Streamlining Medicare and Workers' Compensation Settlements
This act aims to simplify the process of settling medical costs for individuals receiving workers' compensation benefits while also being covered by Medicare. It establishes clear rules for "Medicare set-asides," which are funds reserved for future medical expenses, ensuring that Medicare does not cover costs that are the responsibility of workers' compensation. This provides citizens with greater clarity regarding their financial obligations and helps avoid confusion between different benefit systems.
Key points
Establishes clear rules for coordinating payments between workers' compensation and Medicare to prevent duplicate funding.
Introduces definitions and rules for "Medicare set-aside" – amounts designated for future medical costs covered by workers' compensation.
Allows for optional direct payment of "Medicare set-aside" funds to the Secretary, potentially simplifying settlements.
Provides an appeals process for decisions regarding "Medicare set-aside" approvals, ensuring citizens' right to protect their interests.
Modernizes legal terminology from "workmen's compensation" to "workers' compensation."
Expired
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