§411.204. Medicare benefits secondary to LGHP benefits.
42 C.F.R. § 411.204
Medicare benefits are secondary to benefits payable by an LGHP for services furnished during any month in which the individual—
Is entitled to Medicare Part A benefits under § 406.12 of this chapter;
Is covered under an LGHP; and
Has LGHP coverage by virtue of his or her own or a family member's current employment status.
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.
Notes, amendments, and revision history
Source
Source: 60 FR 45371, Aug. 31, 1995, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn.
Source
Source: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.