medical malpractice attorneys

  WHAT IS A 
SUBROGATION CLAIM?



(The information on this site applies to Florida only)

If you have been injured and incurred medical bills because of the negligence of a healthcare provider, your medical bills may have been paid by Medicare, Medicaid, or a group health insurance company or HMO. If you obtain a recovery from the negligent healthcare provider that caused your injuries, you are required by law to pay back Medicare, Medicaid, or the group health insurance company or HMO for the bills they paid as a result of the negligence of the defendant.  These claims of Medicare, Medicaid or your insurance company that they should be paid back are called "subrogation claims."

The laws and procedures dealing with Medicaid and health insurance programs are different from state to state, and even between insurance companies, so you will need to check with your lawyer about the specifics for your case. Medicare is a federal program and no matter where you are if your bills were paid by Medicare you will have certain obligations to at least partially reimburse Medicare for what it paid.  Similarly, if a medical bill for services relating to your injury is unpaid, the unpaid healthcare provider may also have a subrogation claim and need to be paid out of the recovery.

Under Florida law certain hospitals are entitled to a special lien against any personal injury recovery for unpaid medical bills. Under the Florida Medicaid Act it is a crime not to reimburse Medicaid out of a medical negligence recovery for expenses Medicaid incurred as a result of the negligent healthcare provider. Other types of healthcare insurance companies, such as HMOs and regular group health insurance carriers, will negotiate with you and reduce their subrogation claims depending on the circumstances of your case. Under most circumstances your lawyer should handle this for you.


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ORLANDO

390 North Orange Avenue
Suite 140
Orlando, Florida     32801
Phone:   (407) 843-0126

TAMPA BAY
2202 North West Shore Blvd.
Suite 200
Tampa, Florida 33607
Phone: 813-639-7644
 

SARASOTA

1990 Main Street
Suite 750
 Sarasota, Florida 34236
Phone:   941-309-5144

 


JACKSONVILLE

10151 Deerwood Park Blvd.
 Bld. 200, Suite 250
Jacksonville, Florida 32256
Phone:   904-371-3518

 

 This site contains only general background information and is not intended to constitute specific legal advice or establish an attorney/client relationship.  Malpractice laws vary from state to state and are constantly changing.   If you think you may have a malpractice case you should promptly contact a lawyer in your state with experience in handling malpractice cases.

Copyright 1997-2008 -  McMillen Law Firm * A Professional Association

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