Medicare Set Aside (MSA)(WCMSA) What you need to know
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- Опубликовано: 9 сен 2024
- This is the first video in the series. In this video, I team up with MSA Meds to teach you about MSA in workers compensation. We go over, what is an MSA? Who needs one? What it does to your settlement.
Please note this information will only be relevant for injuries that are under the jurisdiction of California WCAB.
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Promised links:
(1) MSA Meds Website
www.msameds.com/
(2) MSA Series Playlist Link
• Medicare Set Aside Ser...
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Video Chapters
0:34 Intro to MSA Video Series
1:15 What is an MSA?
1:41 What is an MSA in everyday language
1:52 How did this MSA requirement happen?
2:18 Who needs an MSA?
2:55 What does it mean that Medicare is a Secondary Payer?
3:12 How do MSA complicate settlement?
3:31 Medicare's review process for MSA
3:50 Most common example of MSA at settlement
4:21 How to finalize settlement after getting an MSA report
4:31 Option one Submit MSA to Medicare
4:59 Option two Non-Submit MSA Report
5:15 What happens if you do NOT submit your MSA for Medicare approval?
5:34 Example of non-submit consequence
6:16 How long does it take to get CMS (Medicare) approval of your MSA?
7:00 How MSA reports are calculated
8:18 Bloopers and disclaimer
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We serve injured workers and fight for them to receive all their benefits especially medical treatment and compensation.
Hello, my name is Naomi. I have been practicing in Southern California since 2012. I opened my own firm because after seeing how the work comp "mills" functioned, I knew there was a better way. My firm is different because our clients are able to access their attorney and we focus on client education, so they are informed and feel comfortable throughout the entire work comp process.
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© 2024 Gonzalez Law Firm, APC. All Rights Reserved. This video is not intended as legal advice, nor does it establish an attorney client relationship. Information provided is applicable in California Only. This video is intended for Gonzalez Law Firm clients only. Every case is different and certain statements may be not applicable to your case. This video is only applicable for Workers’ Compensation cases not other types of law. If you want information specific to your case contact Gonzalez Law Firm, APC.
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Oh heyyyy skinny!! 😍🤩 Thankyou for always making new content. ❤Samantha
You're welcome 😊
Thank you!
Question: we had the Mediation, came to Settlement amount with Medicals kept open. No MSA. Next will be all the signing. Making it all official. How do i KNOW with 100% certainty that Medicals are Open, this WC insurance Co will remain Primary payer for injury, what will we see. Be signing to give us that assurance? Should we be getting a new Insurance card from them. Can we ask for one ?
If you don't expect to be on medicare within 30 months, why would the insurance state that in the C&R form?
So they can check the box showing you do not need to submit an MSA.
General info, not legal advice, not representing you.
Thank you for another helpful video. Would you be so kind to take the time to explain CA Lab code 5100 - 5106 and how the WCAB may or may not alter a C&R after all other parties have signed off on the agreement?
What if you don't have Medicare and you just always pays cash
Hi Ms. Naomi. So if we settle our Work Comp claim where the Work Comp retains future medical care, do people still need an MSA? Just wondering. Thank you for all your great videos.
If you settled with a stipulation settlement the defense doesnt have to settle with Medicare set aside . They can give you lifetime medicals and avoid giving you the set a side . I know it happened to me . I got a stip and life time medicals . Remember the defense offers you what they want to settle with or for . Lastly there may not
Be enough money there on settlement to mandate a set aside .
Communication is key between you and your attorney
Naomi thought the MSA would elevate the settlement amount overall . But it really doesn’t . Your injuries are specific calculated . I get it . But I also thought if one couldn’t compete in the job market that would force a compromise and release . But that is not the case either . The defense will offer what they want to offer period .
BearPapa49 is correct. Stipulation settlement does not require an MSA because work comp continues to have the responsibility of primary payer for your work injury.