Title 42

PART 408

Part 408 - Premiums For Supplementary Medical Insurance

PART 408 - PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE Authority:Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh). Source:52 FR 48115, Dec. 18, 1987, unless otherwise noted.

42:2.0.1.2.8.1SUBPART A
Subpart A - General Provisions
42:2.0.1.2.8.1.35.1SECTION 408.1
   408.1 Statutory basis.
42:2.0.1.2.8.1.35.2SECTION 408.2
   408.2 Scope and purpose.
42:2.0.1.2.8.1.35.3SECTION 408.3
   408.3 Definitions.
42:2.0.1.2.8.1.35.4SECTION 408.4
   408.4 Payment obligations.
42:2.0.1.2.8.1.35.5SECTION 408.6
   408.6 Methods and priorities for payment.
42:2.0.1.2.8.1.35.6SECTION 408.8
   408.8 Grace period and termination date.
42:2.0.1.2.8.1.35.7SECTION 408.10
   408.10 Claim for monthly benefits pending concurrently with request for SMI enrollment.
42:2.0.1.2.8.2SUBPART B
Subpart B - Amount of Monthly Premiums
42:2.0.1.2.8.2.35.1SECTION 408.20
   408.20 Monthly premiums.
42:2.0.1.2.8.2.35.2SECTION 408.21
   408.21 Reduction in Medicare Part B premium as an additional benefit under Medicare + Choice plans.
42:2.0.1.2.8.2.35.3SECTION 408.22
   408.22 Increased premiums for late enrollment and for reenrollment.
42:2.0.1.2.8.2.35.4SECTION 408.24
   408.24 Individuals who enrolled or reenrolled before April 1, 1981 or after September 30, 1981.
42:2.0.1.2.8.2.35.5SECTION 408.25
   408.25 Individuals who enrolled or reenrolled between April 1 and September 30, 1981.
42:2.0.1.2.8.2.35.6SECTION 408.26
   408.26 Examples.
42:2.0.1.2.8.2.35.7SECTION 408.27
   408.27 Rounding the monthly premium.
42:2.0.1.2.8.2.35.8SECTION 408.28
   408.28 Increased premiums due to the income-related monthly adjustment amount (IRMAA).
42:2.0.1.2.8.3SUBPART C
Subpart C - Deduction From Monthly Benefits
42:2.0.1.2.8.3.35.1SECTION 408.40
   408.40 Deduction from monthly benefits: Basic rules.
42:2.0.1.2.8.3.35.2SECTION 408.42
   408.42 Deduction from railroad retirement benefits.
42:2.0.1.2.8.3.35.3SECTION 408.43
   408.43 Deduction from social security benefits.
42:2.0.1.2.8.3.35.4SECTION 408.44
   408.44 Deduction from civil service annuities.
42:2.0.1.2.8.3.35.5SECTION 408.45
   408.45 Deduction from age 72 special payments.
42:2.0.1.2.8.3.35.6SECTION 408.46
   408.46 Effect of suspension of social security benefits.
42:2.0.1.2.8.3.35.7SECTION 408.47
   408.47 [Reserved]
42:2.0.1.2.8.3.35.8SECTION 408.50
   408.50 When premiums are considered paid.
42:2.0.1.2.8.3.35.9SECTION 408.52
   408.52 Change from direct remittance to deduction.
42:2.0.1.2.8.3.35.10SECTION 408.53
   408.53 Change from partial direct remittance to full deduction.
42:2.0.1.2.8.4SUBPART D
Subpart D - Direct Remittance: Individual Payment
42:2.0.1.2.8.4.35.1SECTION 408.60
   408.60 Direct remittance: Basic rules.
42:2.0.1.2.8.4.35.2SECTION 408.62
   408.62 Initial and subsequent billings.
42:2.0.1.2.8.4.35.3SECTION 408.63
   408.63 Billing procedures when monthly benefits are less than monthly premiums.
42:2.0.1.2.8.4.35.4SECTION 408.65
   408.65 Payment options.
42:2.0.1.2.8.4.35.5SECTION 408.68
   408.68 When premiums are considered paid.
42:2.0.1.2.8.4.35.6SECTION 408.70
   408.70 Change from quarterly to monthly payments.
42:2.0.1.2.8.4.35.7SECTION 408.71
   408.71 Change from deduction or State payment to direct remittance.
42:2.0.1.2.8.5SUBPART E
Subpart E - Direct Remittance: Group Payment
42:2.0.1.2.8.5.35.1SECTION 408.80
   408.80 Basic rules.
42:2.0.1.2.8.5.35.2SECTION 408.82
   408.82 Conditions for group billing.
42:2.0.1.2.8.5.35.3SECTION 408.84
   408.84 Billing and payment procedures.
42:2.0.1.2.8.5.35.4SECTION 408.86
   408.86 Responsibilities under group billing arrangement.
42:2.0.1.2.8.5.35.5SECTION 408.88
   408.88 Refund of group payments.
42:2.0.1.2.8.5.35.6SECTION 408.90
   408.90 Termination of group billing arrangement.
42:2.0.1.2.8.5.35.7SECTION 408.92
   408.92 Change from group payment to deduction or individual payment.
42:2.0.1.2.8.6SUBPART F
Subpart F - Termination and Reinstatement of Coverage
42:2.0.1.2.8.6.35.1SECTION 408.100
   408.100 Termination of coverage for nonpayment of premiums.
42:2.0.1.2.8.6.35.2SECTION 408.102
   408.102 Reconsideration of termination.
42:2.0.1.2.8.6.35.3SECTION 408.104
   408.104 Reinstatement procedures.
42:2.0.1.2.8.7SUBPART G
Subpart G - Collection of Unpaid Premiums; Refund of Excess Premiums After the Death of the Enrollee
42:2.0.1.2.8.7.35.1SECTION 408.110
   408.110 Collection of unpaid premiums.
42:2.0.1.2.8.7.35.2SECTION 408.112
   408.112 Refund of excess premiums after the enrollee dies.
42:2.0.1.2.8.8SUBPART H
Subpart H - Supplementary Medical Insurance Premium Surcharge Agreements
42:2.0.1.2.8.8.35.1SECTION 408.200
   408.200 Statutory basis.
42:2.0.1.2.8.8.35.2SECTION 408.201
   408.201 Definitions.
42:2.0.1.2.8.8.35.3SECTION 408.202
   408.202 Conditions for participation.
42:2.0.1.2.8.8.35.4SECTION 408.205
   408.205 Application procedures.
42:2.0.1.2.8.8.35.5SECTION 408.207
   408.207 Billing and payment procedures.
42:2.0.1.2.8.8.35.6SECTION 408.210
   408.210 Termination of SMI premium surcharge agreement.