Medicare Set-Asides

Medicare Set-Asides (MSAs) hold paramount importance for attorneys representing clients in personal injury and workers’ compensation cases. These arrangements play a pivotal role in ensuring that injured individuals who are also Medicare beneficiaries receive proper medical care while safeguarding Medicare’s financial interests. Our Life Care Planners meticulously navigate the complex landscape of Medicare regulations and guidelines to establish appropriate MSAs, which involves estimating the future medical expenses a plaintiff might incur due to their injury. By addressing potential future medical costs upfront, attorneys help shield their clients from the risk of Medicare reimbursement claims, legal disputes, and potential loss of benefits. Thus, Medicare Set-Asides not only demonstrate an attorney’s commitment to their client’s well-being but also underscore their expertise in securing a comprehensive resolution that safeguards both the injured party and the Medicare system.

What IS A medicare set-aside?

A Medicare Set-Aside (MSA) refers to a financial arrangement in which a specific portion of a settlement or award in a personal injury or workers’ compensation case is allocated to cover future medical expenses related to the injury. This allocation is particularly crucial for individuals who are Medicare beneficiaries, as it helps ensure that Medicare’s interests are protected and that the program will not be responsible for covering medical costs that should rightfully be covered by the settlement. MSAs require careful consideration and estimation of future medical costs, taking into account the nature of the injury, the individual’s medical history, and the potential treatments and therapies they might require. This proactive approach allows both the injured individual and Medicare to better manage healthcare costs while adhering to Medicare’s guidelines and regulations.

OUR MEDICARE SET-ASIDES PROCESS

Step 1

Review Medical Record

Step 2

Nursing Assessment

Step 3

Home Assessment

Step 4

Consultation with the Health Care Providers

Step 5

Research

Step 6

Calculate Costs

Step 7

Individualized Report

Types of Cases

Amputations
Chronic Pain
Cerebral Palsy
Spinal Cord Injuries
Traumatic Brain Injury
and more

Medicare Set-Asides