National Alliance of Medicare Set-Aside Professionals


CSFP 003 Social Security and Medicare with Rich Grawer

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After there is a settlement in a workers’ compensation or personal injury liability case, the amount of the settlement that is “set-aside” for medical care must be put into a special account called a Medicare Set-aside Account or MSA Account. This creates a difficult situation for Medicare beneficiary injury victims and contingent liability for legal practitioners involved in litigation involving physical injuries to Medicare beneficiaries given the uncertainty surrounding the need to create a set-aside. If you represent a Medicare beneficiary, you must determine if future medicals A Medicare Set Aside account is just an organized way to show Medicare that you took their interests into consideration at the time of settlement. A Medicare Set Aside account is a portion of of your settlement set aside to cover all future injury-related medical expenses for you that would normally be paid by Medicare. This article is authored by guest blogger, Deborah Robinson Stewart, National Manager of Medicare Set-Asides, Genex Services. In its simplest form, the Medicare Set-Aside (MSA) is a pool of funding reserved for future accident‑related treatment once a workers’ compensation case is settled. FIG’s Medicare Set-Aside Certification Class is an accumulation of 25+ years experience of working in the medical, insurance, and legal industry.


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Click Here FIG’s Medicare Set-Aside Certification Class is pre-approved by the International Commission on Health Care Certification (ICHCC) as meeting the educational requirements necessary to sit for the Medicare Set-Aside Consultant Certified (MSCC) exam. The set aside administrator can also be paid by a lump sum, but again it has to come from monies outside of the amount allocated to the Medicare Set Aside. Attorney fees related to the set aside administration or legal issues that may arise in administering the set aside similarly can’t come from the monies in the set aside.

Medicare set aside

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Medicare set aside

A specialized company evaluates your future medical needs, recommends an amount that should be set aside for future medical care, and the government approves the amount.

Medicare set aside

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The funds placed into an MSA would then be used to cover future medical expenses related to the injury for which Medicare would otherwise pay. Medicare Set Aside (MSA) accounts are established as part of the Medicare Secondary Payor Act in order to protect Medicare's interest when an injured party may rely on Medicare for payment of future medical stemming from a work related injury. Medicare Set-Aside (MSA) & Medical Cost Projections Our Medical Cost Projection and Medicare Set-Aside Services Provide Additional Protection for Your Clients Build the value of your case by uncovering hidden dollars that increase settlement value while protecting your client’s future medical benefits. Medicare Set-Aside Trusts.
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