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Medicare Set Aside
07-22-2008, 06:14 PM
Post: #11
RE: Medicare Set Aside
Maw, Please be Very Wary of Signing Unless ALL of the Set-Aside Promises are in Writing!!! If You Sign and Your Attorney takes Their cut and Closes Your Case, and if the Wording isn't Correct, the Set-Aside can come from Your Monetary Portion of Your Settlement!!! I have Read of this Happening Many Times, Please Beware!!!Sad

Failed Back Surgery, Chronic Pain, Totally Disabled.

Knowledge is Power, Especially in the World of w/c. Learn as Much as You can about Your States w/c Laws, and don't Fight Battles alone, They Use Attorney's, and so Should You!!
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07-22-2008, 08:04 PM (This post was last modified: 07-22-2008 08:09 PM by Bad Boy Bad Boy.)
Post: #12
RE: Medicare Set Aside
Well, sounds very fishy to me.

Keeping medical open, when they feel you need no more medical, How Very Nice of Them to now think of you....

If you settle, and your Attorney doesn't have the correct wording, you could be in a mess. As your Attorney has told you, this is their very first Medicare case. Beware now, or you will suffer somewhere else. Get your Attorney to hire in another Attorney, to incorparate the correct wording, and get it done now...

Ask your Attorney to make sure the Utica Mohawk wording is used, or you won't sign anything. If the Attorney has no clue what that is, you better tell them they better find out then....

http://www.workerscompensation.com/forum...p?tid=2661

Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
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07-22-2008, 08:29 PM (This post was last modified: 07-22-2008 08:33 PM by maw19531.)
Post: #13
RE: Medicare Set Aside
My attorney has worked with social security disabiltiy cases just not a medicare set aside case he said. He said when he gets the contract from the IC he has to put an addendum to the contract to incorporate the proper language so that my social security disabilty will be untouched. (The Utica Mohawk Language) will be put in the addendum. My lawyer works mostly with union pipe fitters. His grandfather started the pipefitters union years ago and now he represents the members in work comp cases. He said the medicare set asides are so new that many of his attorney friends are asking each other for help. The reason they are keeping my medical open is to pay for my monthy drugs which run over $1000.00 per month and the PM doctor visit is $237.00 per month.
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07-22-2008, 09:27 PM
Post: #14
RE: Medicare Set Aside
I understand the Medical to pay meds and the PM.

But medicare Set-Asides are not anything new that I know of for over the last 15 to 20 years.

Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
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07-24-2008, 04:36 PM
Post: #15
RE: Medicare Set Aside
I found an article today that social security does not have to except an addendum to a contract and that it send up red flags for the social security language so I faxed it to my attorney and he called the insurance company and told them to put the language in the body of the original contract for me. I also spoke to a medicare set aside specialist today at medicare and he told me it is not unusual for the set aside to be submitted after the indemnity part of the case is settled. He told me just make sure that the settlement contract states that the IC will take care of my meds and medical problems until the set aside is completed. Medicare told me as of today nothing has been submitted as far as a set aside is concerned but not to worry because when I signed up for medicare I gave the information that I was injured and that it was a work comp claim with the IC name and address.
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