May the Medicare Set-aside contemplate only a finite period of time for estimated Medicare covered items or services?
A54. No. To consider Medicare’s interest, a Medicare Set-aside should be funded based on the expected life expectancy of the injured party unless the State law specifically limits the length of time that the workers’ compensation carrier covers work-related medical conditions or prescription drug charges or if there is specific medical evidence that limits Medicare’s exposure other than over the life expectancy of the Claimant.
Related Questions
- How do providers and suppliers obtain payment for the services covered by the Medicare Set-aside and at what rate may they charge?
- Should the settlement agreement provide for items and services that are not covered by Medicare but later become covered?
- May the Medicare Set-aside contemplate only a finite period of time for estimated Medicare covered items or services?
