42 CFR 411.204 - Medicare benefits secondary to LGHP benefits.

Regulations last checked for updates: Feb 07, 2026

Title 42 - Public Health last revised: Feb 02, 2026

View all text of Subpart H [§ 411.200 - § 411.206]

§ 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.

authority: 42 U.S.C. 1302,1395w,1395hh,and

source: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.

cite as: 42 CFR 411.204