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MSA Insurance/Claims
Updated March 2026

Medicare Set-Aside (MSA)

Definition

A financial arrangement in workers' compensation settlements where a portion of the settlement funds is set aside to pay for future injury-related medical treatment that would otherwise be covered by Medicare. MSAs protect Medicare's interests and are required when the injured worker is a Medicare beneficiary or eligible for Medicare within 30 months.

Related Terms

Frequently Asked Questions

What is a Medicare Set-Aside (MSA)?

A financial arrangement in workers' compensation settlements where a portion of the settlement funds is set aside to pay for future injury-related medical treatment that would otherwise be covered by Medicare. MSAs protect Medicare's interests and are required when the injured worker is a Medicare beneficiary or eligible for Medicare within 30 months.

How does medicare set-aside affect a workers' compensation claim?

Medicare Set-Aside plays an important role in determining the outcome of a workers' compensation claim in California. Understanding this concept helps injured workers, attorneys, and physicians navigate the claims process more effectively.