Future Medicare Benefits

Ensuring Your Client’s Future Medicare Benefits

Great! You have just achieved another victory for one of your clients. The long and overdue injury case your client has been waiting to settle is complete—or is it? The typical client will receive their check in the mail and move on with their lives. However, if your client is a Medicare beneficiary, you work is not done.

Have You Considered Medicare?

According to the Medicare Secondary Payer (MSP) statute, your client is responsible for satisfying Medicare’s financial interest and so are you. Funds must be set aside in a Medicare Set Aside (MSA) account to pay for your client’s medical treatment related to their injuries before Medicare will step in and pay anything towards your client’s care. You will need to determine how much money to put into this account, which is known as a Medicare set aside allocation.

Do You Understand Medicare’s Requirements?

Depending on the type of case, Medicare has specific statutory and procedural requirements as well as MSA policies and procedures that you must abide by to insure primary payer compliance and future Medicare eligibility for your client. It is critical that you understand how to project the cost of your client’s future treatments (e.g., doctor’s visits, tests, surgical procedures, and medications) to properly allocate for these treatments to ensure that Medicare is not billed prematurely.

Get Expert Help to Ensure Proper Allocation and Compliance

You can continue investing time into your client’s case or enlist the help of a Medicare set aside allocation expert so you can move on to more fruitful cases. At Synergy, we handle the allocation process for attorneys on behalf of their clients. Our process involves evaluating the case to determine your client’s obligation to Medicare and determining which injuries are covered by Medicare. We determine the amount of money that will adequately cover their future expenses and then we submit the allocation to The Centers for Medicare and Medicaid Services (CMS) for approval.

Everyone Wins

When you protect Medicare’s interest and allocate funds properly, everyone benefits. Your client will rest easy knowing their future Medicare eligibility is protected. You can confidently close the case knowing that you have met Medicare compliance and successfully secured your client’s benefits. Medicare’s interest will be met with proper spending down of funds before releasing benefits.

There is a plethora of information circulating about Medicare regulations. Do you know if you are adhering to the correct Medicare regulations concerning your client? If you do not have the bandwidth to handle an MSA allocation or the expertise, leave the process to our professional MSA experts.

For more information or to schedule a consultation, please submit our contact request form or call (877) 242-0022.

Disclaimer: The information contained in this article is for general educational information only. This information does not constitute legal advice, is not intended to constitute legal advice, nor should it be relied upon as legal advice for your specific factual pattern or situation.


“Synergy is our guiding light for deferring our contingent legal fees and planning for retirement. The lawyers at Panter Panter & Sampedro, myself included, have been working with them for over ten years using different methods to defer comp and plan for retirement.”

Brett Panter
Panter, Panter & Sampedro

"I don't think I've directly said "thank you" for helping us with Bridgett’s case. We sent the reduced payment to Medicaid and called Bridgett's mom to tell her approximately how much money was going to be left for Bridgett and she broke down over the telephone. Given only $25k of insurance and a $850k medical bill from the hospital she didn't think Bridgett would ever see a penny."

Tom L. Copeland
Jeffrey Meldon & Associates, P.A.

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Understanding Structured Settlements and Medicare Set-AsidesThird Thursday Webinar Series

The parties agree that a Medicare Set-Aside is needed, now what? In this month's webinar, presented by Synergy CEO, Jason D. Lazarus, you will learn about the process basics for setting up a set aside including MSA allocations, funding mechanisms for set-asides, post-settlement administration as well as an overview of the process to make sure you close the case compliantly.

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