If you think you have a personal injury subject resulting from a recent car accident, please contact the car accident injury attorneys at Lipkin & Apter. We will work cursorily and responsively to address your situation. There is no monetary value to you for a consultation with us .
You’re Involved in a Car Accident. Fortunately you have Insurance
You ’ re involved in a car accident caused by another driver ’ south negligence. Your leg is broken. You need surgery. Five days late you are discharged from the hospital. In a couple of weeks you begin forcible therapy to increase the strength and range of motion in your leg. Therapy lasts four months. The checkup bills start coming in, and you can ’ t believe how a lot they are : $ 78,000.00. fortunately, you have health insurance benefits through your employer. You besides have medical payments coverage ( of $ 5,000.00 ) from your own car policy policy. But primarily you are thinking that since the car accident was caused by the other driver ’ mho negligence, HIS indemnity ought to pay your medical bills as they come in. Worse yet, you begin to receive collection letters seeking payment of your medical bills. What should you do ?
The Bills are Your Responsibility
first, you must recognize that careless of the reason for your medical bills, doctors provided service to you, and to no one else. The bills are 100 % your province. And doctors, like everyone else, do not want to wait 2 years for your legal case to resolve before they are paid. The negligent driver ’ mho car insurance caller will NOT pay your bills for a number of reasons :
- They won’t make payments in advance of a personal injury settlement or a jury verdict in your favor.
- They are under a duty to compensate you only when the defendant is found liable for the car accident. This means trial (unless settlement is reached.)
furthermore, the defendant ’ second car insurance company will not pay your doctors/hospital directly. Rather, the jury will decide the respect of your case and the insurance company will pay that sum ( like matter for settlement. ) How that money is divided is not the clientele of the defendant ’ south indemnity company. last, don ’ thyroxine expect defendant ’ s policy company to make your life easier by paying your bills. Your fiscal struggles work to their profit. Many a person has settled a personal injury case far below actual value because they need money oklahoman rather than belated .
Submit Your Bills to Your Health Carrier
- So, if the defendant’s auto insurance company is not an option, do you submit your medical bills to your car insurance company, under the medical payments provision?
- Or do you withstand the collection efforts of your doctors/hospital, and just wait until the end of the case when you receive compensation, before paying your bills?
NO! If you do, you will wind up paying more out-of-pocket for your medical bills than you have to. What you should do is submit your bills to your group health insurance carrier .
Your group health indemnity plan ( eg. BlueCross, Aetna, Humana, etc. ) provides you with a profit you ’ ve probable never considered in paying your aesculapian bills. It ’ mho called a negociate tip plan, under which your doctor or hospital agrees to provide service at a rate below billing load. That is, your policy company will say to your doctors and hospital “ we will provide you with our insureds as patients, but at pre-approved rates. ” Once the doctor agrees to accept this negotiated, lower insurance ship’s company requital, you may not be billed for the dispute between the negociate pace, and the doctor of the church ’ s billing rate.
[ note : If this is getting deep, please contact us. There is no monetary value for a consultation. ]
To illustrate using the $ 78,000 calculate from above : lashkar-e-taiba ’ s say your health insurance company pays $ 40,000.00. Assuming your deductible/co-pay has been met, your $ 78,000 in bills have been satisfied for $ 40,000. How does this profit you ? Let ‘s say the defendant has a $ 100,000 insurance policy, your damages are worth $ 100,000 and you do n’t have Underinsured Coverage greater than $ 100,000 .
Common Fund Doctrine
Your indemnity ship’s company will have a right to be repaid if your car accident case is successful and you receive recompense ( to prevent a double recovery ). But you will not repay $ 40,000, only $ 26,666.66, 2/3 of the sum come. Under the Common Fund Doctrine, the insurance company must pay your attorneys a 1/3 tip for legal services benefiting the insurance company in receiving them money from the defendant. The final leave : you will have received citation for $ 78,000.00 in medical bills for your legal event, for which you will have paid $ 26,666.66 ( in this exercise. ) Your lawyer ‘s fee will be $ 33,333.33 ( 1/3 of proceeds ) and you get the poise of $ 40,000.00 .
Worst Case Scenario – Leave Your Bills Unpaid
You don ’ thymine obtain the same benefit by submitting your checkup bills to your car ’ second policy company under the checkup payments provision of your policy. This is because medical coverage does not entail a negociate tip payment plan. aesculapian payments coverage will pay your bills on a dollar for dollar basis. The worst scenario is to leave your medical bills unpaid until the end of your personal injury shell, in which event your doctor/hospital have the correct to seek 100 % reimbursement of their bills ( subject, possibly to the Illinois Lien Act. ) If you submitted bills to your car indemnity company under medical Payments, they will pay $ 5,000.00, you will have to repay them $ 3,333.33 ( 2/3 ) and then pay your medical providers $ 73,000.00. With a $ 100,000.00 liquidation, your attorneys would even be entitled to their fee, leaving you with nothing. Same result if you did n’t submit any of your medical bills to an insurance company.
The Bottom Line: Submit Your Medical Bills for Payment
The bottom line is to submit the checkup bills from your car accident shell to your group health insurance carriers for immediate requital. Your bills will be promptly paid, at a deduction to you, and you will be able to claim the entire sum billed by your checkup providers in your personal injury casing. Learn more about the automobile policy claims process from personal wound lawyer Kevin Apter .
If you have suffered injury due to the leave of other ‘s actions, please contact the personal injury lawyers at Lipkin & Apter at ( 312 ) 624-9342 .
Category : car insurance questions