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Medicare Set-Aside

A Medicare Set-Aside (MSA) arrangement is made between the settling parties in order to protect Medicare's interests when settling future medical benefits for "qualified" individuals and prevent the shift of burden from the primary payer to Medicare.

An MSA must be prepared prior to settlement of a Workers' Compensation claim if the following conditions exist:

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  • The injured worker is a Medicare beneficiary at the time of settlement, or
  • The settlement exceeds $250,000, the injured worker is not a Medicare beneficiary at the time of settlement, and there is a reasonable expectation of Medicare enrollment within 30 months of settlement.

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Catastrophic Case

Management

Elder Case

Management

Home

Assessment

Medical-Legal

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Contact Us

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