The letter "A" following a beneficiary's Social Security number on the HICN indicates the individual was a wage earner.

Name: The letter "A" following a beneficiary's Social Security number on the HICN indicates the individual was a wage earner.
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The letter "A" following a beneficiary's Social Security number on the Health Insurance Claim Number (HICN) indicates the individual is the primary wage earner and has earned the Medicare benefits based on their own work history.

The Letter "A" Following a Beneficiary's Social Security Number on the HICN