StacksVerified U.S. regulatory reference

42 CFR §411.51

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov
  1. (a)The beneficiary is responsible for taking whatever action is necessary to obtain any payment that can reasonably be expected under no-fault insurance.
  2. (b)Except as specified in § 411.53, Medicare does not pay until the beneficiary has exhausted his or her remedies under no-fault insurance.
  3. (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.
  4. (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.