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US · guidance

CMS Pub. 100-05, ch. 5, § 30.5.3

State Law or Contract Provides That No-Fault Insurance Is Secondary to

activein force · 2026-08-25 – presentas-observed

Other Insurance

(Rev. 11550; Issued: 08 -12-22; Effective: 10 -13-22; Implementation:10 -13-22)

Even though State laws or insurance contracts specify that benefits paid under their provisions are

secondary to any other source of payment or otherwise limits portions of their benefits to payments

only when all other sources of health insurance are exhausted, Medicare does not make payment

when benefits are otherwise available. For example, a state provides $2,000 in no-fault benefits for

medical expenses and an additional $6,000 in no-fault benefits are available, but only after the

claimant has exhausted all other health insurance. In such cases, the Medicare law has precedence

over state laws and private contracts. Therefore, under these circumstances, Medicare makes

secondary payments only after the total no-fault benefits are exhausted.

History

(Rev. 11550; Issued: 08 -12-22; Effective: 10 -13-22; Implementation:10 -13-22)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
5b21a2577600e1145c1d03e636d2a2098da80cd1489e3518d26922c210a19cd9
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