How does Medicare work when medical expenses are covered by Workers’ Compensation?
. Medicare will not pay for any items and services if payment has been made or can reasonably be expected to be made under a worker’s compensation law or plan. Medicare does, however, make conditional payments so that people with Medicare will not have to use their own money to pay for bills while waiting for a decision from worker’s compensation. When Medicare makes a conditional payment, individuals will receive a Medicare Summary Notice (MSN) saying how much and for what services Medicare paid. These conditional payments must be repaid to Medicare when worker’s compensation pays the claim. Q. How does Medicare work when medical expenses are covered by automobile medical, no-fault insurance or liability insurance? A. Medicare is the secondary payer in cases where no-fault insurance or liability insurance is available as the primary payer. Medicare may make a conditional primary payment if it receives a claim that shows that these insurers will not pay promptly. In those cases, Medica
