What impact will Medicare Set-aside have on Medicare payment systems and procedures?
A25. According to CMS, because a Medicare Set-aside’s purpose is to pay for all medical services and prescription drug therapy charges related to the injured party’s work or accident related injury or illness, Medicare will not make any payments (as a primary, secondary or tertiary payer) for any medical or prescription drug charges due to the work or accident related injury or illness until nothing remains in the Medicare Set-aside mechanism. Medicare Set-asides are established in order to pay for all medical and prescription drug expenses and are not designed to simply pay portions of medical or prescription drug expenses. This is the case where the settlement is by way of lump sum or structured.
Related Questions
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- What impact will Medicare Set-aside have on Medicare payment systems and procedures?
