J11 Part A Medicare Secondary Payer (MSP ... - Palmetto GBA

Worker’s Compensation(WC)Medicare beneficiaries who work and areinjured on the job are eligible for WC benefitsunder federal law.Medicare is secondary to WC benefits whenservices rendered are related to the injury,illness, or disease sustained on the job.March 201113No-Fault or LiabilityInsuranceNo-fault/liability insurance is designed forindividuals who have had a non-work relatedaccident.Medicare is secondary in cases where thebeneficiary receives Medicare coveredservices as a result of the accident.March 201114No-FaultNo-fault insurance pays for medical expenses relatedto an injury resulting from an accident, regardless ofwho is at fault.Types of no-fault insurance include:• Automobile Insurance (Auto Medical or Med-Pay) Pays for all or part of the medical expenses for injuries sustainedin the use of, or occupancy of, an automobile regardless of whowas at fault• Homeowners’ Insurance• Commercial Insurance PlansMarch 2011155