Do You Have to Reimburse Medicare if You Receive a Personal Injury Settlement?

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Do You Have to Reimburse Medicare if You Receive a Personal Injury Settlement?

6 March 2015
 Categories: , Blog


As a Medicare recipient, when you are involved in an accident, there is a good chance that the program will pick up the tab on your medical bills. At the time, this can seem pretty great. However, when your settlement from the accident arrives, you will have to repay Medicare for what was paid. Here are some things you should know about Medicare and accidents.

What Happens After an Accident?

Whether you are involved in a car accident, medical malpractice situation, or some other type of personal injury case, you can file a claim to recover damages if you were the victim. 

When you file the claim, you have a legal obligation to inform Medicare that you have done so. When you receive medical treatment, Medicare will be likely billed for the care you get. Since there is a chance that you will receive a settlement from the accident, you must repay Medicare. 

If you do not inform Medicare, the government will most likely find out about your claim anyway. Whenever you receive treatment for an injury, medical care providers use special codes to note that your injuries were accident-related. Medicare will contact your providers and you to find out if there is a claim in existence.

What Will Medicare Do?

Once Medicare is aware of the claim, it will continue to check in with your case. Your personal injury attorney should receive occasional requests for information on the progress of your case. You could also receive those requests. It is important that you truthfully fill them out and return them.

What Happens With the Settlement?

When you have settled your case, you are expected to pay Medicare the amount paid out for your injury-related medical services. There is usually no negotiation of the amount that is owed. 

If you think that the amount you are being asked to pay is incorrect, review your medical care provider's bills. Contact the provider if you notice any discrepancies. Otherwise, you need to reimburse Medicare. 

If the medical care provider is unwilling to change the amount that is owed, you can file an appeal of the charges with Medicare. The agency will review the services. While the review is being conducted, your lawyer has to place a hold on the amount that is in dispute. This is to ensure that Medicare is paid. 

In the event that you do not pay Medicare, you could face serious legal consequences. To avoid possible fines and imprisonment, it is important that you follow the rules regarding personal injury settlements and Medicare reimbursement. Talk to law firms such as the Law Office Of Daniel E Goodman if you have any questions or need help with determining exactly what is owed to Medicare.