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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.

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