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Medical Health Coverage: Repaying Liens on Your
Personal Injury Settlement...
Depending on your medical health coverage, you might have to
repay a lien.
In the previous
section on liens, we said that shouldn’t spend your
whole settlement right away. Set aside whatever money was spent on
medical bills,
then wait
to see if a lien is requested.
You're
not expected to voluntarily repay your medical health coverage
provider.
To get their money back, your insurance company will have to contact
you first.
Of course, they may have formally
requested the lien
against your personal injury settlement the moment they paid your
medical
bills. In that case you may immediately have to send them a
check.
If your medical health coverage is through an HMO, you can often
get away with repaying only a partial lien. Most private types of
health care coverage, your own insurance company for instance, probably
wouldn't allow this kind of partial repayment.
The process of partial
lien repayment involves a few phone calls and some further
negotiations. An HMO provider is usually willing to listen to you in
these cases. They know that if
it wasn’t for your trouble in pursuing
the claim, they never would have gotten any money back at all.
So, in a
way, your injury settlement is actually doing them a favor.
You do have some
leverage against HMO health coverage. There's no definitive way to
determine how much of your personal injury settlement was for medical
bills and how much was for pain and suffering.
So, if the total
settlement was five times greater than the bills, you don’t
have much
room to negotiate. But, if the settlement was only two or three times
the medical bills, you
can argue that the medical bills were only
partly covered, leaving the rest for your other damages.
Most
HMOs have a policy in place that's prepared for this type of
negotiation. This means that when you contact them they'll put you in
touch with whoever handles their medical health coverage liens.
They're probably aware of all
the arguments you'll make against paying the full lien. Make those
points anyway, it definitely won’t hurt you.
If
your health care coverage is through Medicare, then the
wheels will
turn much more slowly. As with any government organization, things can
get lost in the shuffle and cases can take longer to be reviewed - but
they are less likely to request a lien.
If they do, there are usually
provisions in place that automatically deduct a certain percentage of
the bills. So no matter what your total personal injury settlement was,
they'll only request that amount (e.g. only 75% of the
medical bills have to be repaid).
Return
from Medical Health Coverage to Compensatory
Damages
Return
from Medical Health Coverage to Personal
Injury Settlement Guide
Personal Injury Areas
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