Health Care Providers
The remaining bills are for services in the health care provider category, totaling $400,000. This figure is 40 percent of your settlement amount, exceeding the 20 percent this category of providers is entitled to recover.
Because the health care professional’s billing totaled less than the 20 percent to which this category would have been entitled, the remaining $100,000 can be allocated to the health care provider category, allowing those providers to recover up to a combined $300,000.
Each sub-category of health care provider is limited to 33 percent of your recovery. In our example, the hospital bills are over this limit, so the hospitals are only entitled to recover $330,000. However, they cannot collect this amount because the maximum amount allotted to health care providers is $300,000.
Notably, no law prohibits medical providers from collecting outstanding debts from you separately. While they cannot assert a lien for the additional amounts, they may pursue collection efforts using other means. However, we will work with your health care providers to minimize your health care costs.
