Medicare and Your HSA – The 6-Month Lookback That Causes Tax Penalties

medicare and hsa

Medicare and HSA rules collide the moment you turn 65 and keep working. Most people assume the two accounts can coexist. They cannot. Once Medicare coverage begins, your HSA contribution limit drops to zero for every month you are enrolled. The trap is that premium-free Part A can start retroactively — up to six months … Read more

The 20-Employee Rule – Whether Your Job’s Plan Pays Before Medicare

medicare 20 employee rule

The medicare 20 employee rule decides one thing: whether your job’s health plan pays your medical bills first, or Medicare does. It turns on the size of the employer that sponsors the coverage. If that employer had 20 or more employees, the group health plan is the primary payer and Medicare pays second. If the … Read more

Medicare Liens in Wrongful Death Cases – What the Family Should Expect

medicare lien on wrongful death

A medicare lien on wrongful death is one of the first surprises many families meet after a fatal accident case settles. The money does not simply arrive and get divided among survivors. If Medicare paid hospital, ambulance, surgical or hospice bills related to the injury that caused the death, Medicare has a legal right to … Read more

What Happens If You Ignore a Medicare Lien – Double Damages and More

ignoring a medicare lien

ignoring a medicare lien is one of the most expensive mistakes an injured person can make after a settlement. The word “lien” is loose shorthand. What Medicare actually holds is a statutory right of recovery for medical bills it paid on your behalf while your injury claim was pending. Those bills are called conditional payments. … Read more

State Medicaid Recovery From a Settlement – The Second Claim on Your Money

state medicaid recovery from a settlement

State medicaid recovery from a settlement is the second claim on money you thought was yours. You settle an injury case. The check arrives at your lawyer’s office. Then the state Medicaid agency asks to be paid back for the medical bills it covered while you were healing. This surprises almost every family. It is … Read more

Medicare Advantage Liens – Why a Private Plan Can Also Demand Repayment

medicare advantage lien

A medicare advantage lien is the repayment claim a private Medicare Advantage plan makes against your injury settlement. If you are enrolled in Part C, your plan paid your accident-related bills. When a settlement, judgment or award arrives, that plan can demand its money back. Many families are blindsided by this. They assume only “real” … Read more