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Medical set-aside inquiries
#5
(09-02-2019, 06:50 PM)Andy1689 Wrote:
(09-02-2019, 05:56 PM)1171 Wrote: FYI:
If the set aside amount is adequate, you’ll never get to a point where you need medicare; medicare is just a contingency when there is a set aside.

The set aside amount is not adequate, and when I get older my situation will get worse, I might need a surgery or go to the nursing home.... I’m so confused with Medicare and Medicare with AARP. I asked my current Medicare with AARP insurance company, the rep told me they will cover 100% after set aside money exhausted, but I was told by CMS I need to report to Medicare which’s only covered 80%. Don’t know who should I trust, if I need to pay 20% out of my pocket and I will reject the settlement.

is that your determination or CMS?
if you have separate coverage that kicks in to supplement medicare then you will have only minor payments. if CMS has determined the set aside amount as inadequate, then they could deny payments when the under- funded set aside is exhausted. (CMS requires their own review of the setaside amount before they will agree to back stop coverage of you comp injury)
you should review the information on the CMS site
https://www.cms.gov/Medicare/Coordinatio...rview.html
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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Messages In This Thread
Medical set-aside inquiries - Andy1689 - 08-31-2019, 05:56 PM
RE: Medical set-aside inquiries - 1171 - 09-02-2019, 05:56 PM
RE: Medical set-aside inquiries - Andy1689 - 09-02-2019, 06:50 PM
RE: Medical set-aside inquiries - 1171 - 09-04-2019, 12:45 AM

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