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Board Certified | Workers' Compensation Specialist | Connecticut Bar Association

We'll Guide You Through The Complex Medicare Set-Aside Trust Process

Workers' compensation is a program that compensates workers for occupational injuries. Injured workers eligible for workers' compensation benefits may also be or become eligible for Medicare benefits if they have reached the age of 65 or have a qualifying disability.

To preserve Medicare funds, the Medicare Secondary Payer Act provides that Medicare is secondary to other sources of payment for medical care, including applicable workers' compensation medical benefits.

Sometimes Medicare requires injured workers to create a Medicare set-aside arrangement. This sets aside part of a person's workers' compensation settlement to cover future medical expenses related to the compensable injury, disability or illness. The worker must deplete these set-aside funds before Medicare will pay for any treatment.

The formation of a Medicare set-aside can be a complex and involved issue, taking up to six months or longer to obtain Medicare approval, so it is important to consider the full implications of any action in a workers' compensation case, including the potential impact on Medicare.

The Process Is Complex — But You Do Not Have To Stand Alone

When you come into our office, you will experience our compassion toward our clients and dedication to every case. We are here to walk beside you every step of the way. We want to be more than your attorney. We want to be the people who help you live the high-quality life you deserve. Please contact us toll free at 866-225-9496 to arrange your free initial consultation or request an appointment online.