Regulations last checked for updates: Oct 31, 2024

Title 42 - Public Health last revised: Oct 29, 2024
§ 411.51 - Beneficiary's responsibility with respect to no-fault insurance.

(a) The beneficiary is responsible for taking whatever action is necessary to obtain any payment that can reasonably be expected under no-fault insurance.

(b) Except as specified in § 411.53, Medicare does not pay until the beneficiary has exhausted his or her remedies under no-fault insurance.

(c) Except as specified in § 411.53, Medicare does not pay for services that would have been covered by the no-fault insurance if the beneficiary had filed a proper claim.

(d) However, if a claim is denied for reasons other than not being a proper claim, Medicare pays for the services if they are covered under Medicare.

source: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.
cite as: 42 CFR 411.51