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Street Address City State Zip Code Phone: Date of Birth: Social Security Number: Medicare: Yes No If yes, Medicare Number: If no, eligible within 30 months of the settlement: Yes No Accident/Injury Information Type of Case: Workers Comp. Liability Case Jurisdiction (State): Description of Accident:.
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SSR FAQ
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An allocation is an estimate of future Medicare covered services related to an injury. A MSA allocator performs an in-depth review of the injured party's medical records to determine the future anticipated amount of Medicare covered medical treatment.
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Workers Compensation Medicare Set-Aside (MSA or WCMSA) is money set aside as part of a worker's compensation settlement to help pay for future medical expenses and treatments for work-related injuries that Medicare would have otherwise paid. The money is intended only to be used for work-injury-related treatment.
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