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42 U.S.C. § 1395e — Option to individuals to obtain other health insurance protection

Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395e — Option to individuals to obtain other health insurance protection

Nothing contained in this subchapter shall be construed to preclude any State from providing, or any individual from purchasing or otherwise securing, protection against the cost of any health services.

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Source file: Laws/federal/codes/united-states-code/title-42/section-1395e-option-to-individuals-to-obtain-other-health-insurance-protection--b26a420dd5.md
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Source location: Title 42, Chapter 7, § 1395e; chapter-007-social-security.md

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Nothing contained in this subchapter shall be construed to preclude any State from providing, or any individual from purchasing or otherwise securing, protection against the cost of any health services.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395e — Deductibles and coinsurance

§ 1395e. Deductibles and coinsurance (a) Inpatient hospital services; outpatient hos- pital diagnostic services; blood; post-hospital extended care services (1) The amount payable for inpatient hospital services or inpatient critical access hospital services furnished an individual during any spell of illness shall be reduced by a deduction equal to the inpatient hospital deductible or, if less, the charges imposed with respect to such indi- vidual for such services, except that, if the cus- tomary charges for such services are greater than the charges so imposed, such customary charges shall be considered to be the charges so imposed. Such amount shall be further reduced by a coinsurance amount equal to— (A) one-fourth of the inpatient hospital de- ductible for each day (before the 91st day) on which such individual is furnished such serv- ices during such spell of illness after such services have been furnished to him for 60 days during such spell; and (B) one-half of the inpatient hospital deduct- ible for each day (before the day following the last day for which such individual is entitled under section 1395d(a)(1) of this title to have payment made on his behalf for inpatient hos- pital services or inpatient critical access hos- pital services during such spell of illness) on which such individual is furnished such serv- ices during such spell of illness after such services have been furnished to him for 90 days during such spell; except that the reduction under this sentence for any day shall not exceed the charges im- posed for that day with respect to such indi- vidual for such services (and for this purpose, if the customary charges for such services are greater than the charges so imposed, such cus- tomary charges shall be considered

Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395e

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