Frequently Asked Questions
Workers Comp and Medicare Set-asides


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Medicare Secondary Payer -- Workers. Compensation (WC)

  1. Clarification of WCMSA Non-beneficiary Threshold;
  2. Low Dollar Threshold for Medicare Beneficiaries;
  3. Use of WC Settlement Funds Prior to Medicare Entitlement;
  4. Avoiding the Continuation of Indemnity Payments While Waiting for CMS to Review a WC Medicare Set-aside Arrangement (WCMSA);
  5. Settlement of WC Medical Expenses Prior to Submission to CMS;
  6. Treatment of Taxable Interest Income Earned on a WCMSA;
  7. Sample Submission of a WCMSA;
  8. Group Health Plan (GHP) Insurance and Veteran's Administration (VA) Coverage;
  9. Loss of Medicare Entitlement after CMS Approval of a WCMSA;
  10. Beneficiaries that Request Termination of WCMSA Funds;
  11. Compromising of Future Medical Expenses;
  12. Additional Information Submission after WCMSA Case is Closed;
  13. Effect of WCMSA on Medicaid Eligibility;
  14. CMS Recognition of State Specific Statutes;
  15. Transfer Mechanism for Items and Services Not Covered by Medicare.