Posts Tagged ‘assurance-maladie’

Health Benefits Deductible

Health Benefits Deductible

Question: Should I get health coverage from my auto insurance if I am not at fault?

My wife and I were involved in an auto accident recently. We were hit from behind while waiting at a traffic light (red).
They other diver aggreed that it was his fault. Both of us have auto insurance from same company. His policy is covering damage to my car. My insurance company (which is same as his) says I get health coverage from my policy and not his policy.

Since it is from my policy, they say, I am subjected to deductibles and co-pay.

My question is
a) Is it true that irrespective of whose fault it is, I get health benefits from my policy?

b) If the other driver’s policy is covering my medical expenses, will I still have to pay for co-pay and deductible? After all it is his fault and why should I bear additional cost?

c) I have bodily injury liability in my policy. Similarly other driver must be having the same. That means his policy should pay me.

Answer: You have here what is referred to as a third party claim. You have the right to be reimbursed for your pain and suffering, medical bills and legal costs. You should be awarded a lump sum. Do not go it alone, you must get an attorney to look after your interests and get the best possible outcome. When you commence such an action the other parties insurance pays all costs.

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