What is a Medicare conditional payment? | Patriot Plans
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HomeMedicareWhat is a Medicare conditional payment?
Medicare Basics

What is a Medicare conditional payment?

A Medicare conditional payment is a payment Medicare makes for services that should have been paid by another insurer (such as a liability insurer or workers compensation carrier). Medicare has the right to recover conditional payments from any settlement, judgment, or award.

Key Points

  • Conditional payment: Medicare pays for services that should have been paid by another insurer
  • Medicare has the right to recover conditional payments
  • Recovery from: settlement, judgment, or award
  • Report potential MSP situations to Medicare promptly
  • An attorney can help you navigate Medicare conditional payment recovery