P/C Insurer Rules on Medicare, Medicaid Liability Claims Delayed

November 16, 2010

  • November 16, 2010 at 3:47 am
    Sarah says:
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    Now everytime an insurance company pays for medical care along with pain and suffering. They have to report to Medicare who in turn wants the money back from the injured party of course the attorney got his 40% of the medical amount as well, then here comes Medicare who wants the remainder.

    I had a client who got accidentally burned over here entire upper body. Medicare paid out over 300K in medical bills. The lady filed a claim for BI and was awarded 300 in medical bills along with 400K in pain and suffering. 700K total, 250K went to the attorneys and Medicare wanted the 300K they paid, leaving a permanantly disfigured woman in pain with 150K to live on the rest of her life. True story!

    THIS STINKS!

  • November 16, 2010 at 5:22 am
    anon the mouse says:
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    We have not heard the last of this shady arm of the Obama health care reform plan. Many P&C agents haven’t been concerned about that “stuff” going on in the Senior segment of health care reform. Wake up, Before long you will have to have a scope of appointment form when you talk to an insured about a dwelling or auto policy and the umbrella.

  • November 22, 2010 at 3:56 am
    cassandra says:
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    What’s your problem? Medicare appaently only subrogated from the responsible party. aren’t you the one that wants giovernment costs reduced for the taxpayer…so what’s wrong with the govt recovering from the responsible party?

    The attorney here obviously did not set the costs appropriately. He took his cut but left the claimant pretty much high and dry. So, how is this the subrogating party’s fault?

    Sarah, in your book the feds are damned if they do and damned if they don’t…and you talk out of both sides of your mouth.

  • November 22, 2010 at 3:56 am
    cassandra says:
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    What’s your problem? Medicare appaently only subrogated from the responsible party. aren’t you the one that wants giovernment costs reduced for the taxpayer…so what’s wrong with the govt recovering from the responsible party?

    The attorney here obviously did not set the costs appropriately. He took his cut but left the claimant pretty much high and dry. So, how is this the subrogating party’s fault?

    Sarah, in your book the feds are damned if they do and damned if they don’t…and you talk out of both sides of your mouth.



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