Medicare Set-Aside Allocation

Diagram of medicareWith three certified consultants (MSCC) in-house, Klosterman & Associates LLC is strategically positioned to provide Medicare Set-Aside (MSA) services including Lien Verification, as well as the preparation and submission of MSA Allocations to the Centers for Medicare and Medicaid Services. Conditions outlined in the Medicare Secondary Payer Act mandate that Medicare’s interests are accurately considered and protected when settlement awards are received. Our professionals are educated and experienced in producing a plan of care that will outline the anticipated future medical care and expenses related to compensable injuries that would otherwise be covered by Medicare. These care expenses must be set aside from the settlement total and placed in an interest-bearing account or structured settlement. An MSA Allocation should be prepared for qualified individuals, which is defined by one of the following categories:

  • Class I: Receiving Medicare benefits & the total settlement is greater than $25,000.
  • Class II: There is a reasonable expectation that the claimant will enroll in Medicare within the next 30 months and the total settlement amount is $250,000 or more.