Can I spend my medicare set aside annuity any way want and not get into trouble?

A Medicare Set-Aside arrangement is created from the settlement of a worker's compensation or liability case. The account is created by using a part of the settlement to be used to pay future medical expenses that are related to the job or injury and would otherwise be payable by Medicare. A structured MSA features annual payments via an annuity. This is a complicated area and you should get expert advice before spending the funds "on anything".