Medicare Set-Aside (MSA)

Professional MSA Administration

Medicare Set-Aside (MSA) accounts are often designated in workers' compensation and personal injury lawsuits when a portion of the settlement proceeds are "set-aside" to cover future medical costs related to an injury.

If you need to preserve eligibility for Medicaid services, NYSARC Trust Services can administer a Medicare Set-Aside (MSA) account for people with disabilities who fund a pooled trust with settlement proceeds.

Protect Your Benefits

Properly administering your MSA funds is essential to maintaining your eligibility for Medicare benefits and any other means-tested benefits you receive. If the funds are not handled properly, Medicaid may count the funds in your MSA as an available resource and discontinue your eligibility to receive services.

Avoid Costly Penalties

You can administer your own MSA, but there are many rules governing the use of funds within an MSA account. These accounts require detailed record keeping and annual reporting to the Centers for Medicare and Medicaid Services (CMS). Failing to follow these guidelines could jeopardize your current or future Medicare eligibility and even result in out-of-pocket expenses to reimburse Medicare for medical expenses that the funds in your MSA should have paid for.

Why Choose NYSARC Trust Services?

As your professional administrator, NYSARC will:

• Administer your MSA in conjunction with other settlement proceeds (See Community Trust I)
• Complete and submit all required account reporting to the CMS
• Pay ONLY Medicare permitted and injury-related medical expenses
• Assist with managing medical care through partnerships with ALP Medical Consultants and Experea Healthcare
• Communicate with providers to ensure you never overpay for services
• Offer simple solutions for purchases of medications, durable equipment, and disposable medical supplies

To learn more, please consult with your attorney and CONTACT US to get started!

Case Study: Medicare Set-Aside (MSA)

John settled his workers' compensation case and a Medicare Set-Aside (MSA) was funded in order to pay for future medical services related to his workers' compensation injury. Now he is no longer eligible for Medicaid because the MSA is being counted as an available resource.

NYSARC Trust Services can administer an MSA account as a special needs trust so those funds remain available to pay for appropriate future medical services while enabling an individual to remain eligible for means-tested government benefits.