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Unreimbursed Medical Expenses

You may be able to get reimbursed for medical expenses if you have an existing support order. Unreimbursed medical expenses may be allocated between the parties in a support matter in proportion to their income under Pa. R.C.P. 1910.16-6. The court may include the expenses within the support order or direct that it is paid directly to the party receiving support or their healthcare provider. The first $250 per year is the responsibility of the party incurring the expense. This $250 threshold is per person for orders that cover multiple persons. The parties will only need to share expenses that exceed $250 per year per person. Proof of the unreimbursed expenses should be timely supplied to the other party but must be supplied to the other party and Domestic Relations no later than March 31st of the following year. Parties are certainly encouraged to work things out amongst themselves prior to this deadline.

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A limit may be placed on the amount to be reimbursed if it would otherwise be excessive. Domestic Relations can assist in the collection of unreimbursed expenses if the other party still refuses to pay their share after receiving timely documentation of the expenses. Untimely submission of unreimbursed expenses is left to the discretion of the court as far as if they will still be allocated between the parties. Medical expenses that are eligible for reimbursement include co-pays and expenses for reasonable, necessary supplies or services. Surgical, optical, dental and orthodontic expenses are also included. Some expenses are excluded by Pa. R.C.P. 1910.16-6. Expenses that are not eligible for reimbursement include cosmetic, chiropractic, psychiatric and psychological expenses. These expenses may ultimately be included by mutual agreement or specific order of the court.

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