Medicare program; limitation on payment for services furnished to employed aged and aged spouses of employed individuals--HCFA. Final rule.
These regulations amend and respond to comments on the final Medicare rules published on April 13, 1983 which set forth policies and procedures under which Medicare is secondary paper for health care items and services furnished to employed individuals age 65 through 69 and their spouses age 65 through 69, who are covered under employer group health plans of employers which employ 20 or more employees. The April 1983 regulations implemented section 116(b) of the Tax Equity and Fiscal Responsibility Act of 1982 (Pub. L. 97-248). These regulations also have been changed to include provisions of the Deficit Reduction Act of 1984 (Pub. L. 98-369), enacted July 18, 1984, which modified application of these rules to employees' spouses age 65 through 69 and changed the age limit for individuals subject to the secondary payer provisions to the month before the month the individual attains age 70. Previously the age limit was the month in which the individual attained age 70.
D000368:Aged; D014487:Centers for Medicare and Medicaid Services, U.S.; D006264:Health Benefit Plans, Employee / Q000331:legislation & jurisprudence*; D006801:Humans; D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D014481:United States