The injured party can use their Medicare Set-Aside (MSA) funds on Medicare-approved expenses directly related to their injury. This typically includes doctor bills, prescriptions, durable medical equipment, home healthcare, and other relevant medical costs.
Allowed Expenses for MSA Funds
Medical Bills and Prescriptions: You can allocate MSA funds for doctor bills, hospital fees, and prescription medications that Medicare would cover if they are related to the injury that necessitated the MSA.
Durable Medical Equipment: MSA funds can also cover costs for durable medical equipment, such as wheelchairs or walkers, provided they are necessary due to the injury.
Home Healthcare: In-home care costs, such as nursing or physical therapy, can be covered by MSA funds if these services are essential for injury-related recovery.
Restrictions on MSA Fund Usage
Non-Approved Expenses: It's important to note that MSA funds cannot be used for any other expenses other than the Medicare-approved items and services connected to the injury. Misuse of funds can lead to penalties or affecting future Medicare coverage.
Additional Guidance on MSA Accounts
For more detailed information about managing and using MSA funds in accordance with Medicare guidelines, consult the WCMSA Reference Guide.
