Legal Question in Personal Injury in California

Personal Medical Insurance

In a auto tort civil law suit where the Planiff has used his own personal medical insurance to pay for his medical cost from a rear end accident involving a commerical truck. Does the planiff have the right in the civil trail to recover all the medical expenses that his personal medical insurance has paid for. I do not believe that a person or a business that has admitted to being 100 % at fault in a auto accident can benifit from another person medical insurance. Does the defendent have to pay the full price before my insurance was billed for all medical damages proven.


Asked on 12/03/03, 11:42 am

3 Answers from Attorneys

Mitchell Roth MW Roth, Professional Law Corporation

Re: Personal Medical Insurance

The injured party has the right to recover all medical expenses reasonably incurred. His personal health insurance is irrelevant. But, today, the medical insurer will have "subrogation" rights, meaning it can recover what it paid for the medical care of the insured from any third party recovery.

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Answered on 12/03/03, 4:16 pm
Sam Eagle LAW OFFICES OF SAM M. EAGLE

Re: Personal Medical Insurance

Generally, a plaintiff can recover the total (gross amount) of his medical bills in a trial. The total bills should be admitted into evidence. Calif. has the "collateral source rule" which is an evidence code that says the defendant can't admit evidence of the plaintiff's own personal insurance.

But, if you win something from the defendant, most health insurance companies may require you to reimburse them for what they had to pay to you. Watch out for that. Some PI attys may be able to help you pay a lesser amount back to your health insurance.

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Answered on 12/03/03, 5:54 pm
Terry A. Nelson Nelson & Lawless

Re: Personal Medical Insurance

Medical expenses are fully recoverable whether paid or not by the person's own insurance. If you are the plaintiff, feel free to contact me if you need an attorney to represent you. Defendants should be represented by their insurance company provided attorney. If you are the defendant and uninsured, also contact me for help, you need it.

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Answered on 12/03/03, 6:17 pm


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