42 U.S.C. § 1395j
Establishment of supplementary medical insurance program for aged and disabled
There is hereby established a voluntary insurance program to provide medical insurance benefits in accordance with the provisions of this part for aged and disabled individuals who elect to enroll under such program, to be financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government.
Notes of Decisions
Cited in 180
cases (18 in the last 5 years), 1970–2026 · leading case: Mathews v. Diaz, 426 U.S. 67 (1976).
Mathews v. Diaz, 426 U.S. 67 (1976). “301 , and as amended, 42 U. S. C. § 1395j et seq. (1970 ed. and Supp.”
McCall v. PacifiCare of California, Inc., 21 P.3d 1189 (Cal. 2001). “) Part B of Medicare (42 U.S.C. § 1395j et seq.) establishes a voluntary supplementary medical insurance program for Medicare-eligible individuals and certain other persons over age 65, covering specified medical services, devices, and equipment.”
Heckler v. Ringer, 466 U.S. 602 (1984). “Part B of the Medicare Act, 42 U. S. C. § 1395j et seq., establishes a voluntary program of supplemental medical insurance covering expenses not covered by the Part A program, such as reasonable charges for physicians' services, medical supplies, and laboratory tests.”
United States Ex Rel. Prather v. Brookdale Senior Living Communities, Inc., 838 F.3d 750 (6th Cir. 2016). “Medicare Part B is “a voluntary insurance program to provide medical insurance benefits,” 42 U.S.C. § 1395j, and it, too, provides coverage for certain “home health services,” 42 U.”
Guillermina Parra v. Pacificare of Arizona, Inc., 715 F.3d 1146 (9th Cir. 2013). “§§ 1395c to 1395i-5, and Part B covers services and equipment, 42 U.S.C. §§ 1395j to 1395w-5. In 1980, Congress added the Medicare Secondary Payer provisions (“MSP”) to the Medicare Act.”
United States v. Erika, Inc., 456 U.S. 201 (1982). “301 , as amended, 42 U. S. C. § 1395j et seq. (1976 ed. and Supp.”
Floyd Wood v. Tommy G. Thompson, . As Sec'y of the Dep't of Health & Human Servs., 246 F.3d 1026 (7th Cir. 2001). “See 42 U.S.C. §§ 1395j to 1395w-4, 1395x(s); 42 C.”
Am. Hosp. Ass'n v. Alex Azar, II, 964 F.3d 1230 (D.C. Cir. 2020). “See 42 U.S.C. §§ 1395j, 1395k. The Department of Health and Human Services (HHS) sets the rates at which Medicare will reimburse hospitals for providing such services according to an intricate statutory system known as the Outpatient Prospective Payment System (OPPS).”
Shands Jacksonville Med. Ctr., Inc. v. Sebelius, 139 F. Supp. 3d 240 (D.D.C. 2015). “, while Medicare Part B pays for services not covered by Part A, including hospital outpatient services and visits to the doctor, see 42 U.S.C. §§ 1395j, 1395Z (t); see generally Cape Cod Hosp.”
Power Mobility Coalition v. Leavitt, 404 F. Supp. 2d 190 (D.D.C. 2005). “(citing 42 U.S.C. §§ 1395j to 1395w-4, 42 C.F.R. Part 410.”
Laura Wilson, Pers. Rep. of the Est. of Max Wilson, Deceased v. United States, 405 F.3d 1002 (Fed. Cir. 2005). “42 U.S.C. § 1395j et seq. For the first fifteen years, Medicare paid for medical services without regard to whether they were also covered by an employer group health plan.”
United States ex rel. Modglin v. DJO Global Inc., 48 F. Supp. 3d 1362 (C.D. Cal. 2014). “(citing 42 U.S.C. §§ 1395j, 1395k(a)(2), 1395m). Under Part B, “Medicare beneficiaries receive medical treatment and the providers submit claims for government reimbursement.”
— 42 U.S.C. § 1395j(8) — 1 case
Himmler v. Califano, 611 F.2d 137 (6th Cir. 1979).
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