
                    </div>
                </div>
            </div>
            <div class="clearfix">
                <a id="btnFullDataValidation" href="#fullDateValidation" class="pure-button button-tertiary button-full-width ">Get Results</a>
            </div>
        </div>
        <!-- END QUESTIION -->
        <!-- START ANSWER -->
        <div class="enroll-answer">
            <div class="situation enroll-result" id="Turning65Response"></div>
            <div class="situation enroll-result" id="Turning65">
                <p><br />
</p>
                <p><strong>
                    Initial Enrollment Period: Turning 65 on 
                    <span class="selected-date"></span></strong></p>

                <!-- START CALENDAR KEY -->
                <div class="table-calendar-key pure-g">
                    <div class="pure-u-1-2 pure-u-lg-1-4">
                        <div class="cell-highlight"></div>
                        <p>Enrollment Period</p>
                    </div>
                    <div class="pure-u-1-2 pure-u-lg-3-4">
                        <div class="marker"></div>
                        <p>Birth Month (Or Month Prior if Born on the 1st)</p>
                    </div>
                </div>
                <!-- END CALENDAR KEY -->

                <!-- START CALENDARS -->
                <div class="pure-g calendar-wrapper">
                    <div class="pure-u-1 pure-u-lg-1-2">
                        <table class="calendar" border="0">
	<thead>
		<tr>
			<th colspan="4"><h4><span class="first-year first-yearturn65"></span> Calendar</h4></th>
		</tr>
	</thead><tbody>
		<tr>
			<td data-table-number="1" data-table-tab-name="turn65" data-month="1" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>JAN.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="2" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>FEB.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="3" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>MAR.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="4" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>APR.<br><span class="first-year"></span></td>
		</tr><tr>
			<td data-table-number="1" data-table-tab-name="turn65" data-month="5" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>MAY<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="6" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>JUNE<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="7" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>JULY<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="8" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>AUG.<br><span class="first-year"></span></td>
		</tr><tr>
			<td data-table-number="1" data-table-tab-name="turn65" data-month="9" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>SEP.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="10" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>OCT.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="11" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>NOV.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="turn65" data-month="12" data-month-name="" data-month-year="first-yearturn65"><span class="marker"></span>DEC.<br><span class="first-year"></span></td>
		</tr>
	</tbody><tfoot>
		<tr>

		</tr>
	</tfoot>
</table>
                    </div>
                    <div class="pure-u-1 pure-u-lg-1-2">
                        <table class="calendar" border="0">
	<thead>
		<tr>
			<th colspan="4"><h4><span class="second-year second-yearturn65"></span> Calendar</h4></th>
		</tr>
	</thead><tbody>
		<tr>
			<td data-table-number="2" data-table-tab-name="turn65" data-month="1" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>JAN.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="2" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>FEB.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="3" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>MAR.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="4" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>APR.<br><span class="second-year"></span></td>
		</tr><tr>
			<td data-table-number="2" data-table-tab-name="turn65" data-month="5" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>MAY<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="6" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>JUNE<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="7" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>JULY<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="8" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>AUG.<br><span class="second-year"></span></td>
		</tr><tr>
			<td data-table-number="2" data-table-tab-name="turn65" data-month="9" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>SEP.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="10" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>OCT.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="11" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>NOV.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="turn65" data-month="12" data-month-name="" data-month-year="second-yearturn65"><span class="marker"></span>DEC.<br><span class="second-year"></span></td>
		</tr>
	</tbody><tfoot>
		<tr>

		</tr>
	</tfoot>
</table>                      
                    </div>
                </div>
                <!-- END CALENDARS -->
                <p><br />
</p>
            </div>
            <div class="clearfix try-again-wrapper">
                <a href="#" class="pure-button button-tertiary">Try Again</a>
            </div>
        </div>
        <!-- END ANSWER -->
    </div>
  </fieldset>
</div>
<!-- END TURNING 65 CONTENT -->
<!-- START OVER 65 CONTENT -->

<div class="message-text"></div>

<div class="ta-content">
  <fieldset>
    <legend class="hidden-label"></legend>
    <!-- START ACCORDION TITLE -->
    <div class="ta-title">
        <a id="maincontent_2_ctl01_hkrEnrollCompOver65Tab" class="ta-link" href="#9E46D277032F443791F6BAC28F7B0529">
            <div class="ta-title--wrapper">
                <span>
                    Over 65 and Retiring or Losing Employer Coverage
                </span>
                <p></p>
            </div>
        </a>
    </div>
    <!-- END ACCORDION TITLE -->
    <div id="23035984" class="ta-content--inner" role="tabpanel">
        <!-- START QUESTIION -->
        <div class="enroll-question clearfix">
            <p><h3>Enter your retirement date or the date you're losing your employer coverage (whichever happens first).</h3>
Note: This information is used only to help calculate your enrollment dates.</p>
            <div class="pure-g select-group">
                <div class="pure-u-1 pure-u-lg-1-3">
                    <div class="select-wrapper">                        
                        <label for="over-month" class="hidden-label">Month</label>
                        <select id="over-month" aria-describedby="over65-validation" class="select month">
                            
                                    
                                
                                    <option value="01" data-abv="JAN.">January</option>
                                
                                    <option value="02" data-abv="FEB.">February</option>
                                
                                    <option value="03" data-abv="MAR.">March</option>
                                
                                    <option value="04" data-abv="APR.">April</option>
                                
                                    <option value="05" data-abv="MAY">May</option>
                                
                                    <option value="06" data-abv="JUNE">June</option>
                                
                                    <option value="07" data-abv="JULY">July</option>
                                
                                    <option value="08" data-abv="AUG.">August</option>
                                
                                    <option value="09" data-abv="SEP.">September</option>
                                
                                    <option value="10" data-abv="OCT.">October</option>
                                
                                    <option value="11" data-abv="NOV.">November</option>
                                
                                    <option value="12" data-abv="DEC.">December</option>
                                
                        </select>
                    </div>
                </div>
                <div class="pure-u-1 pure-u-lg-1-3">
                    <div class="select-wrapper">                       
                        <label for="over-year" class="hidden-label">Year</label>
                        <select id="over-year" aria-describedby="over65-validation" class="select year">
                            
                                    
                                
                                    <option value="2011" role="option">2011</option>
                                
                                    <option value="2012" role="option">2012</option>
                                
                                    <option value="2013" role="option">2013</option>
                                
                                    <option value="2014" role="option">2014</option>
                                
                                    <option value="2015" role="option">2015</option>
                                
                                    <option value="2016" role="option">2016</option>
                                
                                    <option value="2017" role="option">2017</option>
                                
                                    <option value="2018" role="option">2018</option>
                                
                                    <option value="2019" role="option">2019</option>
                                
                                    <option value="2020" role="option">2020</option>
                                
                                    <option value="2021" role="option">2021</option>
                                
                                    <option value="2022" role="option">2022</option>
                                
                                    <option value="2023" role="option">2023</option>
                                
                                    <option value="2024" role="option">2024</option>
                                
                                    <option value="2025" role="option">2025</option>
                                
                                    <option value="2026" role="option">2026</option>
                                
                        </select>
                    </div>
                </div>
            </div>
            <div class="clearfix">
                <a id="btnOver65" href="#over65" class="pure-button button-tertiary button-full-width timing-tool-getresult">Get Results</a>
            </div>
        </div>
        <!-- END QUESTIION -->
        <!-- START ANSWER -->
        <div class="enroll-answer">
            <div class="situation enroll-result" id="Over65Response"></div>
            <div class="situation enroll-result" id="Over65">
                <p><br />
</p>
                <p><strong>
                    Special Enrollment for Parts A and B: Retiring or losing coverage in 
                    <span class="selected-date"></span>.</strong></p>

                <!-- START CALENDAR KEY -->
                <div class="table-calendar-key pure-g">
                    <div class="pure-u-1-2 pure-u-lg-1-4">
                        <div class="cell-highlight"></div>
                        <p>ENROLLMENT PERIOD</p>
                    </div>
                    <div class="pure-u-1-2 pure-u-lg-3-4">
                        <div class="cell-highlight retirement"></div>
                        <p>RETIREMENT DATE (OR DATE YOUR COVERAGE ENDS)</p>
                    </div>
                </div>
                <!-- END CALENDAR KEY -->

                <!-- START CALENDARS -->
                <div class="pure-g calendar-wrapper nine-month-enroll">
                    <div class="pure-u-1 pure-u-lg-1-2">
                         <table class="calendar lose-coverage" border="0">
	<thead>
		<tr>
			<th colspan="4"><h4><span class="first-year first-yearover65"></span> Calendar</h4></th>
		</tr>
	</thead><tbody>
		<tr>
			<td data-table-number="1" data-table-tab-name="over65" data-month="1" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>JAN.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="2" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>FEB.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="3" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>MAR.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="4" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>APR.<br><span class="first-year"></span></td>
		</tr><tr>
			<td data-table-number="1" data-table-tab-name="over65" data-month="5" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>MAY<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="6" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>JUNE<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="7" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>JULY<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="8" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>AUG.<br><span class="first-year"></span></td>
		</tr><tr>
			<td data-table-number="1" data-table-tab-name="over65" data-month="9" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>SEP.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="10" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>OCT.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="11" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>NOV.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="over65" data-month="12" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>DEC.<br><span class="first-year"></span></td>
		</tr>
	</tbody><tfoot>
		<tr>

		</tr>
	</tfoot>
</table>
                    </div>
                    <div class="pure-u-1 pure-u-lg-1-2">
                         <table class="calendar lose-coverage" border="0">
	<thead>
		<tr>
			<th colspan="4"><h4><span class="second-year second-yearover65"></span> Calendar</h4></th>
		</tr>
	</thead><tbody>
		<tr>
			<td data-table-number="2" data-table-tab-name="over65" data-month="1" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>JAN.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="2" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>FEB.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="3" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>MAR.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="4" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>APR.<br><span class="second-year"></span></td>
		</tr><tr>
			<td data-table-number="2" data-table-tab-name="over65" data-month="5" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>MAY<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="6" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>JUNE<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="7" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>JULY<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="8" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>AUG.<br><span class="second-year"></span></td>
		</tr><tr>
			<td data-table-number="2" data-table-tab-name="over65" data-month="9" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>SEP.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="10" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>OCT.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="11" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>NOV.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="over65" data-month="12" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>DEC.<br><span class="second-year"></span></td>
		</tr>
	</tbody><tfoot>
		<tr>

		</tr>
	</tfoot>
</table>
                    </div>
                </div>
                <!-- END CALENDARS -->
                
           
                <p><strong>
                    Special Enrollment Period for Parts C and D: Retiring or losing coverage in 
                    <span class="selected-date"></span></strong></p>

                <!-- START CALENDARS -->
                <div class="pure-g calendar-wrapper three-month-enroll">
                    <div class="pure-u-1 pure-u-lg-1-2">
                          <table class="calendar lose-coverage" border="0">
	<thead>
		<tr>
			<th colspan="4"><h4><span class="first-year first-yearover65"></span> Calendar</h4></th>
		</tr>
	</thead><tbody>
		<tr>
			<td data-table-number="3" data-table-tab-name="over65" data-month="1" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>JAN.<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="2" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>FEB.<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="3" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>MAR.<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="4" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>APR.<br><span class="first-year"></span></td>
		</tr><tr>
			<td data-table-number="3" data-table-tab-name="over65" data-month="5" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>MAY<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="6" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>JUNE<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="7" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>JULY<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="8" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>AUG.<br><span class="first-year"></span></td>
		</tr><tr>
			<td data-table-number="3" data-table-tab-name="over65" data-month="9" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>SEP.<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="10" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>OCT.<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="11" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>NOV.<br><span class="first-year"></span></td><td data-table-number="3" data-table-tab-name="over65" data-month="12" data-month-name="" data-month-year="first-yearover65"><span class="marker"></span>DEC.<br><span class="first-year"></span></td>
		</tr>
	</tbody><tfoot>
		<tr>

		</tr>
	</tfoot>
</table>
                    </div>
                    <div class="pure-u-1 pure-u-lg-1-2">
                        <table class="calendar lose-coverage" border="0">
	<thead>
		<tr>
			<th colspan="4"><h4><span class="second-year second-yearover65"></span> Calendar</h4></th>
		</tr>
	</thead><tbody>
		<tr>
			<td data-table-number="4" data-table-tab-name="over65" data-month="1" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>JAN.<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="2" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>FEB.<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="3" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>MAR.<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="4" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>APR.<br><span class="second-year"></span></td>
		</tr><tr>
			<td data-table-number="4" data-table-tab-name="over65" data-month="5" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>MAY<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="6" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>JUNE<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="7" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>JULY<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="8" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>AUG.<br><span class="second-year"></span></td>
		</tr><tr>
			<td data-table-number="4" data-table-tab-name="over65" data-month="9" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>SEP.<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="10" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>OCT.<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="11" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>NOV.<br><span class="second-year"></span></td><td data-table-number="4" data-table-tab-name="over65" data-month="12" data-month-name="" data-month-year="second-yearover65"><span class="marker"></span>DEC.<br><span class="second-year"></span></td>
		</tr>
	</tbody><tfoot>
		<tr>

		</tr>
	</tfoot>
</table>
                    </div>
                </div>
                <!-- END CALENDARS -->
                

            </div>
            <div class="clearfix try-again-wrapper">
                <a href="#" class="pure-button button-tertiary">Try Again</a>
            </div>
        </div>
        <!-- END ANSWER -->
    </div>
  </fieldset>
</div>
<!-- END OVER 65 CONTENT -->
<!-- START DISABILITY CONTENT -->
<div class="ta-content">
  <fieldset>
      <legend class="hidden-label">Qualifying Disability</legend>
    <!-- START ACCORDION TITLE -->
    <div class="ta-title">
        <a id="maincontent_2_ctl02_hkEnrollCompDisTab" class="ta-link" href="#1441531">
            <div class="ta-title--wrapper">
                <span>
                    Qualifying Disability
                </span>
                <p></p>
            </div>
        </a>
    </div>
    <!-- END ACCORDION TITLE -->
    <div id="1441531" class="ta-content--inner" role="tabpanel">
        <!-- START QUESTIION -->
        <div class="enroll-question clearfix">
           <fieldset>
            <legend class="hidden-label">Check the box if you have the following:</legend>        
            <p><h3>Check the box if you have the following:</h3>
            Note: This information is used only to help calculate your enrollment dates.</p>
              <div class="pure-g">
                <div class="pure-u-1 pure-u-lg-1-2">
                    <div class="checkbox-wrapper">
                        <input id="check-als" aria-describedby="qualifying-disablity-validation" class="checkbox check-als" type="checkbox" name="lou_gehrigs" />
                        <label class="pure-checkbox" for="check-als">
                            Lou Gehrig&#39;s Disease (ALS)
                        </label>
                    </div>
                </div>
                <div class="pure-u-1 pure-u-lg-1-2">
                    <div class="checkbox-wrapper">
                        <input id="check-esrd" aria-describedby="qualifying-disablity-validation" class="checkbox check-esrd" type="checkbox" name="renal_disease" />
                        <label class="pure-checkbox" for="check-esrd">
                            End Stage Renal Disease (ESRD)
                        </label>
                    </div>
                </div>
            </div>
           </fieldset>
           
              <p class="or-txt">-OR-</p>
           <fieldset>
                <legend class="hidden-label">                            <p><h3>Enter date you began receiving disability benefits.</h3>
                                Note: This information is used only to help calculate your enrollment dates.
                            </p></legend>            
                                           <p><h3>Enter date you began receiving disability benefits.</h3>
                                Note: This information is used only to help calculate your enrollment dates.
                            </p>
                <div class="pure-g select-group">
                <div class="pure-u-1 pure-u-lg-1-3">
                    <div class="select-wrapper">  
                        <label for="disability-month" class="hidden-label">Month</label>
                        <select id="disability-month" aria-describedby="qualifying-disablity-validation" class="select month">
                            
                               
                                
                                    <option value="01" data-abv="JAN.">January</option>
                                
                                    <option value="02" data-abv="FEB.">February</option>
                                
                                    <option value="03" data-abv="MAR.">March</option>
                                
                                    <option value="04" data-abv="APR.">April</option>
                                
                                    <option value="05" data-abv="MAY">May</option>
                                
                                    <option value="06" data-abv="JUNE">June</option>
                                
                                    <option value="07" data-abv="JULY">July</option>
                                
                                    <option value="08" data-abv="AUG.">August</option>
                                
                                    <option value="09" data-abv="SEP.">September</option>
                                
                                    <option value="10" data-abv="OCT.">October</option>
                                
                                    <option value="11" data-abv="NOV.">November</option>
                                
                                    <option value="12" data-abv="DEC.">December</option>
                                
                        </select>
                    </div>
                </div>
                <div class="pure-u-1 pure-u-lg-1-3">
                    <div class="select-wrapper">     
                        <label for="disability-year"class="hidden-label">Year</label>
                        <select id="disability-year" aria-describedby="qualifying-disablity-validation" class="select year">
                            
                                
                                
                                    <option value="2006">2006</option>
                                
                                    <option value="2007">2007</option>
                                
                                    <option value="2008">2008</option>
                                
                                    <option value="2009">2009</option>
                                
                                    <option value="2010">2010</option>
                                
                                    <option value="2011">2011</option>
                                
                                    <option value="2012">2012</option>
                                
                                    <option value="2013">2013</option>
                                
                                    <option value="2014">2014</option>
                                
                                    <option value="2015">2015</option>
                                
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			<td data-table-number="1" data-table-tab-name="disability" data-month="1" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>JAN.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="2" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>FEB.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="3" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>MAR.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="4" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>APR.<br><span class="first-year"></span></td>
		</tr><tr>
			<td data-table-number="1" data-table-tab-name="disability" data-month="5" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>MAY<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="6" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>JUNE<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="7" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>JULY<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="8" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>AUG.<br><span class="first-year"></span></td>
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			<td data-table-number="1" data-table-tab-name="disability" data-month="9" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>SEP.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="10" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>OCT.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="11" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>NOV.<br><span class="first-year"></span></td><td data-table-number="1" data-table-tab-name="disability" data-month="12" data-month-name="" data-month-year="first-yeardisability"><span class="marker"></span>DEC.<br><span class="first-year"></span></td>
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			<td data-table-number="2" data-table-tab-name="disability" data-month="1" data-month-name="" data-month-year="second-yeardisability"><span class="marker"></span>JAN.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="disability" data-month="2" data-month-name="" data-month-year="second-yeardisability"><span class="marker"></span>FEB.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="disability" data-month="3" data-month-name="" data-month-year="second-yeardisability"><span class="marker"></span>MAR.<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="disability" data-month="4" data-month-name="" data-month-year="second-yeardisability"><span class="marker"></span>APR.<br><span class="second-year"></span></td>
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			<td data-table-number="2" data-table-tab-name="disability" data-month="5" data-month-name="" data-month-year="second-yeardisability"><span class="marker"></span>MAY<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="disability" data-month="6" data-month-name="" data-month-year="second-yeardisability"><span class="marker"></span>JUNE<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="disability" data-month="7" data-month-name="" data-month-year="second-yeardisability"><span class="marker"></span>JULY<br><span class="second-year"></span></td><td data-table-number="2" data-table-tab-name="disability" data-month="8" data-month-name="" data-month-year="second-yeardisability"><span class="marker"></span>AUG.<br><span class="second-year"></span></td>
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                <p><strong>Medicare Coverage and ALS</strong></p>
<p>You are automatically enrolled in Original Medicare Part A and Part B the month your Social Security disability benefits begin when you have ALS. It&rsquo;s a good idea to apply for these benefits as soon as you are diagnosed, since there may be a waiting period before they kick in.</p>
<p> Even though you are enrolled in Original Medicare automatically, you may still make other Medicare coverage choices, such as adding Medicare Part D prescription drug coverage or choosing a Medicare Advantage plan.</p>

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                <p><strong>Medicare Coverage and ESRD</strong></p>
<p>You may get Medicare benefits at any age if you have ESRD and one of the following applies:</p>
<ul>
    <li>You are eligible for Medicare based on your work record.</li>
    <li>You are already getting Social Security or Railroad Retirement Board benefits, or you are eligible for benefits.</li>
    <li>Your spouse or parent meets one of the above requirements.</li>
</ul>
<p>Medicare coverage starts the fourth month you receive dialysis treatments. For example, your Medicare coverage would start on October 1 if you start getting your dialysis treatments in July. </p>
<p>Medicare coverage could start the first month you receive treatments if all of these apply:</p>
<ul>
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    <li>Your doctor expects you to complete the training and be able to do your own dialysis treatments.</li>
    <li>You maintain regular dialysis treatments throughout the usual required waiting period.</li>
</ul>
<p>You must enroll in Original Medicare Parts A and B yourself. Once you have both Part A and Part B, you may make other Medicare coverage choices, such as adding Medicare Part D prescription drug coverage or choosing a Medicare Advantage plan.</p>
<p> If you are 65 or older, or disabled, and are already enrolled in Part A, you may enroll in Part B without penalty if you are approved for Medicare based on ESRD. You may also have an existing Part B late enrollment penalty removed.
</p>

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