Title 42 — The Public Health and WelfareRelease 119-73
§1395ss–1 Clarification
Title 42 › Chapter CHAPTER 7— - SOCIAL SECURITY › Subchapter SUBCHAPTER XVIII— - HEALTH INSURANCE FOR AGED AND DISABLED › Part Part E— - Miscellaneous Provisions › § 1395ss–1
Summary
Health insurance that pays for services Medicare (Title XVIII) could cover, but that a Medicare Advantage plan (including private fee‑for‑service) won't pay because of deductibles, coinsurance, copays, or other limits, must follow section 1882(o) (42 U.S.C. 1395ss(o)).
Full Legal Text
Title 42, §1395ss–1
The Public Health and Welfare — Source: USLM XML via OLRC
Any health insurance policy that provides reimbursement for expenses incurred for items and services for which payment may be made under title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.] but which are not reimbursable by reason of the applicability of deductibles, coinsurance, copayments or other limitations imposed by a Medicare Advantage plan (including a Medicare Advantage private fee-for-service plan) under part C of such title [42 U.S.C. 1395w–21 et seq.] shall comply with the requirements of section 1882(o) of the such 11 So in original. Act (42 U.S.C. 1395ss(o)).
Legislative History
Notes & Related Subsidiaries
Editorial Notes
References in Text
The Social Security Act, referred to in text, is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Title XVIII of the Act is classified generally to this subchapter. Part C of title XVIII of the Act is classified to section 1395w–21 et seq. of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables. Codification Section was enacted as part of the Medicare Improvements for Patients and Providers Act of 2008, and not as part of the Social Security Act which comprises this chapter.
Reference
Citations & Metadata
Citation
42 U.S.C. § 1395ss–1
Title 42 — The Public Health and Welfare
Last Updated
Apr 6, 2026
Release point: 119-73