When an injured worker receives a settlement, managing medical funds and ensuring continued care can be overwhelming. Without proper oversight, funds can run out too soon, paperwork can get messy, and Medicare compliance can become confusing. That’s why professional administration is in the best interest of the injured worker.
At Ametros, we specialize in professional administration services that protect the injured workers funds, simplify medical expenses, and ensure Medicare compliance. Here’s how professional administration benefits the injured worker and why it’s the best choice post settlement.
1. Help Make Your Funds Last
One of the biggest concerns injured workers face is making sure their settlement lasts. Without professional oversight, it’s easy to overspend or miss out on potential savings.
At Ametros, we review every medical bill and have agreements with multiple healthcare networks, which means injured workers can access significant savings on treatments, prescriptions, and other medical expenses. With professional administration, your money goes further, ensuring you get the care you need without financial stress. Professional administration isn’t just a convenience- it’s in the best interest of the injured worker. Without it, funds can deplete quickly, leaving you without coverage for future medical needs.
2. Organize the Messy Paperwork
After a settlement, handling medical bills, payments, and Medicare reporting can be time-consuming and confusing. Many injured workers find themselves buried in paperwork. With Ametros, you don’t have to worry about any of that. Ametros’ handles all the paperwork for you- processing payments, maintaining records, and keeping everything organized. Instead of stressing over paperwork, you can focus on the things that matter like your health and recovery.
3. Help Navigate the MSA Process
If your settlement includes a Medicare Set Aside (MSA), it’s essential to ensure that those funds are utilized properly. However, MSA regulations can be quite intricate, and mismanagement may jeopardize your future Medicare benefits. That’s where our professional administration service, CareGuard, comes into play. CareGuard functions similarly to a traditional insurance card. Just present your CareGuard card at your doctor's office or pharmacy, and we’ll take care of everything else.
Since Ametros serves thousands of individuals undergoing medical treatment, we can negotiate network purchasing discounts on your behalf. This means we connect injured workers with pharmacies, doctors, and equipment providers to facilitate your recovery while offering you savings. You won’t have to worry about being over-billed or incorrectly billed; our team and technology meticulously review every bill for accuracy and ensure discounts are applied, allowing us to pass those savings on to you.
As a CareGuard member, your experience is straightforward. You simply show your card and won’t need to make a copay for the treatment you require. If you have a Medicare Set Aside, CareGuard will automatically take care of all necessary compliance reporting, submitting all reports directly to CMS.
4. Make Sure Injured Worker is Medicare Compliant
One of the biggest risks injured workers face post-settlement is non-compliance with Medicare regulations. If funds are misused or improperly reported, Medicare may deny coverage for future medical expenses. Professional administration ensures that doesn’t happen. At Ametros, we monitor spending, track expenses, and report to Medicare as required. This means you don’t have to stress about making a mistake that could jeopardize your healthcare. You can rest easy knowing your settlement is being managed properly with Ametros.
5. Allow Freedom to Choose Their Treatment
Insurance companies often dictate medical care through independent medical exams and utilization reviews, limiting treatment options. Many injured workers find themselves unable to access the care they truly need. Professional administration changes that. With CareGuard, there are no restrictions on the providers you can see. You can visit physicians in or out of our network; you have the freedom to choose without ever having to deal with utilization review. Many Ametros members agree that the flexibility is a key reason why professional administration is in the best interest of the injured worker. It allows you to prioritize your health and well-being, rather than being forced into limited care options.
6. Provide Unmatched Security Measures
Ametros is the nation's largest and only professional administrator with bank-level security to protect your funds. Protecting our partners, clients, and members is our top priority. Ametros is Federally Backed and FDIC Insured ensuring that members’ funds are protected with the strength of federal backing along with separate accounts for each member in their name and Social Security Number. As a part of Webster Bank (NYSE: WBS), we adhere to bank-level security, meaning members’ money and information is secure. Want to know the best part? Ametros provides a 24/7 portal, allowing members to access their balances anytime through our secure online platform and mobile app.
Choosing professional administration through Ametros isn’t just about convenience-it’s about securing your financial future, maintaining Medicare compliance, and ensuring you receive the care you deserve. It’s time you take control on your post settlement funds today, contact us to learn how professional administration can work for you.
