State is CA.
Both parties are ordered to provide medical insurance on the minor children. My insurance is primary. Ex's is secondary. We are ordered to each pay 50% of reasonable uninsured health care costs.
I am in receipt of a medical reimbursement request from my ex. The amount requested includes over the counter products that could be used by anyone in the family, and costs for a prescription at full cost because ex chose not to go to one of the many covered pharmacies available to choose from. I had even discussed with ex, that same day, that Walgreens across the street from ex's house is a preferred pharmacy.
In California's Notice of Rights and Responsibilities Health Care Costs and Reimbursement Procedures, number 6 states that "If a parent provides health care insurance as ordered by the court, that insurance shall be used at all times to the extent that it is available for health care costs."
Number 7 states "If the court ordered coverage designates a preffered health care provider, that provider shall be used at all times consistent with the terms of the health insurance policy. When a party uses a health care provider other than the preferred provider, any health care costs that would have been paid by the preferred health provider had that provider been used shall be the sole reponsibility of the party incurring those costs."
1) Are pharmacies considered a "health care provider"?
2) If so since ex didn't go to a preferred provider pharmacy and did not use the child's primary insurance (or secondary) at all, am I responsible for only half of what the cost would have been had ex used the insurance (I am referring to numbers 6 & 7 above)?
3) Are over the counter medical items, such as hydrogen peroxide, band-aids, tylenol, etc. considered uninsured health care that is reimbursable?
4) If answer to number 3 is yes, then how would one determine what portion of an item that can be used by an entire family is deligated to the child?
Thanks.
Both parties are ordered to provide medical insurance on the minor children. My insurance is primary. Ex's is secondary. We are ordered to each pay 50% of reasonable uninsured health care costs.
I am in receipt of a medical reimbursement request from my ex. The amount requested includes over the counter products that could be used by anyone in the family, and costs for a prescription at full cost because ex chose not to go to one of the many covered pharmacies available to choose from. I had even discussed with ex, that same day, that Walgreens across the street from ex's house is a preferred pharmacy.
In California's Notice of Rights and Responsibilities Health Care Costs and Reimbursement Procedures, number 6 states that "If a parent provides health care insurance as ordered by the court, that insurance shall be used at all times to the extent that it is available for health care costs."
Number 7 states "If the court ordered coverage designates a preffered health care provider, that provider shall be used at all times consistent with the terms of the health insurance policy. When a party uses a health care provider other than the preferred provider, any health care costs that would have been paid by the preferred health provider had that provider been used shall be the sole reponsibility of the party incurring those costs."
1) Are pharmacies considered a "health care provider"?
2) If so since ex didn't go to a preferred provider pharmacy and did not use the child's primary insurance (or secondary) at all, am I responsible for only half of what the cost would have been had ex used the insurance (I am referring to numbers 6 & 7 above)?
3) Are over the counter medical items, such as hydrogen peroxide, band-aids, tylenol, etc. considered uninsured health care that is reimbursable?
4) If answer to number 3 is yes, then how would one determine what portion of an item that can be used by an entire family is deligated to the child?
Thanks.