[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: 42CFR411.30]



[Page 388]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 411_EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT

--Table of Contents

 

   Subpart B_Insurance Coverage That Limits Medicare Payment: General 

                               Provisions

 

Sec. 411.30  Effect of third party payment on benefit utilization and 

deductibles.



    (a) Benefit utilization. Inpatient psychiatric hospital and SNF care 

that is paid for by a third party payer is not counted against the 

number of inpatient care days available to the beneficiary under 

Medicare Part A.

    (b) Deductibles. Expenses for Medicare covered services that are 

paid for by third party payers are credited toward the Medicare Part A 

and Part B deductibles.