Discussion for article #241777
Single payer, anyone?
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Homeowner insurance that requires a finding of negligence to pay a claim? I don’t get it.
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For crying out loud, she works in HR and had MEDICAL INSURANCE that covers this. It was her CHOICE to sue her dead sister’s nephew. Personal feeling is she wasn’t left a thing when her sister died (since it went to her husband and child) and she was pissed for some reason. Not a coincidence that she didn’t sue the first 3 years after the injury while her sister was still alive. Just a coincidence that she started to suffer so horribly that a year after her sister (or sis-in-law?) died and the insurance settlement was final to the widowed husband. Maybe I’m just too cynical. But one of her reasons was she had to walk up 3 flights of stairs to her upper east side Manhattan apartment. Was she doing so on her hands?
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Yes. What the lawyer said is true.
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Not necessarily. Her insurance company could have required it.
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I think it was her choice to pursue his homeowner’s insurance. Going to the hospital because you fell and broke a wrist doesn’t typically turn into suing the person who accidentally caused it first. Usually the insurance company sues on your behalf to reclaim their funds unless you choose to do so first. I can’t imagine an insurance company pursuing this…no win for them here.
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Perhaps if she put that a little kid knocked her down and she put that on the medical form. But she was going after this claim through their homeowners insurance not her medical insurance. It’s been 4 years.
The one thing I haven’t seen is has she been out of work due to this injury? She works in HR it said. Nothing about her not being able to use a keyboard due to her injury.
And actually the lawsuit was filed in 2013 so I was wrong about the timing. Also, the woman is a cousin to one of the parents not a sibling.
Once again: “The Large Print Giveth, the Small Print Taketh Away.”
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Really? Her fractured wrist cost $127,000?
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Been to a hospital lately, krusher?
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Actually, I wouldn’t be surprised if it did. I’d be even less surprised if it cost more than that. The cost of medical care in this country is disgusting.
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A 1 inch deep/inch and 1/4 cut on my thumb in culinary school cost me $17,000 for a five minute doctor visit, a butterfly bandage, and some rubber cement.
I can easily see a fracture, and two surgeries easily costing over $127,000
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just what i thought… she’s got a shitload of medical bills not covered by her own policy. but, honestly, alot of the backlash could easily have been avoided by a better written claim. when you whine about not being able to pick up a plate of hors d’ouerves and having to walk up 3 flts of stairs with a broken wrist, you have to expect some major eye-rolling – esp from new yorkers. even though new york is crowded.
i wouldn’t be surprised to hear that in a couple of weeks that she’s unemployed.
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you are aware that there are all kinds of policies – high deductibles; capped expenditures; denial of claim… even being an hr manager doesn’t guarantee she’s got 100% coverage. and this was long before aca, when ruthlessness was the number one characteristic of insurance companies. besides, i bet it’s a small company or a non-profit where she works. she’s not some high-rolling ues lady who lunches.
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Subrogation is the process an insurance company, including a health insurance company, uses to seek reimbursement from the responsible party for a claim it has already paid. Her health insurance company might have required the woman sue her nephew to recover on the homeowner’s policy. My guess is this is a fight between two insurance companies. The family got caught in the middle.
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I saw this and kind of figured that the lady and the kid’s parents had just agreed to go to court so their insurance could help with the bills.
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I recently took my family to a restaurant for dinner. My 3 and 5 year old went to play ski-ball after we finished eating. While I was watching them, my 3 year old tripped over his own feet and went head-first into the ski-ball table. This required a trip to the emergency room for stitches. My medical insurance wouldn’t touch it without me signing a sworn statement that he tripped himself and did not slip on the floor or an object that belonged to the restaurant. At least where I am, if your injury is the result of the negligence of another party there is no requirement for your own medical insurance to pay.
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