Medicare Set Asides

Complete Medicare Set-Aside Services

Medicare Set-Aside Services are charged on a flat rate basis.  Apollo Group’s flat rate includes:

• Medical record review
• All contact with the adjusters, attorneys, settlement brokers, etc
• Preparation of MSA allocation cost projection using state specific WC fee schedules when appropriate
• Projection of both Medicare allowable and non-Medicare allowable costs over the life expectancy of the claimant
• Projection of future pharmacy costs
• Determination of Social Security status (if necessary)
• Determination of Medicare status (if necessary)
• Determination of Medicare lien/conditional payment status
• Obtaining rated age from your preferred settlement broker (if indicated)
• Submission of MSA to CMS for approval; any and all revisions necessary to accomplish CMS approval.

Please Note, this service is All-Inclusive. Competitors charge a separate rate for Conditional Lien Searches, Conditional Lien Analysis, Conditional Lien Disputes, and Cost Projection Updates.

Always ask your Set-Aside Vendor about hidden fees before you refer!