§ 411.160 Scope
§ 411.161 Prohibition against taking into account Medicare eligibility or entitlement or differentiating benefits
§ 411.162 Medicare benefits secondary to group health plan benefits
§ 411.163 Coordination of benefits: Dual entitlement situations
§ 411.165 Basis for conditional Medicare payments

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 411 > Subpart F - Special Rules: Individuals Eligible or Entitled On the Basis of Esrd, Who Are Also Covered Under Group Health Plans

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Injunction: An order of the court prohibiting (or compelling) the performance of a specific act to prevent irreparable damage or injury.
  • Lawsuit: A legal action started by a plaintiff against a defendant based on a complaint that the defendant failed to perform a legal duty, resulting in harm to the plaintiff.