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Uncovered Medical Expenses


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#1 renegr

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Posted 12 September 2012 - 06:59 PM

I am in Tennessee. Are health insurance premiums considered uncovered medical expenses?? The agreement states that "uncovered reasonable and necessary medical expenses, which may include but is not limited to, deductibles or co-payments, eyeglasses, contact lens, routine annual physicals, prescriptions, orthodontics, dental, and counseling will be paid as follows: Each year, Father shall be solely responsible for the first $3311.00 of such uncovered reasonable and necessary medical expenses. The parties shall divide any overages, with Father paying 80% and Mother paying 20%."

Prior to this paragraph the wording on premiums is as follows:
Reasonable health insurance on the child or children will be: maintained by the mother and premiums for the child paid by Father directly to Mother on a monthly basis, beginning February 1, 2012.

Thanks for your help and information!

#2 LegalwriterOne

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Posted 12 September 2012 - 08:40 PM

No uncovered medical expenses are those not covered by the insurance. It does not include the cost of the policy.

#3 pg1067

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Posted 13 September 2012 - 07:06 AM

Since premiums are mentioned separately from "uncovered medical expenses," it should be rather obvious that they are different things. Why have a separate paragraph about premiums if premiums were covered by the "uncovered medical expenses" paragraph? In fact, basic logic would dictate that, for something to be an "uncovered medical expense," the possibility would have to exist that it could be covered, and it would never be possible for a premium to be covered.

#4 renegr

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Posted 13 September 2012 - 05:33 PM

Thank you both. That is what I thought as well. My ex doesn't think that is the case and is trying to include the insurance premium in the $3311 total. Appreciate your input!

#5 Guest_FindLaw_Amir_*

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Posted 14 September 2012 - 09:38 AM

Glad you found the communities responses helpful.




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