42 C.F.R. § 424.53

Payment to the beneficiary.

Last amended: 2017Year: 2026Length: 131 wordsSubsections: 5Official source

Cite as 42 C.F.R. § 424.53 (2026)

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. (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.
Cross-references to the CFR
424.55.
42 C.F.R. § 424.53: Payment to the beneficiary. | Justis AI