# 42 C.F.R. § 405.405 (2026): General rules

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_405

## Section

- **Citation:** 42 C.F.R. § 405.405 (2026)
- **Heading:** General rules
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 42 CFR: Public Health / Chapter IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES / Part 405: FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED / Subpart D: Private Contracts / § 405.405: § 405.405   General rules.

## Text

(a) A physician or practitioner may enter into one or more private contracts with Medicare beneficiaries for the purpose of furnishing items or services that would otherwise be covered by Medicare, provided the conditions of this subpart are met.
(b) A physician or practitioner who enters into at least one private contract with a Medicare beneficiary under the conditions of this subpart, and who submits one or more affidavits in accordance with this subpart, opts out of Medicare for the opt-out period described in § 405.400 unless the opt-out is terminated early according to § 405.445.
(c) Both the private contracts described in paragraph (a) of this section and the physician's or practitioner's opt-out described in paragraph (b) of this section are null and void if the physician or practitioner fails to properly opt-out in accordance with the conditions of this subpart.
(d) Both the private contracts described in paragraph (a) of this section and the physician's or practitioner's opt-out described in paragraph (b) of this section are null and void for the remainder of the opt-out period if the physician or practitioner fails to remain in compliance with the conditions of this subpart during the opt-out period.
(e) Services furnished under private contracts meeting the requirements of this subpart are not covered services under Medicare, and no Medicare payment will be made for such services either directly or indirectly, except as permitted in accordance with § 405.435(c).
[63 FR 58901, Nov. 2, 1998, as amended at 80 FR 71370, Nov. 16, 2015]

## Nearby sections

- [42 C.F.R. § 405.400 (2026) § 405.400   Definitions.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_400.md)
- [42 C.F.R. § 405.405 (2026) § 405.405   General rules.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_405.md)
- [42 C.F.R. § 405.410 (2026) § 405.410   Conditions for properly opting-out of Medicare.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_410.md)
- [42 C.F.R. § 405.415 (2026) § 405.415   Requirements of the private contract.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_415.md)
- [42 C.F.R. § 405.420 (2026) § 405.420   Requirements of the opt-out affidavit.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_420.md)
- [42 C.F.R. § 405.425 (2026) § 405.425   Effects of opting-out of Medicare.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_425.md)
- [42 C.F.R. § 405.430 (2026) § 405.430   Failure to properly opt-out.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_430.md)
- [42 C.F.R. § 405.435 (2026) § 405.435   Failure to maintain opt-out.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_435.md)
- [42 C.F.R. § 405.440 (2026) § 405.440   Emergency and urgent care services.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_440.md)
- [42 C.F.R. § 405.445 (2026) § 405.445   Cancellation of opt-out and early termination of opt-out.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_445.md)
- [42 C.F.R. § 405.450 (2026) § 405.450   Appeals.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_450.md)
- [42 C.F.R. § 405.455 (2026) § 405.455   Application to Medicare Advantage contracts.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_455.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T42_P405_S405_405. Check the current official text before relying on it. Not legal advice.