Single Parents

Medical Reimbursement ?

My child support order says the first $250 of medical expenses are not reimbursed and then after that the split is 60/40. I want to make sure I keep track of everything I need to because I am getting close to $250 already.

The order doesn't specify what a medical expense is though. Do you only count copays for doctor's visits or do you count  medicine too? If you count medicine do you only count ones that are rx or do you count ones that are over the counter too? For example, Zyrtec is over the counter now but C has to take it every day. And it costs more over the counter than my rx copay. 



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Re: Medical Reimbursement ?

  • I am 99% sure that my order states that it does not include co-pays (or else he told me that verbally). I think it means the remainder of whatever insurance doesn't cover regarding visits, lab work, tests. I do not know about the medicine.
  • I found this as a general rule, but can't find anything regarding PA specifically:

    Uninsured medical expenses are medical expenses not covered by insurance, including co-pays, deductibles, prescriptions, and any other medical, dental, and/or vision cost incurred as a result of medically necessary treatments or procedures. 

    I'm not sure about the Zyrtec. I'm sure you've looked into it,but is there no way to have it filled as a "prescription" even though it's not? When DS needed Miralax, his doc wrote it as a script even though it's OTC and the pharmacy was able to fill it and put it thru the insurance. It ended up still costing me the same because my copay was more than the cost of it, but the benefit was that I could use my HSA to pay for it since it was a "prescription." Maybe the child support rules would look at it the same way? 

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