medical support

[mbensoni]

What is the name of your state?Minnesota - My husband pays child support - I carry the medical insurance. Anyway the mother just does not get it. The child was going to a doctor that was a provider for my carrier - all of a sudden the mother changes doctors without asking if this clinic is a provider...I had to call the clinic to give them my information and come to find out - this clinic is not a provider. They will submit the claim BUT since no discounts will be given since they are not a provider - the mother will be stuck with a bill. I could scream. SO - the agreement is 50/50 will be split of uncovered costs. Would the bill (which would have been covered had the mother gone to the clinic the daughter was originally going to) need to be split between mother and father or not....I wish she would just ask the normal questions of finding out if the clinics were a provider or not. OR just ask me to find out.

Thank you for your help.

 

[Content]

What is the name of your state?Minnesota - My husband pays child support - I carry the medical insurance. Anyway the mother just does not get it. The child was going to a doctor that was a provider for my carrier - all of a sudden the mother changes doctors without asking if this clinic is a provider...I had to call the clinic to give them my information and come to find out - this clinic is not a provider. They will submit the claim BUT since no discounts will be given since they are not a provider - the mother will be stuck with a bill. I could scream. SO - the agreement is 50/50 will be split of uncovered costs. Would the bill (which would have been covered had the mother gone to the clinic the daughter was originally going to) need to be split between mother and father or not....I wish she would just ask the normal questions of finding out if the clinics were a provider or not. OR just ask me to find out.

Thank you for your help.

You need to gather a list of all providers together and draft a letter explaining to her that you will not pay for any bills that are incurred because of her not using a provider that the insurance covers. Send it certified mail return receipt so that you have proof of sending it.

I doubt that a judge will make you cover those costs because mom is using the wrong dr when she was using a dr that was covered.

 

[brisgirl825]

I doubt that a judge will make you cover those costs because mom is using the wrong dr when she was using a dr that was covered.

Until a judge orders that dad doesn't have to pay, he has to pay. If he doesn't want to pay, it will require a trip to court which may end up being more than the bill anyway.

 

[BelizeBreeze]

What is the name of your state?Minnesota - My husband pays child support - I carry the medical insurance. Anyway the mother just does not get it. The child was going to a doctor that was a provider for my carrier - all of a sudden the mother changes doctors without asking if this clinic is a provider...I had to call the clinic to give them my information and come to find out - this clinic is not a provider. They will submit the claim BUT since no discounts will be given since they are not a provider - the mother will be stuck with a bill. I could scream. SO - the agreement is 50/50 will be split of uncovered costs. Would the bill (which would have been covered had the mother gone to the clinic the daughter was originally going to) need to be split between mother and father or not....I wish she would just ask the normal questions of finding out if the clinics were a provider or not. OR just ask me to find out.

Thank you for your help.

And what does the order state EXACTLY word for word regarding medical coverage?

 

[mbensoni]

but that's just it - she will continue being ignorant. The same issue happened with dental. She took the daughter to a place that was not covered because she did not want to traumatize the child. She wanted the child to be seen by one of her(mother's)friend. There was the bill there - which we did not pay because had she gone to the dental provider that is for her daughter there would not have been a bill there. Which leaves me to say - why is there medical coverage if our coverage is not being utilized.

 

[mbensoni]

And what does the order state EXACTLY word for word regarding medical coverage?

any medical expenses not covered will be split 50/50.

 

[brisgirl825]

So you have admitted that dad has been in contempt before with not paying a bill. He needs to pay the bills and then go to court and modify the order to read that anytime mom takes the child to an out-of-network provider, she will be 100% responsible for the costs.
Until a judge gives dad the authority to deny payment on those bills, he is in contempt. So do the smart thing and get them paid.

 

[mbensoni]

how can he be in contempt??? We provide insurance - what's the point of providing insurance is the mother can go where ever she wants. If she she chooses to not use my insurance that should be her problem.

 

[BelizeBreeze]

how can he be in contempt??? We provide insurance - what's the point of providing insurance is the mother can go where ever she wants. If she she chooses to not use my insurance that should be her problem.

If the insurance is NOT a part of the order then it's irrelevant. What is relevant is that the order says expenses NOT COVERED will be split 50/50 which is the ONLY requirement you have yet to state.

It does not state in lieu of this order the Non-custodial parent may substitute insurance coverage.

 

[brisgirl825]

how can he be in contempt??? We provide insurance - what's the point of providing insurance is the mother can go where ever she wants. If she she chooses to not use my insurance that should be her problem.

No one is disagreeing that mom has done the wrong thing and should be responsible for those bills. However until the order reads that dad has the authority to deny payment of OON bills, he is in contempt, not her. So dad should go to court and modify the order ASAP or he will continue to be responsible for half of ALL bills.

 

[mbensoni]

If the insurance is NOT a part of the order then it's irrelevant. What is relevant is that the order says expenses NOT COVERED will be split 50/50 which is the ONLY requirement you have yet to state.

It does not state in lieu of this order the Non-custodial parent may substitute insurance coverage.

With this insurance - a primary doctor had to be picked - she told me my daughters doctor is so and so. That doctor was in the network and so she would take my stepdaughter to the in network provider. NOW she has taken the daughter out of network - why should that be my husbands problem. Insurance that we carry pays 100% minus 10.00 copay IF in network provider is used. SO if in network was used - no bill.

 

[LdiJ]

With this insurance - a primary doctor had to be picked - she told me my daughters doctor is so and so. That doctor was in the network and so she would take my stepdaughter to the in network provider. NOW she has taken the daughter out of network - why should that be my husbands problem. Insurance that we carry pays 100% minus 10.00 copay IF in network provider is used. SO if in network was used - no bill.

You are not listening to what we are saying. Your husband's court order says that he has to pay 50% of all medical costs not covered by insurance.
Those bills weren't covered by insurance! He is going to be stuck paying those bills (for the younger children, not for the 20 year old) until he takes it back to court and gets a judge to order that mom has to pay 100% of the costs if she doesn't use a network provider.

 

[BelizeBreeze]

With this insurance - a primary doctor had to be picked - she told me my daughters doctor is so and so. That doctor was in the network and so she would take my stepdaughter to the in network provider. NOW she has taken the daughter out of network - why should that be my husbands problem. Insurance that we carry pays 100% minus 10.00 copay IF in network provider is used. SO if in network was used - no bill.

And that's a nice way of stepping around the question I asked which was, Does the court order stipulate that your husband is to carry medical insurance or not?

 

[mbensoni]

And that's a nice way of stepping around the question I asked which was, Does the court order stipulate that your husband is to carry medical insurance or not?

Yes - but the court okayed it so that I could carry the insurance as my insurance was better than his. He is to provide insurance for his daughter through me.

 

[CJane]

Yes - but the court okayed it so that I could carry the insurance as my insurance was better than his. He is to provide insurance for his daughter through me.

And unless the order actually states that one MUST use an in network provider or be responsible for 100% of the bill, dad is responsible for his 50%. That's NOT that hard to understand.

What you THINK should happen or what you THINK should be the 'right' thing is IRRELEVANT in the face of a court order.