Legal Question in Personal Injury in Pennsylvania

If the medical coverage for my auto insurance is exhausted on a claim, can the provider bill me the full balance of any unpaid bills for services rendered after it is exhausted? Some people are saying that the provider has to accept the "act 6 medicare allowance" and others are telling me that if the coverage is exhausted, I can be billed in full for any balances.


Asked on 12/14/09, 8:00 am

3 Answers from Attorneys

Scott Diamond DIAMONDLAWYER

Your question implies that you are represented. This is a question that your attorney needs to address in detail. If you are not reresented, you should contact a lawyer for representation

Read more
Answered on 12/19/09, 8:27 am
Paul Stacom Law Office of Paul J. Stacom

They should settle their bills under the Act 6 calculation. do you have a claim agains the other driver, or have health insurance?

Read more
Answered on 12/19/09, 8:28 am
Richard Senker Senker Law Office

All doctors must bill you at the Act 6 amount, and they cannot bill you for the difference between what the insurance company paid and the "list price"of their bill. After you exhaust your auto medical coverage, all bills must be for the Act 6 amount, either to your health insurance company or to you directly if you don't have nay health insurance. Your atty should explain this to you. Call if you want to discuss. 1 866 AUTOCRASH.

Read more
Answered on 12/19/09, 2:38 pm


Related Questions & Answers

More Personal Injury Law and Tort Law questions and answers in Pennsylvania