Court ordered Medical Reimbursement

[Moonpie0418]

What is the name of your state? VA

Judge ordered that ex-husband pay 62% of all unreimbursed medical costs for our daughter. I have met the $250 deductible. My question is do I have to provide him receipts and info from the insurance company? I really don't think it's any of his business if I pay by cash, check, or by credit card.

Also, I know other have medical reimbursements. Do you simply create a spread sheet with the info on it? That's what I've started to do. Also, how long do you give them to pay? Is it expected to be paid with the following month's support?

Sorry to ask such basic questions. I appreciate your help.

 

[ceara19]

What is the name of your state? VA

Judge ordered that ex-husband pay 62% of all unreimbursed medical costs for our daughter. I have met the $250 deductible. My question is do I have to provide him receipts and info from the insurance company? I really don't think it's any of his business if I pay by cash, check, or by credit card.

Also, I know other have medical reimbursements. Do you simply create a spread sheet with the info on it? That's what I've started to do. Also, how long do you give them to pay? Is it expected to be paid with the following month's support?

Sorry to ask such basic questions. I appreciate your help.

You have to submit the actual bill, receipt and/or EOB. If you don't want him to have that information, you're free to pay the entire bill without reimbursement. Why don't you want him to know what method of payment you used?

What does your court order say about the time frame YOU have to submit the receipts to him and how much time HE has to pay?

 

[Moonpie0418]

Thanks for the reply.

Court order does not state a time frame for the payback. I just don't think it's any of his business how I pay her bills. Fact is, he's been scott free for 8 years and hasn't paid a dime. The medical insurance is in my husband's name, so is the checking account, and the credit card is mine. Knowing him, he will drag me back into court saying I"m using the credit card and running up huge bills and using the cs to pay for it.

It's a nightmare all the way around. He was ordered in March 2007 to pay cs. By April 2, he had appealed it to Circuit Court. Hired an attorney to take this to trial because he doesn't feel he should have to pay. Can pay an attorney, but not support his child? Doesn't make any sense to me.

Sorry for the rambling. Just got served with another paper for JDR court to amend visitation.

 

[ceara19]

Thanks for the reply.

Court order does not state a time frame for the payback. I just don't think it's any of his business how I pay her bills. Fact is, he's been scott free for 8 years and hasn't paid a dime. The medical insurance is in my husband's name, so is the checking account, and the credit card is mine. Knowing him, he will drag me back into court saying I"m using the credit card and running up huge bills and using the cs to pay for it.

It's a nightmare all the way around. He was ordered in March 2007 to pay cs. By April 2, he had appealed it to Circuit Court. Hired an attorney to take this to trial because he doesn't feel he should have to pay. Can pay an attorney, but not support his child? Doesn't make any sense to me.

Sorry for the rambling. Just got served with another paper for JDR court to amend visitation.

If you don't submit the PROPER receipts, he doesn't have to pay.

 

[Ohiogal]

Judge ordered that ex-husband pay 62% of all unreimbursed medical costs for our daughter. I have met the $250 deductible. My question is do I have to provide him receipts and info from the insurance company? I really don't think it's any of his business if I pay by cash, check, or by credit card.

How do you expect him to know what 62% of the bill is without supplying him with copies of the bill. And if you are to pay the first $250 yourself then you have to prove to him that you have paid it. You don't just get to tell him he owes you this amoutn of money and expect him to hand it over.

Also, I know other have medical reimbursements. Do you simply create a spread sheet with the info on it? That's what I've started to do. Also, how long do you give them to pay? Is it expected to be paid with the following month's support?

Sorry to ask such basic questions. I appreciate your help.

Lets see. What is the spreadsheet for exactly? You cannot just keep track of what he owes on a spreadhseet and expect him to follow it. He needs verification of all out of pocket costs and what has been paid. And the court will allow him a reasonable amount of time which is based on the amount owed and so on and so forth. If he can only afford to pay $20 a month then expect him to pay you his portion in $20 a month increments. And you have to get him copies of the bill asap. You cannot hold the bills and give him a years' worth of bills at one time and expect him to give you the money. It does not work that way. When you get the bill, you make him a copy of it and send it to him. You also make him a copy of the EOB and send it to him when you get that. it is his child. He is entitled to the information.

 

[ceara19]

How do you expect him to know what 62% of the bill is without supplying him with copies of the bill. And if you are to pay the first $250 yourself then you have to prove to him that you have paid it. You don't just get to tell him he owes you this amoutn of money and expect him to hand it over.




Lets see. What is the spreadsheet for exactly? You cannot just keep track of what he owes on a spreadhseet and expect him to follow it. He needs verification of all out of pocket costs and what has been paid. And the court will allow him a reasonable amount of time which is based on the amount owed and so on and so forth. If he can only afford to pay $20 a month then expect him to pay you his portion in $20 a month increments. And you have to get him copies of the bill asap. You cannot hold the bills and give him a years' worth of bills at one time and expect him to give you the money. It does not work that way. When you get the bill, you make him a copy of it and send it to him. You also make him a copy of the EOB and send it to him when you get that. it is his child. He is entitled to the information.

I wonder if she realizes how petty she sounds? After all, I doubt if she's "bothered" by the fact that the complete STRANGER standing next to her at the doctor's knows how she pays the bill.

 

[haiku]

why would any smart person, give anyone else money, based on hearsay?

 

[LdiJ]

Actually, a spreadsheet COULD work.

If the spreadsheet listed all of the bills, and the amount that can be proven was paid for by insurance, and then listed the remainder due (bill by bill), and she only asked for reimbursement of the remainder due in excess of 250.00, and only his percentage share, it really might fly....as long as she had the actual bills and eobs available as backup.

That eliminates her problem of not wanting to disclose how she pays the bills....because she would be asking for reimbursement of only those in excess of what she is responsible to pay.

Its a basic accounting concept. It really shouldn't matter if she has actually paid, or how she paid, what she is responsible to pay, only that she is not asking for dad to pay anything more than what he is responsible to pay.

 

[ceara19]

why would any smart person, give anyone else money, based on hearsay?

Well, he should just TRUST her! After all, it's none of his business how she pays her bills. I'm wondering if the child is on state insurance that pays 100% of the bills and mom is trying to pocket 62% of what it WOULD have cost if she actually had to pay.

 

[LdiJ]

Well, he should just TRUST her! After all, it's none of his business how she pays her bills. I'm wondering if the child is on state insurance that pays 100% of the bills and mom is trying to pocket 62% of what it WOULD have cost if she actually had to pay.

That's pushing the envelope a bit. My granddaughter is on state insurance and my daughter never even sees a bill, or gets an eob, so she couldn't pull that trick if she wanted to.

 

[MrsK]

That's pushing the envelope a bit. My granddaughter is on state insurance and my daughter never even sees a bill, or gets an eob, so she couldn't pull that trick if she wanted to.

Not really. Its entirely possible to use primary insurance, and get billed before state insurance pays (assuming they take awhile, as most govt programs do) AND you can get EOB's showing what your primary insurance paid, and it doesnt say a word about the state insurance b/c the state only gets a bill from the Dr stating what is LEFT OVER. I think the theory of state insurance paying & mom trying to collect 62% is plausible. I dont know if its true, but its entirely plausible.

 

[LdiJ]

Not really. Its entirely possible to use primary insurance, and get billed before state insurance pays (assuming they take awhile, as most govt programs do) AND you can get EOB's showing what your primary insurance paid, and it doesnt say a word about the state insurance b/c the state only gets a bill from the Dr stating what is LEFT OVER. I think the theory of state insurance paying & mom trying to collect 62% is plausible. I dont know if its true, but its entirely plausible.

I disagree...I don't see it as being plausible at all. Theoretically mom could possibly collect on 62% of the amount that the primary insurance didn't cover, but that would be fairly minimal and could easily be disproved by the doctor's records....and mom would be unlikely to even get a bill to submit to dad.

There really isn't room to play much in the way of games when state insurance is involved, as either primary or secondary. You can play games with child support calculations, but not actual medical bills.

 

[Just Blue]

I disagree...I don't see it as being plausible at all. Theoretically mom could possibly collect on 62% of the amount that the primary insurance didn't cover, but that would be fairly minimal and could easily be disproved by the doctor's records....and mom would be unlikely to even get a bill to submit to dad.

There really isn't room to play much in the way of games when state insurance is involved, as either primary or secondary. You can play games with child support calculations, but not actual medical bills.

Her husband is a real pissah!

https://forum.freeadvice.com/showthread.php?t=358892

 

[ceara19]

I disagree...I don't see it as being plausible at all. Theoretically mom could possibly collect on 62% of the amount that the primary insurance didn't cover, but that would be fairly minimal and could easily be disproved by the doctor's records....and mom would be unlikely to even get a bill to submit to dad.

There really isn't room to play much in the way of games when state insurance is involved, as either primary or secondary. You can play games with child support calculations, but not actual medical bills.

Which could be the whole reason that she is trying to AVOID having to submit an actual BILL to dad for reimbursement.

 

[Ohiogal]

When my child was on state insurance I have gotten bills before the state insurance as secondary picked up and after the primary insurance paid. And the amounts were not necessarily trivial. When my daughter had tubes put in her ears there was the deductible of $500 that was not covered as well the 20% that insurance didn't cover after the deductible was met. It amounted to about $650. Now couple that with the $20 copays and such, mom could be making a nice profit. Hence why bills are required.
And LD the spreadsheet will NOT work in court -- which is where mom would want to take this when dad refuses to pay. I have had people (opponents) try to submit spreadsheets rather than actual bills or checks proving payment and after a simple objection from me, the judge has not allowed them but has wanted the "best evidence" available.