Can Health Insurance Companies Get Reimbursed After a Personal Injury Payout? - GibsonSingleton Virginia Injury Attorneys
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From GibsonSingleton Virginia Injury Attorneys - Can Health Insurance Companies Get Reimbursed After a Personal Injury Payout? explains how insurance reimbursement, subrogation, and liens can affect the money an injured person ultimately receives from a Virginia personal injury settlement. Gloucester personal injury attorneys Ken Gibson and John Singleton discuss Virginia’s anti-subrogation rule, the distinction between fully insured private health plans and federally governed plans, and why identifying every potential claim before accepting a settlement is essential.
The episode examines reimbursement rights involving Medicare, Virginia Medicaid through DMAS, TRICARE, workers’ compensation, FEHBA plans, CHIP, the Indian Health Service, and self-funded employer health plans governed by ERISA. It also reviews Virginia Code § 38.2-3405, the Medicare Secondary Payer Act, US Airways, Inc. v. McCutchen, and the circumstances in which federal law may override Virginia protections.
Listeners will also learn how MedPay works under Virginia Code §§ 38.2-2201 and 38.2-2209, how provider liens may affect settlement proceeds, and who may pay medical bills while a case is pending. Ken Gibson and John Singleton explain how charge auditing, statutory reductions, appeals, cost sharing, and negotiation may reduce valid reimbursement claims and increase a client’s net recovery.
Serving injured clients throughout Gloucester County, Hayes, the Middle Peninsula, Hampton Roads, and communities near the Coleman Bridge, GibsonSingleton Virginia Injury Attorneys helps people understand potential deductions before settlement funds are distributed. The episode also addresses workers’ compensation liens under Virginia Code §§ 65.2-309 and 65.2-311, Medicare conditional payments, hospital liens, and the importance of resolving reimbursement claims before accepting a personal injury settlement.
GibsonSingleton Virginia Injury Attorneys
4073 S George Washington Mem Hwy, Hayes, VA 23072
(804) 413-6777