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FAQs
Medicare Set Asides
What is a Medicare Set Aside?
Can I spend my Medicare Set Aside money?
What is a Medical Cost Projection?
When do you need a Medicare Set Aside?
What are the rules and regulations for the administration of Medicare Set Asides?
What happens when I exhaust my Medicare Set Aside money? Will Medicare pay?
Is getting an official Medicare Set Aside report from a third-party vendor required?
Is getting the Medicare Set Aside reviewed and approved by Medicare required?
What if my Medicare Set Aside was never reviewed and approved by Medicare?
Is getting an annuity for my Medicare Set Aside required?
What can I use my Medicare Set Aside account on?
Are my Medicare Set Aside funds taxed?
What happens if I don’t properly manage my Medicare Set Aside account?
How can Ametros help?
Why is professional administration recommended for an Medicare Set Aside?
What if I want to self-administer my Medicare Set Aside?
What happens to unused Medicare Set Aside funds?
How to Avoid a Medicare Set Aside?
How long does a Medicare Set Aside take?
How is a Medicare Set Aside calculated?
When is a Medicare Set Aside necessary?
How do I protect my Medicare Set Aside money?
How do I involve a Medicare Set Aside in a liability case?
Can a Medicare Set Aside be reduced or released if an injured individual’s condition improves?
How can professional administration help extend settlement funds?
Workers' Compensation
What is workers’ compensation?
Can I sue my employer for a work injury?
What should I do if I’m injured at work?
Why is my treatment being denied through my employer or carrier?
Can I seek medical treatment with a doctor of my own choosing?
Do I have to settle my workers’ compensation case?
How do I settle a workers’ compensation case?
How is a workers’ compensation settlement calculated?
When would I need an Medicare Set Aside?
What is my obligation to Medicare?
Are there resources to help me manage the settlement funds?
What should I do if I reported a work injury, my employer filed a First Report, but then denied workers’ compensation benefits?
Trust Accounts
I have been told I may need a Special Needs Trust. What is that?
I have heard about various types of trusts. How do I know what is right for me?
What types of trusts does Ametros work with to administer future medical funds?
How does Ametros help administer the future medical funds held within a trust?
I am disabled and have a workers’ compensation or other settlement coming up, but I also have federal and state benefits. I have been told if I receive this money I can lose these benefits. What are my options?
I have Medicaid and a settlement in a Special Needs Trust. There are certain things Medicaid will not cover such as specialty wheelchairs and transportation. How can I get help purchasing these items?
Provider
My patient presented a CareGuard card, what does this mean?
Is CareGuard the same as a Worker’s Compensation carrier?
Can I balance bill the patient?
Do I have to accept payment from a Medicare Set Aside account?
What do you cover?
How do I verify eligibility and benefits?
How do I bill CareGuard?
What happens if I receive an EOR that says, “Funds Exhausted, Bill Secondary Insurance?”
Member
How do I sign up for paperless statements?
How will I be reimbursed?
What method of payment do you use to reimburse?
Do you have timely filing?
Do I need to submit a Prior Authorization request?
How do I submit a receipt for a service or item related to my injury for reimbursement?
What medical items and services are not covered by Medicare?
CareGuard
What is CareGuard?
What happens after I settle my case with Ametros’ CareGuard service?
Who notifies my doctors/how do they find out about CareGuard?
Who has access to my CareGuard account?
How do I use my CareGuard card?
Is the CareGuard Card a debit card?
Can I withdraw funds from my CareGuard account?
What happens if I run out of money?
What if I need a new doctor?
What if I need to change medications?
What happens if Ametros goes out of business?
What do I do if I have any out-of-pocket expenses?
Who can I contact for more help?
What happens if I pass away?
Do I have to see a specific doctor?
Does Ametros dictate my treatment?
What happens if I don’t use all my funds in a given year?
Does the carrier or employer have any input into any of my treatment?
What happens if my bills exceed the amount in my account?
Will Ametros negotiate the treatment or service prices with providers?
Does Ametros have the authority to determine medical necessity?
Are members taxed on interest that the CareGuard account earns?
How do I sign up for the CareGuard Member Portal?
Amethyst
What is Amethyst?
Do I sign up online to receive a membership card?
I don’t have an email. Can I still sign up?
How do I use my Amethyst card at the pharmacy?
How do I change my password?
What if my doctor says they don’t know who Amethyst or Ametros is?
Can I apply my discounts towards another insurance’s deductible? Or use it with my FSA/HSA?
What can I do if I’m not receiving text notifications regarding my transactions?
How do I opt out of text messages? And, if I do, how do I get notices regarding my account?
How do I cancel my membership?
Will Amethyst cover gym memberships to work out my injury?
What is temporary authorization?
I was charged but did not leave the pharmacy with my prescriptions. What is this extra charge?
When is an authorization released?
An authorization caused an overdraft. What should I do next?
How do I see my transactions?
Ametros Company FAQs →
Frequently Asked Questions
Medicare Set Asides
What is a Medicare Set Aside?
Can I spend my Medicare Set Aside money?
What is a Medical Cost Projection?
When do you need a Medicare Set Aside?
What are the rules and regulations for the administration of Medicare Set Asides?
What happens when I exhaust my Medicare Set Aside money? Will Medicare pay?
Is getting an official Medicare Set Aside report from a third-party vendor required?
Is getting the Medicare Set Aside reviewed and approved by Medicare required?
What if my Medicare Set Aside was never reviewed and approved by Medicare?
Is getting an annuity for my Medicare Set Aside required?
What can I use my Medicare Set Aside account on?
Are my Medicare Set Aside funds taxed?
What happens if I don’t properly manage my Medicare Set Aside account?
How can Ametros help?
Why is professional administration recommended for an Medicare Set Aside?
What if I want to self-administer my Medicare Set Aside?
What happens to unused Medicare Set Aside funds?
How to Avoid a Medicare Set Aside?
How long does a Medicare Set Aside take?
How is a Medicare Set Aside calculated?
When is a Medicare Set Aside necessary?
How do I protect my Medicare Set Aside money?
How do I involve a Medicare Set Aside in a liability case?
Can a Medicare Set Aside be reduced or released if an injured individual’s condition improves?
How can professional administration help extend settlement funds?
Workers' Compensation
What is workers’ compensation?
Can I sue my employer for a work injury?
What should I do if I’m injured at work?
Why is my treatment being denied through my employer or carrier?
Can I seek medical treatment with a doctor of my own choosing?
Do I have to settle my workers’ compensation case?
How do I settle a workers’ compensation case?
How is a workers’ compensation settlement calculated?
When would I need an Medicare Set Aside?
What is my obligation to Medicare?
Are there resources to help me manage the settlement funds?
What should I do if I reported a work injury, my employer filed a First Report, but then denied workers’ compensation benefits?
Trust Accounts
I have been told I may need a Special Needs Trust. What is that?
I have heard about various types of trusts. How do I know what is right for me?
What types of trusts does Ametros work with to administer future medical funds?
How does Ametros help administer the future medical funds held within a trust?
I am disabled and have a workers’ compensation or other settlement coming up, but I also have federal and state benefits. I have been told if I receive this money I can lose these benefits. What are my options?
I have Medicaid and a settlement in a Special Needs Trust. There are certain things Medicaid will not cover such as specialty wheelchairs and transportation. How can I get help purchasing these items?
Provider
My patient presented a CareGuard card, what does this mean?
Is CareGuard the same as a Worker’s Compensation carrier?
Can I balance bill the patient?
Do I have to accept payment from a Medicare Set Aside account?
What do you cover?
How do I verify eligibility and benefits?
How do I bill CareGuard?
What happens if I receive an EOR that says, “Funds Exhausted, Bill Secondary Insurance?”
Member
How do I sign up for paperless statements?
How will I be reimbursed?
What method of payment do you use to reimburse?
Do you have timely filing?
Do I need to submit a Prior Authorization request?
How do I submit a receipt for a service or item related to my injury for reimbursement?
What medical items and services are not covered by Medicare?
CareGuard
What is CareGuard?
What happens after I settle my case with Ametros’ CareGuard service?
Who notifies my doctors/how do they find out about CareGuard?
Who has access to my CareGuard account?
How do I use my CareGuard card?
Is the CareGuard Card a debit card?
Can I withdraw funds from my CareGuard account?
What happens if I run out of money?
What if I need a new doctor?
What if I need to change medications?
What happens if Ametros goes out of business?
What do I do if I have any out-of-pocket expenses?
Who can I contact for more help?
What happens if I pass away?
Do I have to see a specific doctor?
Does Ametros dictate my treatment?
What happens if I don’t use all my funds in a given year?
Does the carrier or employer have any input into any of my treatment?
What happens if my bills exceed the amount in my account?
Will Ametros negotiate the treatment or service prices with providers?
Does Ametros have the authority to determine medical necessity?
Are members taxed on interest that the CareGuard account earns?
How do I sign up for the CareGuard Member Portal?
Amethyst
What is Amethyst?
Do I sign up online to receive a membership card?
I don’t have an email. Can I still sign up?
How do I use my Amethyst card at the pharmacy?
How do I change my password?
What if my doctor says they don’t know who Amethyst or Ametros is?
Can I apply my discounts towards another insurance’s deductible? Or use it with my FSA/HSA?
What can I do if I’m not receiving text notifications regarding my transactions?
How do I opt out of text messages? And, if I do, how do I get notices regarding my account?
How do I cancel my membership?
Will Amethyst cover gym memberships to work out my injury?
What is temporary authorization?
I was charged but did not leave the pharmacy with my prescriptions. What is this extra charge?
When is an authorization released?
An authorization caused an overdraft. What should I do next?
How do I see my transactions?
Read Ametros Company FAQs →
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