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Coordination of Medicare And Other Health Benefits

Medicare And Workers Compensation

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Workers Compensation covers medical costs for injuries and diseases caused by your employment.

Medicare is Primary and Workers Compensation is secondary. However, Medicare does not pay for any items and services that either have been paid or can be reasonably expected to be paid by Worker's Compensation.

You are responsible for filing the Workers Compensation claim with your employer and submitting your medical bills first to the Worker's Compensation insurance company. Medicare will consider paying what Worker's Compensation does not pay. That generally isn't a lot since most state laws cover all charges if they are work related.

If the Workers Compensation claim is delayed longer than 120 days, a claim may be filed with Medicare - which may make a conditional payment that must be repaid when Worker's Compensation pays your claim.

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Worker's Compensation

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