---
kind: "section"
citation: "42 C.F.R. § 411.8"
title: "42"
number: "411.8"
heading: "Services paid for by a Government entity."
url: "https://uscodex.org/cfr/42/411.8"
---

# §411.8. Services paid for by a Government entity.

- (a) **Basic rule.** Except as provided in [paragraph (b)](#b) of this section, Medicare does not pay for services that are paid for directly or indirectly by a government entity.
- (b) **Exceptions.** Payment may be made for the following:
  - (1) **Services furnished under a health insurance plan established for employees of the government entity.**
  - (2) **Services furnished under a title of the Social Security Act other than title XVIII.**
  - (3) **Services furnished in or by a participating general or special hospital that—**
    - (i) Is operated by a State or local government agency; and
    - (ii) **Serves the general community.**
  - (4) Services furnished in a hospital or elsewhere, as a means of controlling infectious diseases or because the individual is medically indigent.
  - (5) **Services furnished by a participating hospital or SNF of the Indian Health Service.**
  - (6) **Services furnished by a public or private health facility that—**
    - (i) Is not a Federal provider or other facility operated by a Federal agency;
    - (ii) Receives U.S. government funds under a Federal program that provides support to facilities that furnish health care services;
    - (iii) Customarily seeks payment for services not covered under Medicare from all available sources, including private insurance and patients' cash resources; and
    - (iv) Limits the amounts it collects or seeks to collect from a Medicare Part B beneficiary and others on the beneficiary's behalf to:
      - (A) Any unmet deductible applied to the charges related to the reasonable costs that the facility incurs in providing the covered services;
      - (B) Twenty percent of the remainder of those charges;
      - (C) **The charges for noncovered services.**
  - (7) **Rural health clinic services that meet the requirements set forth in part 491 of this chapter.**

## Notes

### Amendments

[54 FR 41734, Oct. 11, 1989, as amended at 56 FR 2139, Jan. 22, 1991]

### 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.

### Amendments

[54 FR 41734, Oct. 11, 1989, as amended at 56 FR 2139, Jan. 22, 1991]