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Health Insurance Subrogation: What Is It, and How Does It Work?

Health Insurance Subrogation

Health Insurance Subrogation

When you are involved in an accident, you may have to go to the hospital to seek medical care; this means your insurer must cover the bill. In some cases, the opposite party may be held liable for your injuries and medical bills. Even so, your insurer will handle your medical bills, but may seek compensation themselves to regain their losses. Accident related injuries are never fun, especially when health insurance subrogation comes into play. This event can make the claims process much more complicated. Having a good understanding of insurance subrogation (and how it may affect you) can help you to prepare should you be involved in an accident that results in subrogation.

What Is Insurance Subrogation, and How Does It Apply to Accidents?

Normally, when you get into an accident, your insurance will cover your medical expenses. However, the accident may not have been your fault. If it isn’t, your insurer may decide that they want to be compensated for the medical bills. They will pursue the insurer of the faulty party normally. If the accident pertains to motor vehicles, the medical bills will generally be paid by your automotive insurance. When the insurer pursues reimbursement from that party or their insurer, this is called “insurance subrogation”. It is a very common process, as this is one way that insurers can regain their losses.

Since accidents can become serious legal cases, you may be pressed to obtain a lawyer for different circumstances. If you are not familiar with claims processes or lawsuits, First4Lawyers can provide you with the necessary information. If an accident involves insurance subrogation and also results in further legal action, it can become very confusing. A lawyer can help you to clear up any confusion, help you to prepare, and defend you in court.

How Does the Subrogation Process Work?

When you are involved in an accident and sustain injuries, you will immediately go to the hospital for medical care. This care is usually paid by the insurer, taking the debt off of your shoulders. Afterwards, your insurer is going to seek the insurance information of the offending party. This way, they can place a claim against their insurance provider. Generally, the insurance companies will handle this without much interaction from the individuals involved in the accident.

In the event that you decide to file a claim against the party responsible for the accident, your insurer will place a lien on your case. When you are engaging in a claim, it is wise to seek assistance from a no win no fee attorney. These attorneys will not press for fees until you win your case, making the claims process a little easier for you. When you win the case, your insurer will be reimbursed through your claim, and the rest is your reimbursement. This is a bit more complicated, but it allows for you to regain your losses should you need to make a copayment for the health care received.

Health Insurance Subrogation: What Is It, and How Does It Work?


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