1. Payment of Fixed Percentage option
This option can be used when you are injured in an accident and you have a trauma-based claim (directly from the car accident), the claim has already been settled (final settlement), and the total settlement was for $5,000 or less. Choosing to use this program will result in Medicare receiving 25% of your total recovery. This program is advantageous because it is quick and generally easy to complete. Furthermore, the 25% fixed amount can be beneficial because Medicare typically receives whatever is needed to reimburse their lien amount (after reasonable attorney’s fees are deducted). Please be cautious, however, when deciding whether to request the fixed percentage option, as it may result in an overpayment to the program. In other words, if the Medicare lien is less than 25% of your total recovery, you would not want to use this option.
2. Self-Calculated Conditional Payment Amount
This option can be used when you are injured in an accident and you have a trauma-based claim (directly from the car accident), the claim has already been settled, the total settlement was for $25,000 or less, the date of the accident was at least 6 months ago, and you have no expectation to receive further medical treatment. When sending your request, you must include either a notarized confirmation from your physician that further medical treatment is not needed, or a notarized confirmation stating that you have not received medical treatment within the last 90 days and that you do not expect further medical treatment.
The self-calculated settlement program will generally result in a lower lien amount. Once you choose to enter the program, you may not appeal the final amount. Furthermore, Medicare will send you a letter that includes a payment form that will need to be filled out. Make sure to follow the directions carefully.
3. $300 Threshold on Liability Settlements
This option can be used when you are injured in an accident and you have a trauma-based claim (directly from the car accident), the claim has already been settled, the total amount of recovery is $300 or less, and if you have not yet received a demand letter from Medicare. If all requirements are met, you will not likely owe Medicare anything. This situation is rare because the total settlement amount must be $300 or less.
Medicare liens should be paid as failure to do so can result in fines or loss of coverage. It is always a good idea to have an experienced personal injury attorney look over your claim, especially when you receive Medicare benefits. Please feel free to use our lawyer locater service.