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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

A workers compensation medicare set aside is a pot of money carved out of your settlement and reserved to pay for future treatment of your work injury. Medicare will not pay for that treatment until the pot is spent correctly. This is not a tax and it is not a penalty. The money is still … Read more

A medicare set aside is money carved out of your injury settlement and reserved for future medical care that Medicare would otherwise pay for. It is not a fee, a tax, or a penalty. It is your own settlement dollars, held back and spent first on injury-related treatment before Medicare picks up the bill. A … Read more

A medicare lien waiver is a formal request asking Medicare to collect less than it is owed, or nothing at all, out of an injury settlement. If you or a family member had medical bills paid by Medicare after a car crash, a fall, or a work injury, Medicare expects to be repaid from any … Read more

The medicare lien 60 day rule is the part of a personal injury case that most families never hear about until the money is already in the lawyer’s trust account. It works like this. Medicare pays your medical bills after an accident on a conditional basis. When you settle, Medicare wants that money back. The … Read more

Medicare lien reduction is the process of lowering the amount you must repay Medicare out of an injury settlement. If Medicare paid your medical bills after a crash, a fall or a defective product injury, Medicare expects that money back once someone else pays for the same injury. Federal rules, however, let the repayment shrink … Read more

A medicare conditional payment is money Medicare already spent on your injury care. It is not a gift. It is a loan against your future settlement. When you are hurt in a crash, a fall, or a work injury, someone has to pay the hospital now. Medicare steps in so treatment is not delayed. Then … Read more

medicare secondary payer act is the short name people use for a federal law that decides who pays your medical bills after an injury. The formal citation is 42 U.S.C. § 1395y(b). In plain words, it says Medicare is not supposed to be the first payer when someone else is liable. If a car insurer, … Read more

A medicare lien on settlement is the money Medicare asks you to pay back after an injury case resolves. It is not a lien in the courthouse sense. It is a federal repayment claim. Medicare paid your hospital and doctor bills while your case was pending. Those payments are called conditional payments. When someone else’s … Read more