Should Medicare Set-aside submitters include an amount for future prescription drug expenses if the injured party has not enrolled in a Part D plan?
A73. Yes. Injured parties who have not enrolled in a Part D plan need to include future prescription drug expenses in their Medicare Set-aside proposals if the current treatment records indicate that the injured party has been prescribed drugs and/or may need future prescription drug treatment related to the work or accident related injury or illness. Q74. Should funds for future prescription drug treatment be included in the calculation of the total settlement amount to determine if the Medicare Set-aside proposal should be reviewed by CMS. A74. Yes, the total settlement amount calculation should include an amount for prescription drugs if the future treatment indicates that the injured party has been prescribed drugs and/or may need drugs in the future.
Related Questions
- Does CMS compromise or reduce future medical or prescription drug expenses included in the Medicare Set-aside which are related to a workers compensation or liability claim?
- Should Medicare Set-aside submitters include an amount for future prescription drug expenses if the injured party has not enrolled in a Part D plan?
- What happens if the Medicare Set-aside proposal received after January 1, 2006 does not include an amount for future prescription drug treatment?
