---
kind: "section"
citation: "42 C.F.R. § 424.53"
title: "42"
number: "424.53"
heading: "Payment to the beneficiary."
url: "https://uscodex.org/cfr/42/424.53"
---

# §424.53. Payment to the beneficiary.


Medicare pays the beneficiary for the following services, if covered, in the specified circumstances:

- (a) Emergency inpatient and outpatient services furnished by a nonparticipating U.S. hospital that has not elected to claim payment in accordance with subpart G of this part.
- (b) Certain medical and other health services covered under Medicare Part B and furnished by a nonparticipating U.S. hospital, if the hospital does not receive assigned payment as a supplier under [§ 424.55](/cfr/42/424.55.md).
- (c) Emergency or nonemergency services furnished by a foreign hospital if the hospital does not have in effect an election to claim payment in accordance with subpart H of this part.
- (d) **Physician and ambulance services furnished outside the United States.**
- (e) **Services furnished by a supplier if the claim has not been assigned to the supplier.**

## Notes

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.