Compliance with Medicare Secondary Payer regulations

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You’re not alone. Our Michigan workers’ comp lawyers have been called the best in the state, and we pride ourselves on providing you with care, trust, and responsiveness.

Workers’ Compensation Agency (WCA) releases new form to help with Medicare Secondary Payer compliance issues.

Resolving a workers’ compensation case when Medicare is involved can be difficult. Steps must be taken if a person is currently on Medicare to ensure compliance with federal regulations. This includes reimbursement for conditional payments and establishing a Medicare Set-Aside. Ignoring these items could result in a collection action or non-payment of medical.

Applying for SSDI or getting close to retirement age means a person has an expectation of eligibility. He or she must also consider Medicare’s interests. Funding a voluntary Medicare Set-Aside is a tool that can be used for this purpose. This is an account that is created to pay future medical bills.

The WCA has released a new form called Addendum to Agreement to Redeem Liability (WC-556A) to help address potential issues with Medicare, Medicaid, and Friend of the Court. These are considered the “big 3” when it comes to settlement. A magistrate will not approve a settlement unless they are addressed.

Form WC-556A is a departure from previous versions because it makes clear that Medicare’s interests must be considered. This is accomplished by ensuring plaintiff or defendant agree to pay Medicare back for conditional payments. It also allows the parties to show the magistrate how future interests are being considered. This can be accomplished by creating a Medicare Set-Aside to pay future medical treatment. It is also possible to have a doctor certify that a plaintiff is fully recovered and will not need additional medical treatment related to the work injury.

Michigan Workers Comp Lawyers never charges a fee to evaluate a potential case. Our law firm has represented injured and disabled workers exclusively for more than 35 years. Call (844) 201-9497 for a free consultation today.

Related information:

The Big 3 Liens: Medicare, Medicaid, and Friend of the Court

Photo courtesy of Creative Commons, by PNASH.

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Author Bio Jeffrey Kaufman

Author
Jeffrey E. Kaufman
Michigan Workers Comp Attorney

Jeffrey E. Kaufman has extensive experience in workers compensation cases and has recovered millions of dollars in benefits for his clients. He believes all injured workers deserve to be on equal footing with insurance companies and employers, and fights tenaciously so their rights are secured and protected.


“Jeff also helped me with getting my Blue Cross bills paid. I would absolutely recommend him and the whole firm. Jeff and the firm did everything they were supposed to do for me and my case.”
Ricardo Perfetto

Hundreds of 5-Star Reviews

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Get Help From our Michigan Workers’ Comp Lawyers Today

You’re not alone. Our Michigan workers’ comp lawyers have been called the best in the state, and our clients love how they’re treated with care, respect, and responsiveness. We will give you the time you need, we will explain your legal rights, and we will always treat you with respect.

Our workers’ compensation and Social Security disability lawyers always put your needs first. Get to know your legal team.

Our attorneys post regularly about common issues related to workers’ comp, including common injuries, settlement calculations, laws, and more.

Injured? It’s Time to Get Some Answers

Don’t let the insurance adjuster push you around. Request your free consultation today.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Our attorneys post regularly about common issues related to workers’ comp, including common injuries, settlement calculations, laws, and more.

Our workers’ compensation and Social Security disability lawyers always put your needs first. Get to know your legal team.