HI 00620.000 Exclusions from Coverage

Subchapter Table of Contents
Section Latest
HI 00620.001General Exclusions 
HI 00620.010Services Not Reasonable and Necessary 
HI 00620.020No Obligation to Pay for or Provide Services 
HI 00620.030Items and Services Furnished or Paid for by Governmental Entities 
HI 00620.040Items and Services Furnished by a Federal Provider of Services or Federal Agency 
HI 00620.050Items and Services which a Provider, Physician or Supplier is Obligated to Furnish at Public Expense Pursuant to an Authorization Issued by a Federal Agency 
HI 00620.060Items or Services Which are Paid For by a Governmental Entity 
HI 00620.070Illustrations 
HI 00620.080Services Not Provided Within the United States 
HI 00620.090Services Resulting From War 
HI 00620.100Personal Comfort Items 
HI 00620.110Routine Services and Appliances 
HI 00620.120Supportive Devices for Feet 
HI 00620.130Custodial CareTN 12 10-89
HI 00620.140Cosmetic SurgeryTN 12 10-89
HI 00620.150Charges Imposed by Immediate Relatives of the Patient or Members of His HouseholdTN 12 10-89
HI 00620.160Dental Services ExclusionTN 12 10-89
HI 00620.170Workers' CompensationTN 12 10-89
HI 00620.171Private Right of ActionTN 12 10-89
HI 00620.175Services Reimbursable Under Automobile, No-Fault, or Any Liability Insurance 
HI 00620.177Medicare as Secondary Payer for End Stage Renal Disease (ESRD) Beneficiaries and for Employed Beneficiaries Age 65 or Over (Working Aged) and the Spouses Age 65 or Over of Employed Individuals of Any Age 
HI 00620.178Medicare as Secondary Payer for Disabled Individuals 
HI 00620.180Excluded Foot Care Services 
HI 00620.190Application of Foot Care Exclusion to Physicians' Services 
HI 00620.200Exclusion of Refractive Services 

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HI 00620.000 - Exclusions from Coverage - Table of Contents - 09/29/1995
Batch run: 04/07/2015