[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR406.1]



[Page 246-247]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 406_HOSPITAL INSURANCE ELIGIBILITY AND ENTITLEMENT--Table of Contents

 

                      Subpart A_General Provisions

 

Sec. 406.1  Statutory basis.









                      Subpart A_General Provisions



Sec.

406.1 Statutory basis.

406.2 Scope.

406.3 Definitions.

406.5 Basis of eligibility and entitlement.

406.6 Application or enrollment for hospital insurance.

406.7 Forms to apply for entitlement under Medicare Part A.



          Subpart B_Hospital Insurance Without Monthly Premiums



406.10 Individual age 65 or over who is entitled to social security or 

          railroad retirement benefits, or who is eligible for social 

          security benefits.

406.11 Individual age 65 or over who is not eligible as a social 

          security or railroad retirement benefits beneficiary, or on 

          the basis of government employment.

406.12 Individual under age 65 who is entitled to social security or 

          railroad retirement disability benefits.

406.13 Individual who has end-stage renal disease.

406.15 Special provisions applicable to Medicare qualified government 

          employment.



                  Subpart C_Premium Hospital Insurance



406.20 Basic requirements.

406.21 Individual enrollment.



[[Page 247]]



406.22 Effect of month of enrollment on entitlement.

406.24 Special enrollment period.

406.26 Enrollment under State buy-in.

406.28 End of entitlement.

406.32 Monthly premiums.

406.33 Determination of months to be counted for premium increase: 

          Enrollment.

406.34 Determination of months to be counted for premium increase: 

          Reenrollment.

406.38 Prejudice to enrollment rights because of Federal Government 

          error.



  Subpart D_Special Circumstances That Affect Entitlement to Hospital 

                                Insurance



406.50 Nonpayment of benefits on behalf of certain aliens.

406.52 Conviction of certain offenses.



    Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 

1302 and 1395hh).



    Source: 48 FR 12536, Mar. 25, 1983, unless otherwise noted. 

Redesignated at 51 FR 41338, Nov. 14, 1986.







    Sections 226, 226A, 1818 and 1818A of the Social Security Act and 

section 103 of Public Law 89-97 establish the conditions for entitlement 

to hospital insurance benefits. Sections 202 (t) and (u) of the Act 

specify limitations that apply to certain aliens and to persons 

convicted of certain offenses.



[48 FR 12536, Mar. 25, 1983. Redesignated at 51 FR 41338, Nov. 14, 1986, 

as amended at 56 FR 38078, Aug. 12, 1991]