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Medicare and Workers Comp

A discussion of the interaction between Medicare benefits and workers compensation benefits.

Excerpt from CMS website:
A Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) is a financial agreement that allocates a portion of a workers’ compensation settlement to pay for future medical services related to the workers’ compensation injury, illness, or disease.  These funds must be depleted before Medicare will pay for treatment related to the workers’ compensation injury, illness, or disease.
 
All parties in a workers’ compensation case have significant responsibilities under the Medicare Secondary Payer (MSP) laws to protect Medicare’s interests when resolving cases that include future medical expenses.  The recommended method to protect Medicare’s interests is a WCMSA.
 
 

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The material in this document has been prepared and shared for informational purposes only and should not be relied upon as legal advice on any particular situation.