The Notice of Exclusion from Medicare Benefits (NEMBs) is not based on the beneficiary liability protections established by section 1879 of the Social Security Act but may be used to fulfill other notice requirements.  NEMBs alert Medicare beneficiaries in advance that Medicare does not cover certain item(s) and service(s) because the item or service do not meet the definition of a benefit, or because the item or service is specifically excluded by law.    

To download the notices and instructions, please click on the appropriate link below. 

Downloads
NEMB General Use CMS 20007 [pdf, 115kb] NEMB General Use CMS20007 Spanish [pdf, 115kb] NEMB Instructions [pdf, 121kb] ADA NEMB (Dental Exclusions - American Dental Association) [pdf, 13kb] APMA NEMB (Foot Care Exclusions - American Podiatric Medical Association [pdf, 90kb]
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Related Links Outside CMS
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Page Last Modified: 12/14/2005 12:00:00 AM
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