Montgomery County, PA

What is Medical Support?

The term "Medical" includes reasonable expenses for medically necessary services and supplies such as:

• Co-pays and Deductibles (for Orders effective 4/1/99)
• Surgical
• Dental
• Optical Services
• Orthodontics (for Orders effective 4/1/99)
• Prescriptions

Services that are NOT Covered (unless specifically stated in your Order) are:

• Chiropractic Services
• Cosmetic Surgery
• Psychiatric/Psychological Services

Guidelines for Medical Coverage

Parties must provide each other with the following:

1. Name of the health care coverage provider(s);
2. Any applicable identification numbers or cards;
3. Address to which claims should be mailed;
4. All documentation regarding guidelines and participating health care providers, including a copy of the benefit booklet or coverage contract.
5. Five copies of any claim forms.

If the child or spouse receives Medical Assistance (ACCESS, Mercy or other State funded medical coverage) parties may be required to provide health insurance.

Parties may be responsible for birth related expenses.

Communication and Cooperation Between
Parties is Essential!

How to get payments for medical expenses

• Parties must follow the insurance company rules. All bills must be submitted to all available insurance plans. If a claim is denied by the insurance company for failure to follow their rules, the other party cannot be made responsible for the share of the cost.
  
• Documentation must be provided to show that the first $250.00 per person/per calendar year has been met.
  
• The party with the Medical bills should send copies of the bills and insurance statement to the other party by regular mail as well as certified mail or a certificate of mailing. The exact amount owed and to whom, should be clearly stated. (Medical Data Sheet on the back of this brochure may be used). A certified mail receipt card will be returned to the sender as proof the bills were received by the Obligor. Please keep this mail receipt.
  
• The party who is responsible to pay the bill should send the payment to the other party by check or money order so payment can be verified.
  
  

Enforcement of medical payment

If full payment or payment arrangements have not been made within 30 days, notify the Domestic Relations Section by sending:

• Copies of the medical bills.
• Insurance company statements
• Verification that the $250.00 per person/per calendar year deductible was paid.
• Copy of the certified mail receipt and/or certificate of mailing.
• Completed MEDICAL DATA SHEET

Montgomery County Domestic Relations Section
Box 311
One Montgomery County Plaza
Norristown, Pennsylvania 19404-0311

The Domestic Relations Section will contact the party responsible for payment and establish a schedule for repayment or schedule an enforcement hearing.

This guide is intended to be instructive as to the general procedures of the Montgomery County Domestic Relations Section and should be used for informational purposes only.