Section 411.8 - Services paid for by a Government entity(a)Basic rule. Except as provided in paragraph (b) of this section, Medicare does not pay for services that are paid for directly or indirectly by a government entity.(b)Exceptions. Payment may be made for the following:(1) Services furnished under a health insurance plan established for employees of the government entity.(2) Services furnished under a title of the Social Security Act other than title XVIII.(3) Services furnished in or by a participating general or special hospital that- (i) Is operated by a State or local government agency; and(ii) Serves the general community.(4) Services furnished in a hospital or elsewhere, as a means of controlling infectious diseases or because the individual is medically indigent.(5) Services furnished by a participating hospital or SNF of the Indian Health Service.(6) Services furnished by a public or private health facility that-(i) Is not a Federal provider or other facility operated by a Federal agency;(ii) Receives U.S. government funds under a Federal program that provides support to facilities that furnish health care services;(iii) Customarily seeks payment for services not covered under Medicare from all available sources, including private insurance and patients' cash resources; and(iv) Limits the amounts it collects or seeks to collect from a Medicare Part B beneficiary and others on the beneficiary's behalf to:(A) Any unmet deductible applied to the charges related to the reasonable costs that the facility incurs in providing the covered services;(B) Twenty percent of the remainder of those charges;(C) The charges for noncovered services.(7) Rural health clinic services that meet the requirements set forth in part 491 of this chapter.54 FR 41734, Oct. 11, 1989, as amended at 56 FR 2139, Jan. 22, 1991