Workers’ Comp Injuries

Serious Injuries in a State With a Helmet Law

According to the Center for Medicare and Medicaid Services (CMS), all parties to a workers’ comp case must do everything they can to protect Medicare’s interests. This is especially true when workers’ compensation claimants are seeking costs to cover future medical payments. A workers’ comp Medicare set-aside agreement places any funds for future costs obtained in a settlement into a separate account. Once those funds have been exhausted, then Medicare will step in and pay for any remaining medical care stemming from the workers’ compensation accident.

Medicare set-aside agreements come with very specific rules and regulations that apply differently to each unique agreement. However, one rule holds true: If you spend any money that has been set-aside for medical treatment in other ways, for instance buying a car, Medicare will not cover any medical costs once your funds have been depleted.