If you as a non-custodial parent are having to pay half of the medical expenses and you know he/she has secondary medical insurance, I suggest with the primary and secondary insurance, you require a copy of the Explanation of Benefits (EOB) that insurance companies provide when they process a claim from your former spouse. These are standard issue throughout the insurance industry and are the "gold standard" that all medical billing is paid by. It clearly states what is paid by insurance and what is paid by the patient. If your former spouse refuses to provide you the EOB's (Explanation of Benefits) documenting the request to pay your portion, I would refuse to do so until you are provided the documentation. It is a reasonable request. I would not pay any medical and/or dental bill without an EOB.
In addition, even though an insurance company may not give you the info under HIPAA, under Family Code 3025 in CA, the medical provider cannot deny you access to their records. You can also obtain billing and payment information that way.
I suggest you go to the State Bar website in your state and look thru the family law codes to see if this same or similar code exists.
Yes, but in can be very tricky with HIPAA privacy laws.
In CA Family Law Code 3025. Notwithstanding any other provision of law, access to records and information pertaining to a minor child, including, but not limited to, medical, dental, and school records, shall not be deniedto a parent because that parent is not the child's custodial parent.
Says you can.
If this can be found out, how does a noncustodial parent go about doing this, when there is opposition from the custodial parent? As well, you cited a California code, is this acceptable in other states? The problem I have relates to issued within Tennessee.
No, it really does not say that the non-custodial parent can have that access. It says the parent can have access to medical, dental, and school records. It does not say that the non-custodial parent can have access to payments made by the insurance company. If I gave any information to a non-custodial parent other than general company information, I or my company would be subject to large HIPAA fines.
In fact it is within the custodial parents rights to block the account from the non-custodial parent. Imagine that a non-custodial parent, no matter how much they claim to be in the best interest of the child were allowed to have access to current address or phone number information. What if the courts had taken away those rights. The health insurance company wouldn't know about that and could be endangering the life of the child.
What if this secondary insurance effects the amount that the noncustodial parent is liable to pay for unreimbursed medical expenses. The custodial parent is not relinguishing the information of the secondary insurance although according the domestic relations guidelines she can not request reimbursement for unpaid medical expenses until claims are filed with ALL available insurances. I know that she has the insurance I was able to verify that specific information over the phone, but wasn't able to get anything in writing to show to the courts. I'm currently paying on orthodontic bill and I know that if this additional insurance payment were applied to bill it would eliminate a huge financial responsibilty on myself as well as her, but I believe she may be filing a claim and receiving the money directly and not applying the reimbursement from the insurance to the bill and continuing to collect from me...double dipping in other words. What can I do???
No, not without a court order.No, not without a court order.No, not without a court order.No, not without a court order.
ask your mom.
When a non custodial parent is ordered by the court to pay medical coverage, and the custodial parent applies for Medicaid that does not mean that the dependent child's medical coverage can be terminated by the non custodial parent. The ordered insurance becomes the primary insurance, and Medicaid becomes the secondary.
As long as it is a covered expense by your secondary insurance and a claim has been filed with the primarty insurance then the answer is yes. The secondary insurance will only cover the expense according to your plan.
The secondary insurance cover both pays and co-pays of the primary insurance depending with the insurance company.
Yes, you can. The other insurance would be primary though and the Medicaid secondary.
appeal to secondary insurance
Some will. Check with the secondary insurer.
Yes, if the secondary insurance plan covers it In the pharmacy (drugs) world of primary and secondary coverage, this is true.
Yes. Your doctor is not required to file to your secondary insurance.
Secondary insurance will not pay the claim but the remaining charges should not be billed to the member/patient. Provider of service should write off the patient responsibility that primary insurance applied.
The answer to this question depends on what kind of secondary insurance you have - is it a group health plan? Is it a supplement? If Medicare is primary, there are still deductibles, copays, coinsurance that would need to be satisfied by your secondary insurance. Based on your question, I'm assuming that you have a group health plan with a copayment as your secondary insurance. If so, then yes, you would pay your copayment but it would not exceed the part B deductible.
Yes, you can have a secondary beneficiary on your life insurance policy. If the primary beneficiary is no longer living when you pass away, the secondary beneficiary would receive the proceeds from your life insurance policy.
== == If secondary insurance denies coverage, YOU get to pay the bill. == ==
Primary insurance coverage is what is first used when a medical service is being rendered. This is what will be billed first. Secondary insurance is supposed to cover what the primary insurance does not.
Here's a basic example of how secondary health insurance works. You go to the doctor, he charges you $100 for the visit. Your primary insurance pays him $50 and disallows $10. The remainder of the bill, $40, then either comes to you to pay or to a secondary insurance. In most cases the secondary will pay most, if not all of the $40.
I'm not sure what you mean by a "secondary" insurance.
It is usually written in an insurance policy if the policy is primary or secondary. If both policies have language that makes them secondary if other insurance is present then they may split the amount owed. State laws may change this.
If the provider is out of network or not contracted with the secondary insurance, they do no have to bill the secondary and the patient is responsible for the balance (if any) owing
If you have insurance through your employer, and you are the policy holder,(the insurance is in your name) this insurance will be primary for you, and your spouses insurance policy will be secondary. The insurance policy thru your spouse's employer, (your spouse is the policy holder, or the insurance is in their name), this would be primary for your spouse, and your policy would be their secondary. Here's the phamplet from Medicare http://www.medicare.gov/Publications/Pubs/pdf/02179.pdf
pertaining to medical insurance; primary secondary TERTIARY IS THE ANSWER
Cobra is available to those without insurance. Fortunately you have primary insurance and this would be useful.
You're going to have to look at your policy or brochure to see what the provisions are. For more details see www.steveshorr.com/supplemental.htm