MSA Cost Estimator

Get an instant estimate of your Medicare Set-Aside allocation in 30 seconds. No email required.

1. What is the primary injury?

2. What is the total settlement amount?

Current value: $100,000

3. What is the claimant's age?

4. Is the claimant currently on Medicare?

Yes, currently on MedicareIncludes age 65+, SSDI recipients (24-month waiting period complete), ESRD, ALSNo, but will be Medicare-eligible within 30 monthsAge 63.5+, SSDI approved (in waiting period), ESRD pendingNo, not Medicare-eligibleUnder age 63.5, not on SSDI, no ESRD

5. Is future surgery expected?

Yes, treating physician recommends surgeryFull surgery cost allocatedPossible, physician mentioned as option50% probability-weighted costNo, no surgery expectedNo surgery cost allocated

How This Calculator Works

This tool provides a ballpark MSA estimate using industry-standard methodology:

Life Expectancy: We use CDC life tables adjusted for your age, then apply a conservative 20% reduction to account for typical comorbidities (diabetes, COPD, obesity, etc.).
Annual Costs: Based on injury type, we estimate typical annual costs for medications, physician visits, diagnostic imaging, injections, and physical therapy.
Future Surgery: If surgery is expected, we allocate the full average cost. If "possible," we use 50% probability weighting per CMS guidelines.
Range: Low estimate is 75% of calculated amount, high estimate is 125%, giving you a conservative range.

For a precise allocation, we need your complete medical records, treatment history, and specific medication regimen. Request a detailed quote above to get started.