Do You Need A Workers' Compensation Medicare Set-aside?

It appears this case does not meet the threshold

for CMS review of a Medicare Set-aside.

 

You may still need to consider and protect Medicare's interests in the settlement, however.  If the total settlement amount is large and the claimant has a reasonable expectation of Medicare entitlement within 30 months, steps should be taken to consider and protect Medicare's interests.  This can be be accomplished by designating a reasonable sum of money to cover future medical expenses in the settlement documentation.  An MSA allocation report may be useful in that regard, however, such report is not necessary in every case.