Medicare Set-Asides (MSA)

As the name suggests, an MSA is a finite sum that is set aside by the primary payer, typically in a claim settlement, based on an estimate of future health care costs for a Medicare beneficiary due to a work-related or general liability injury, illness or disease. Medicare has recommended Workers’ Compensation MSAs as a reasonable means of protecting Medicare’s interests for future medical expenses involving a Workers’ Comp Claim for a Medicare beneficiary when a primary payer exists.

Creating and administering Workers’ Comp MSAs is just one piece of the puzzle. Flagship’s priority is to offer a consultative and flexible approach in creating a unique customized program for each of our clients.

What Are The Benefits In Using Flagship To Create An MSA?

• Proper formatting for CMS review when requested by the client.

• Comprehensive analysis by experienced and credentialed medical, legal and claims professionals.

• Intensive legal review of claims to identify potential claim resolution issues or opportunities.

• Accurate future medical cost projections based on state fee schedules and CMS pricing guidelines.

• Rated Age services through “A” rated (or better) insurance carriers.

• Ten business days turn-around from receipt of complete medical records.

• Flagship Medicare experts are available to answer questions and discuss options.

• Submittal process to Medicare.