Compliance with the Medicare Secondary Payer Regulation can be a challenging issue. From the identification of cases with Medicare exposure to final approval from the Medicare Regional Office, the process is beset with potential pitfalls that can result in denied settlements, long delays and over-funded allocations.

The securing of a Medicare Set Aside Allocation is only the first step in creating a compliant settlement. Once generated, legal language must be created, a funding vehicle must be selected, administration of the fund defined and finally, the package submitted to Medicare for approval.

To help our clients navigate this difficult course Gould & Lamb has formed strategic affiliations with leading national firms with specialized areas of expertise. Gould & Lamb has no financial interest in and generates no income from our strategic affiliations with any other company or firm, we simply provide you a convenient and easy to use service.

Custodial Administration Services

Medicare Set Asides can either be self administered or administered by a professional custodian. If you request G&L to assist you in establishing a professional custodian for your MSA, our Custodial Administration Services will handle all the details of establishing the account and then ensure that it is properly managed post-settlement. Our Custodial Administration partners have a proven record of success in this arena, are insured and bonded and manage millions of dollars.

To help our clients navigate this difficult path Gould & Lamb has formed a strategic relationship with Rising Medical Solutions which simply provides beneficiaries with professional administration services and access to robust cost containment opportunities typically employed only by insurance carriers and third party administrators.

As part of our strategic relationship, Gould & Lamb clients receive a discount on their custodial services. Please see below for the Fee Structure.

Gould & Lamb Custodial Services Fee Schedule

Medicare Set Aside (MSA) Custodial Accounts

One-Time Setup Fee: $1,750 Flat Rate + 20% of seed money

Annual Fee: 20% of annual MSA amount (beginning 1 year post funding)

(Minimum fee of $750/year)

To refer a case for Custodial Account Administration, please click here.