42 CFR §411.51
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)The beneficiary is responsible for taking whatever action is necessary to obtain any payment that can reasonably be expected under no-fault insurance.
- (b)Except as specified in § 411.53, Medicare does not pay until the beneficiary has exhausted his or her remedies under no-fault insurance.
- (c)Except as specified in § 411.53, Medicare does not pay for services that would have been covered by the no-fault insurance if the beneficiary had filed a proper claim.
- (d)However, if a claim is denied for reasons other than not being a proper claim, Medicare pays for the services if they are covered under Medicare.