Patientsâ renal, cardiac, neuromuscular, and gastrointestinal systems may develop signs and symptoms related to TLS, requiring physical assessments and frequent monitoring, with the frequency dependent upon the severity of TLS and the patientâs complaints and assessment findings.
Generally, if you didnât sign up for Part B when you were first eligible because your spouse was working and you had group health plan coverage based on their work, you can sign up for Part B, without penalty, during the Special Enrollment Period.
If the retiree is eligible for Medicare, but the spouse is not, the retiree is on TFL and the spouse is on Prime or Standard. Medicare-eligible beneficiaries cannot decline Medicare/TFL and keep Standard or Prime.