When Do You Need A Medicare Set-Aside (MSA)?

If you are injured because of someone else's negligence, you may have to resort to a personal injury lawsuit in order to obtain payment for the medical care you will need in the future and to compensate you for your pain and suffering. If your injury falls under the workers' compensation system, or if you are receiving Medicare or can be expected to receive Medicare, you may need to create a special kind of trust, called a Medicare Set-Aside, to reimburse the government for future medical expenses related to your injury.

Workers' Compensation Medicare Set Aside Reference Guide Section 2.0 Through 8.1

This guide was written to help you understand the process used by the Centers for Medicare & Medicaid Services (CMS) for approving proposed Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) amounts and to serve as a reference for those choosing to submit such amounts to CMS for approval. Submitters may include injured workers themselves (claimants), their attorneys, Workers’ Compensation (WC) Medicare Set-Aside Arrangement (MSA) agents or consultants, or claimants’ other appointed representatives.