Medicare Set-Asides

A Medicare Set-Aside (MSA) is a tool that allows injury victims to preserve Medicare benefits by setting aside a portion of the settlement money in a segregated account to pay for future Medicare covered services. The funds in the set aside can only be used for Medicare covered expenses for injury related care.  Once the set aside account is exhausted, an injury victim gets full Medicare coverage without Medicare ever looking to the remaining settlement dollars to provide for any Medicare covered future health care.  Medicare may approve the amount to be set aside in writing and agree to be responsible for all future expenses once the set aside funds are depleted if the parties choose to submit the allocation to CMS for review and it a reviewable MSA.  Advising injury victims about Medicare compliance and set asides are an integral part of the responsibilities of a trial lawyer at settlement. 

Below are our Synergy InSights on all things related to MSAs, written by our industry leading Medicare compliance experts.