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Workers Comp, BC/BS and Medicare
#1
I am a Nurse Case Manager. I have a client who sustained an injury to her knee about 7 years ago. She had multiple torn meniscus and ligamentous injuries. She ultimately received a settlement from Workers Comp. Secondary to her knee injury she developed severe degenerative arthritis to her knee and will need total knee replacement. It has severely impacted her quality of life. Her spouse has BC/BS but will retire in 12/18. Can she get this surgery under BC/BS or is this still W/C ? Additionally she will be eligible for Medicare in 2019, will Medicare pay ? Is the subsequent degenerative arthritis considered a new condition. Thank you in advance for your help.

William J Guage RN , BS , CCM
 
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Workers Comp, BC/BS and Medicare - wguage52 - 02-19-2018, 10:42 AM

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