▢ MSA allocation report
▢ CMS approval letter (if applicable)
▢ SS#, phone number, and email (if available) of claimant/applicant
Scott Mattingly, Director of Sales – East
Phone: 704-402-7227
Email: smattingly@medivest.com
Matt Cirincione, Sales Support Specialist
Phone: 877-725-2467 x 7012
Email: mcirincione@medivest.com
Make checks payable to Medivest Benefit Advisors, Inc. FBO (applicant name).
Send regular or overnight mail to:
Medivest
4250 Alafaya Trail
Suite 212-322
Oviedo, FL 32765
Fees: One-time flat fee of $950 for all MSAs
Medivest’s Tax ID number: 77-0445397
Medivest Flyer Pack (click to download). Contains the following :
1) MSA Professional Administration Frequently Asked Questions
2) New Member Flyer
3) Medical Custodial Account Flyer
4) Benefits of Professional Administration Explanation
5) AF Group Onboarding Guide
Reference Videos