By Thomas D. Begley, Jr., CELA<\/p>\n
This is the second in a series of articles dealing with lien resolution in\u00a0personal injury cases.<\/em><\/p>\n Medicare Part C. commonly known as Medicare Advantage, is a\u00a0Medicare substitute program operated by private health insurance\u00a0companies as a managed care plan. Medicare Part D similarly\u00a0provides prescription coverage to eligible beneficiaries through private\u00a0insurance plans. To the extent a reimbursement right may be created\u00a0under a specific MAO plan, the Part C statute itself limits any recovery\u00a0from a beneficiary to the amount actually received from a third party\u00a0as payment for plan-covered expenses.1<\/p>\n Generally, employer-sponsored benefits plans are governed by the\u00a0Employee Retirement Income Security Act of 1974, commonly referred\u00a0to as ERISA.2 However, certain employers and their benefits plans are\u00a0not subject to ERISA. These include governmental plans;’ church plans:’\u00a0plans maintained solely for the purpose of complying with applicable\u00a0Workmen’s Compensation, unemployment compensation, or disability\u00a0insurance laws;5 a plan maintained outside of the (more…)<\/span><\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":" By Thomas D. Begley, Jr., CELA This is the second in a series of articles dealing with lien resolution in\u00a0personal injury cases. Medicare Advantage and Prescription Drug Plans Medicare Part C. commonly known as Medicare Advantage, is a\u00a0Medicare substitute program…<\/span><\/p>\nMedicare Advantage and Prescription Drug Plans<\/h3>\n
ERISA Plans<\/h3>\n