What Do the Letters After a Medicare Number Mean?

Sometimes you are trying to verify benefits / payer source on a referral and you’re working with a Medicare number that ends in a letter.  Here’s a quick cheat sheet on the meaning associated with that letter:

Code Meaning
A Primary claimant (wage earner), retired worker
B Aged wife, age 62 or over
B1 Aged husband, age 62 or over
B2 Young wife, with a child in her care
B3 Aged wife, age 62 or over, second claimant
B5 Young wife, with a child in her care, second claimant
B6 Divorced wife, age 62 or over
B9 Divorced second wife
BY Young husband, with a child in his care
C; C1-C9 Child – Includes minor, student or disabled child.  Numbers after C denote order of children claiming benefit.
D Aged Widow, age 60 or over
D1 Aged widower, age 60 or over
D2 Aged widow (2nd claimant)
D3 Aged widower (2nd claimant)
D6 Surviving Divorced Wife,  age 60 or over
E Widowed Mother
E1 Surviving Divorced Mother
E4 Widowed Father
E5 Surviving Divorced Father
F1 Parent (Father)
F2 Parent (Mother)
F3 Stepfather
F4 Stepmother
F5 Adopting Father
F6 Adopting Mother
HA Disabled claimant (wage earner)
HB Aged wife of disabled claimant, age 62 or over
HC Child of disabled worker
J1 Special “over 72” benefit, has A and B
K1 Wife of “over 72” benefit, has A and B
M Uninsured – Premium Health Insurance Benefits (Part A) / has Part B only, no SSA benefit?
M1 Uninsured – Qualified for but refused Health Insurance Benefits (Part A)
T Uninsured – Entitled to HIB (Part A) under deemed or renal provisions; or Fully insured who have elected entitlement only to HIB / has A and B, no SSA benefit
TA Medicare Qualified Government Employment (MQGE)
TB MQGE aged spouse
W Disabled Widow
W1 Disabled Widower
W6 Disabled Surviving Divorced Wife
WA Railroad retirement
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