Medicare Set-Aside Specialists (MSAS) is a national network of independent health-care professionals with decades of practical experience. We are Certified Life Care Planners and Medical Cost Projection Specialists on the cutting edge of the federally mandated Medicare Set-Aside (MSA) program. We are prepared for the demanding task of evaluating and projecting funding requirements for seriously ill or injured clients. The Federal Government has mandated that MSAs must be funded at an adequate level to provide payment of future allowable medical expenses. The goal of the MSA legislation is to protect Medicare from being thrust into the primary payer role, when it should be the responsibility of another entity. This would properly place Medicare in the role of secondary payer.
Should settlement agreement for a qualifying client be reached, without the Centers for Medicare/Medicaid Services (CMS) approval of adequate financial protection for Medicare/Medicaid, CMS could order re-examination of the settlement, require a restructuring or re-negotiation and assess fines and penalties.
Once CMSapprovesthe terms and amounts of the MSA within the settlement offerpriorto adoption, the potential for re-examination is negated. This is where Medicare Set-Aside Specialists, Inc. can be of invaluable service. We will:
Determine the eligibility of the patient for MSA
Project the required funding and provide a detailed Medical Cost Analysis
Outline funding options
Establish contact with and seek approval from CMS for any settlement, all in a timely and cost effective manner
