MEDICARE SET-ASIDES

About Medicare Set-Asides

A Medicare Set-Aside (MSA) is an accepted mechanism for considering and protecting Medicare’s interests after a claim has settled when that settlement closes future medical expenses.

Medicare describes an MSA as a “financial agreement that allocates a portion of a … settlement to pay for future medical services related to the … injury, illness or disease” that is the basis of the settled claim. Medicare goes on to say that “These funds must be depleted before Medicare will pay for treatment related to [that] … injury, illness or disease.”

CP Resolutions Services for Medicare Set-Asides

CP Resolutions has a team of experts who can create any type of MSA that you may need in a sharp, easy-to-understand format.

Our turnaround time is typically 1 week or less. You can also ask to have an MSA expedited for a small additional fee.

We encourage good communication and collaboration to ensure we produce the best possible work product.

With every MSA CP Resolutions creates, we can show you what the MSA funding would look like with a structured annuity. We can also help you set up and administer your MSA account with an MSA administration expert.

Workers’ Comp MSA (WCMSA)

A WCMSA is an estimate of the cost of claim-related Medicare-covered medical care, medical equipment and prescription medication based on Medicare’s published guidelines.

WCMSA Submission to CMS for Approval

CP Resolutions can put together the complete package required to submit an MSA to Medicare for approval. At this time, Medicare will only review WCMSAs for approval. Medicare has indicated a willingness to review and approve Liability and No-Fault MSAs for approval sometime in the future.

Liability MSA (LMSA)

There is some debate as to whether LMSAs are “required” or not in personal injury settlements. There is, however, no doubt that there are some circumstances where the creation and funding of an LMSA is highly advisable.

CP Resolutions’ team of allocators can create LMSAs for you following all of the latest industry standards and official guidelines from Medicare. We can create an LMSA using evidence-based medicine standards. We can also recommend an apportioned reduction of an MSA, when appropriate.

Zero-Dollar MSA

Sometimes it can make sense to be sure that there is NO post-settlement MSA obligation. A “Zero-Dollar MSA” created by a certified expert allocator can give confidence you or your client needs to know that no money from a settlement needs to be put into an MSA fund.