Medicare

Jun 02, 2016

Need Joint Replacement and on Medicare? Better Not Be Sick.

By |June 2nd, 2016|joint replacement, Medicare, Uncategorized|0 Comments

Having a lung ailment may make it more difficult to obtain coverage for joint replacement. Today's post comes from guest author Charlie Domer, from The Domer Law Firm.A new Medicare rule that took effect April 1, 2016 retools Medicare payments for hip and knee replacements.  Patients with serious medical conditions such as heart disease, obesity, [...]

Apr 06, 2015

“Cost-Shifting” Exposed: How Injured Worker Medical Care Decisions Are Made (And Who Pays)

By |April 6th, 2015|Medicare, Uncategorized, Workers' Compensation|0 Comments

Today's post comes from guest author Catherine Stanton, from Pasternack Tilker Ziegler Walsh Stanton & Romano.Medical coverage is a topic on everyone’s mind. Obamacare, while controversial, has started a real dialogue in this country regarding health care. Regardless of whether you are in favor of the current law, most Americans want affordable health care for [...]

Feb 19, 2015

Workers’ Compensation Medicare Set-Aside Accounts and Supplemental Coverage

By |February 19th, 2015|Medicare, Uncategorized, Workers' Compensation|0 Comments

When an injured worker is a Medicare beneficiary due to age or disability, a Workers’ Compensation Medicare Set-Aside (WCMSA) account will often be required as part of a settlement  of their workers'’ compensation claim.  The funds in a WCMSA are set-aside in order to pay for future medical or prescription drug services related to the [...]

Nov 06, 2014

Workers’ Compensation Medicare Set-Aside Accounts and Supplemental Coverage

By |November 6th, 2014|Medicare, Uncategorized|0 Comments

When an injured worker is a Medicare beneficiary due to age or disability, a Workers’ Compensation Medicare Set-Aside (WCMSA) account is usually required as part of a settlement.  The funds in a WCMSA are set-aside in order to pay for future medical or prescription drug services related to the work related injury, illness, or disease [...]

Dec 12, 2013

Settling a Workers’ Compensation Claim – Future Medicals and Medicare

By |December 12th, 2013|Future Medical Expenses, Medicare, Uncategorized, workers' compensation|1 Comment

Will Medicare cover my future medical expenses for my workers'’ compensation injury if I settle my case? Yes, no, maybe…the answer to this question is always a tricky one. In fact, this is one of the most complex questions that will confront an injured worker at the time of settlement. Most settlements are final. Once [...]

Jan 21, 2013

The SMART Act and Workers’ Compensation

By |January 21st, 2013|Medicare, Uncategorized|0 Comments

Medicare should not pay medical bills that are the primary responsibility of a third party. When they do, they want to be reimbursed, and all parties understand that concept, but the problem is the lengthy delays and lack of due process. The SMART Act, which was signed into law by President Obama on January 10, [...]