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PA Shield
Fifth Judicial District of Pennsylvania
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Family Division
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Seeking Medical or Other Provisions Reimbursement

Seeking Medical or Other Provisions Reimbursement

 

MEDICAL/OTHER PROVISION(S) REIMBURSEMENT INFORMATION

Unreimbursed Medical or Miscellaneous Bills:       

Unreimbursed Medical or Miscellaneous expenses are anything a party is ordered to provide above and beyond child support and medical coverage.  This can include but not limited to unreimbursed medical expenses, extracurricular activities, attorney fees, etc.

The party seeking reimbursement for Medical or Miscellaneous bills must FIRST mail and/or email copies of the bills/receipts to the other party and request reimbursement.  You must allow a reasonable period of time for payment from the other party, before contacting the Court for further enforcement action.  The party seeking reimbursement will need to provide the Court with proof of mailing before any action will be taken. It is suggested that certified mail be used as proof of mailing.

If you have mailed the copies of the bills/receipts to the other party, and have NOT received reimbursement within a reasonable time period, please contact the court at 412-350-5600.  You can request a copy of the “summary sheet” and a business return envelope in order to provide copies of the bills/receipts to the courts. The “summary sheet”, copies of the bills/receipts and proof of mailing must be provided to the court for further enforcement action.

The court will give the responsible party 2 weeks to make payment after the court mails them to the responsible party.  If the requesting party does NOT receive payment within 3 weeks of the mailing, please contact the court for the case to be scheduled for contempt.  The party requesting reimbursement must appear for the conference/hearing (telephonically), or the Petition for Contempt may be dismissed.   Failure to contact the court after the 3 weeks will result in no further enforcement action to be taken by the court.

Pursuant to the PA Rule of Civil Procedure1910.16-(6)(3), parties must submit copies of any medical bills and or receipts to the other party no later than March 31st of the year after the final bill was received.  If the client does not submit the bills/receipts in the required time period, the Court may elect not to enforce payment.

Pursuant to PA Rule of Civil Procedure 1910.16-6(c)(1), the PLAINTIFF is responsible for paying the first $250.00 annually per child and self, in unreimbursed medical expenses. Per the Rule, medical expenses include:  insurance co-payments, deductibles and all expenses incurred for reasonably necessary medical services and supplies, including but not limited to surgical, dental and optical services, and orthodontia.

FOR ORDERS PRIOR TO 4/1/99, refer to your order for medical coverage, other covered provisions and information about unreimbursed medical/other percentages. Dental/Orthodontia must be mentioned specifically to be covered in these orders.

FOR ORDERS DATED 4/1/99 – PRESENT, the PLAINTIFF is responsible to pay the first $250.00 annually per child and/or spouse in unreimbursed medical expenses. Refer to your order for medical coverage, other covered items and unreimbursed medical/other percentages.  These orders will include Dental/Orthodontia.

Always refer to your Court Order to determine which expenses are covered and the percentage that the other party is responsible for.  Call the Court at 412-350-5600 with any questions.

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