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Medicare Set Asides


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FAQs Workers' Compensation

How Will Settling My Workers’ Comp Case Affect My Medicare Benefits?

Settling your workers’ compensation case while on Medicare introduces important compliance requirements that must be carefully managed. When your settlement includes future medical expenses, Medicare requires that Medicare Set Aside (MSA) funds be used first before Medicare will pay for injury-related treatment. These funds must be tracked and reported to Medicare, with detailed documentation and regular updates. Improper handling of these funds can jeopardize your Medicare benefits—sometimes permanently.

To help navigate these complexities, Ametros offers a Benefits Advisory service that evaluates how your settlement may impact government benefits like Medicare, Medicaid, SSDI, and others. This service helps ensure your settlement is structured in a way that protects your eligibility and compliance, giving you peace of mind and long-term security.

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