US · guidance
CMS Pub. 100-02, ch. 5, § 30.5
Election Where Beneficiary Is Incapacitated
A3-3106.2.E, HO-219.2.E
If a beneficiary is physically or mentally unable to file an election not to use reserve days,
certain other individuals may file the election on the beneficiary's behalf:
1. If the charges will be paid by other hospital insurance or if some other person
agrees to pay the hospital for the services, an election not to use reserve days may be filed
by any of the individuals who may sign a Request for Payment on behalf of the
beneficiary (e.g., relative, legal guardian).
2. If an incapacitated beneficiary does not have other hospital insurance, and no
other person agrees to pay the hospital for the services, only the beneficiary’s legal
representative may file an election on the beneficiary's behalf.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
0f2c5ba1403c10d9243dc501832d09883a1fccdc1f7c6940039dcda9dfc8432f
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