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LegalGround >> health insurance question

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11/3/09 10:03 AM
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eviladam
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question for people familiar with health insurance issues.

suppose that a person has surgery to repair an injury. and suppose that person's health insurance sends a letter asking for more information about the injury (specifically, if it happened at work or on some other person's property). obviously, the health insurance company is looking to avoid paying out so they can stick someone else with the bill (and make sure that nobody's pocketing money from a lawsuit)

under what circumstances is health insurance required to cover the medical expanses?

they are asking if it was the result of a car accident or injury on someone else's personal property, which it wasn't.

the surgery was to repair an accumulation of minor injuries, which happened in a variety of places ranging from a public park to the person's own home.

is health insurance obligated to pay for injuries that occur in public parks, or at home?
11/3/09 3:43 PM
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Govnor
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 ttt
11/3/09 3:48 PM
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jbapk
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"under what circumstances is health insurance required to cover the medical expanses?"

That depends mostly on the specific policy terms, and your states local laws. I'd get a copy of your policy and look it over.

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