Under the laws of most states, when a personal injury claimant receives a settlement, he or she must use part of that settlement to pay back whoever paid for the medical care needed to treat his or her injury, whether it’s the government (i.e. Medicare or Medicaid), an employee health plan, or a private health insurance company. These healthcare “liens” or “reimbursement obligations” are now a part of almost all personal injury settlements. Claimants should take the time necessary to make sure they understand their healthcare benefits, obligations and rights. Doing so will ensure that healthcare provider’s interest are evaluated and resolved in the most efficient and favorable fashion as well as help provide for continued access to good care.
GRG specializes in settling healthcare liens and reimbursement claims with federal (Medicare), state (Medicaid) and private/ERISA health insurance providers in single event and mass tort settlements. In fact, GRG evaluated and resolved Medicare and Medicaid’s interest in over 100,000 cases last year alone. Simply put, we know the process.
In this booklet, we provide a guide to healthcare obligations faced by claimants and attorneys when settling personal injury cases. We breakdown the process and timeline and detail what claimants and their attorneys can do to help expedite the resolution of these obligations. However, if all of this seems overwhelming, you can skip to the question, “What can be done to ensure the most favorable result?” within each section which explains how GRG can take over this obligation. Our qualifications are rather straightforward: Knowledge, Experience and Compliance.
Among the “tips” are:
What is a lien? What are the different types of healthcare providers?
Employee Health Coverage