Providers in Wisconsin may or may not form PSOs. Enrollment is limited to 390,000 Medicare beneficiaries nationwide. Additional coverage or restrictions may vary from plan to plan. You pay your Part B premium directly to Medicare. If medical expenses exceed your MSA funds for that year, you must pay those expenses until the insurance deductible is met.
Unspent funds amass in the account and are carried to the next year.
Upon the beneficiary's death, all remaining funds become the property of his or her estate. This is a pilot project, with limited enrollment starting in 1999 to about one percent of Medicare beneficiaries. These plans are offered by a Religious Fraternal Benefit Society for members of the society and only members may enroll. The society must meet IRS and Medicare requirements for this type of organization. Medicare will make monthly payments to these plans.