[Code of Federal Regulations]
[Title 32, Volume 5]
[Revised as of July 1, 2005]
From the U.S. Government Printing Office via GPO Access
[CITE: 32CFR728.61]

[Page 339]
 
                       TITLE 32--NATIONAL DEFENSE
 
                   CHAPTER VI--DEPARTMENT OF THE NAVY
 
PART 728_MEDICAL AND DENTAL CARE FOR ELIGIBLE PERSONS AT NAVY MEDICAL 
DEPARTMENT FACILITIES--Table of Contents
 
            Subpart F_Beneficiaries of Other Federal Agencies
 
Sec. 728.61  Medicare beneficiaries.

    (a) Care authorized. Emergency hospitalization and other emergency 
services are authorized for beneficiaries of the Social Security Health 
Insurance Program for the Aged and Disabled (Medicare) who reside in the 
50 United States and the District of Columbia, Guam, Puerto Rico, the 
Virgin Islands, American Samoa, and the Northern Mariana Islands. Such 
care in naval MTFs may be rendered when emergency services, as defined 
in Sec. 728.61(b), are necessary.
    (b) Emergency services. Services provided in a hospital emergency 
room after the sudden onset of a medical condition manifesting itself by 
acute symptoms of sufficient severity (including severe pain) such that 
the absence of immediate medical attention could reasonably be expected 
to result in:
    (1) Placing the patient's health in serious jeopardy.
    (2) Serious impairment to bodily functions of serious dysfunction of 
any bodily organ or part.
    (c) General provisions--(1) Limitations. Benefit payments for 
emergency services under Medicare can be made for only that period of 
time during which the emergency exists. Therefore, when the emergency is 
terminated and it is permissible from a medical standpoint, discharge or 
transfer the patient to a facility that participates in Medicare.
    (2) Notification. Notify the nearest office of the Social Security 
Administration as soon as possible when a Medicare beneficiary is 
rendered treatment.
    (d) Report. Complete and submit, per subpart J, a DD 7 (Report of 
Treatment Furnished Pay Patients, Hospitalization Furnished, part A) or 
DD 7A (Report of Treatment Furnished Pay Patients, Outpatient Treatment, 
part B) when outpatient or inpatient care is rendered.