Should I file a claim for my medical expenses under
my health insurance coverage?
Yes. You pay premiums for health insurance coverage and
are entitled to submit any medical expenses that you incur
to your health insurance carrier for payment. There are
some instances when payments made by your health insurance
carrier must be reimbursed from any monies you receive
from a settlement. Why file then you ask? Most health
care providers have a contractual agreement with the health
insurance carrier. Often the amount paid is substantially
less than the amount actually billed by the health care
provider. You are not responsible for the difference between
the amount billed and the amount paid by insurance. This
means that should you be required to reimburse the health
insurance carrier, the amount you owe will be far less
than the original amount of the charge.
Do I still have to make my co-payments for my doctor
visits?
Yes. If you have a co-payment under your health insurance
policy you must pay it. This is necessary in order for
your benefits to be paid by your health insurance carrier.
Will I get reimbursed for my co-payments?
Sometimes. If you have medical payments coverage, you
may make a claim for payment and will be reimbursed. However,
if you do not have medical payments coverage, you do not
get reimbursed at the time of the payment of the co-payment.
All medical expenses are considered when settling your
case. By making payments to any providers, whether co-payments
or otherwise, you reduce the amount of outstanding medical
bills you have to pay in full from any settlement of your
case.
What is medical payments coverage? When can I use it?
Medical payments coverage is an optional coverage you
may elect on your own personal automobile policy. The
purpose of this coverage is to pay for medical expenses
up to a predefined limit when an injury occurs as a result
of an accident while in, on or about your car. This coverage
is not only afforded to you should you be injured while
in your motor vehicle, but provides coverage to any passenger
who may also be injured in your vehicle.
What happens if the person who caused the accident does
not have automobile insurance?
As long as you have automobile insurance which covered
you or your car when the accident happened, you can make
a claim under the uninsured motorists provision of your
own automobile policy. You pay uninsured motorists premiums
for this very reason and are entitled to make a claim.
Will it help my case that the person who caused the
accident was found guilty in traffic court?
Maybe (a lawyer's answer). The fact that the defendant
was found guilty in traffic court is not admissible during
the trial of your personal injury case, unless the defendant
pleaded guilty. However, the fact that the defendant was
found guilty by some trier-of-fact may be some indication
to his insurance company of the strength of your claim.
This could be a factor which could lead the insurance
company to make a more reasonable settlement offer. This
is a more important factor if the defendant has pleaded
guilty, because the defendant's guilty plea is admissible
at trial.
Will I have to go to court?
It is important that you be willing to go to court. When
it comes right down to it, the ability to take a case
to court and trial is your lawyer's only real ammunition.
If the defendant or his insurance company knew that you
were not willing to go to court, they would never settle
your case. Therefore, your willingness to go to court
is very important to your lawyer in helping him bring
about a reasonable settlement of your case. Most cases
ultimately do settle, although some do not, and some do
not settle until the last moment.
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