42 C.F.R. § 411.204

Current through October 31, 2024
Section 411.204 - Medicare benefits secondary to LGHP benefits
(a) Medicare benefits are secondary to benefits payable by an LGHP for services furnished during any month in which the individual-
(1) Is entitled to Medicare Part A benefits under § 406.12 of this chapter;
(2) Is covered under an LGHP; and
(3) Has LGHP coverage by virtue of his or her own or a family member's current employment status.
(b)Individuals entitled to Medicare on the basis of disability who are also eligible for, or entitled to, Medicare on the basis of ESRD. If a disabled individual is, or could upon filing an application become, entitled to Medicare on the basis of ESRD, the coordination of benefits rules of subpart F of this part apply.

42 C.F.R. §411.204