Employment Injury Insurance covers medical expenses or services linked to work-related ailments or traumas.
Typically, Medicare does not cover the costs for injuries or sickness related to employment that are compensated by employment injury insurance. However, Medicare might process a claim if the employment injury insurance rejects the full amount or a portion of it on the grounds that it falls outside their coverage domain.
Should employment injury insurance decline to pay for a medical service or item that falls under Medicare’s purview, the Medicare system is poised to settle the claim instead. When concluding an employment injury insurance settlement, it’s important to acknowledge the implications for Medicare pertaining to forthcoming healthcare needs and deliberate on whether to incorporate a Workers’ Compensation Medicare Set-aside Arrangement (WCMSA).
Discover further information at CMS.gov here
