GroundRules
42 CFR 407.4: Basic requirements for entitlement.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 407—SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT
- Subpart A—General Provisions
(a) An individual must meet the following requirements to be entitled to SMI:
(1) Eligibility. The individual must meet the eligibility requirements specified in § 407.10(a).
(2) Enrollment. The individual must enroll for SMI, or must be enrolled by a State under a buy-in agreement as specified in § 407.40.
(b) SMI pays only for covered expenses incurred during an individual's period of entitlement.
Collected 2026-08-27T02:26:11Z. Source file · JSON