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Glossary
Medicare Set-Aside Arrangements

What are Medicare Set-Aside Arrangements?

Medicare Set-Aside Arrangements (MSAs) are financial agreements used in workers' compensation and liability settlements to allocate funds for future medical expenses that would otherwise be covered by Medicare. These arrangements protect Medicare's interests by ensuring that settlement money is used for injury-related medical care before Medicare begins paying. MSAs are particularly important in cases where the injured party is or will become Medicare-eligible.

Why Medicare Set-Aside Arrangements matter

  • Protects Medicare funds: Prevents Medicare from paying for treatments that should be covered by settlements
  • Ensures proper fund allocation: Designates specific amounts for future medical care
  • Maintains Medicare eligibility: Helps beneficiaries comply with Medicare Secondary Payer rules

How Solace can help

A Solace advocate can help you understand MSA requirements in your settlement, ensure proper administration of set-aside funds, and navigate the approval process with Medicare. Advocates can also assist with documentation and reporting requirements to maintain compliance.