Our Right of Subrogation and/or Reimbursement. Subrogation You may have a legal right to recover some or all of the costs of your health care from someone else called a third party. Third party means any person or company that is, or could be, responsible for the costs of injuries or illness to you or any other dependent. This includes such costs to you or any other dependent covered under this plan. If we pay for costs a third party is responsible for, we reserve the right to recover up to the full amount we paid. Our rights of recovery apply to any payment made to you or due to you from any source. This includes, but is not limited to: • payment made or due by a third party; • payments made or due by any insurance company on behalf of the third party; • any payments or rewards made or due under an uninsured or underinsured motorist coverage policy; • any disability award or settlement payment made or due; • medical coverage payments made or due under any automobile policy; • premises or homeowners’ medical coverage payments made or due; • premises or homeowners’ insurance coverage; and • any other payments made or due from a source intended to compensate you for third party injuries. We have the right to recover those payments made for covered healthcare services. We can do this with or without your consent. Our right has priority, except as otherwise provided by law. We can recover against the total amount of any recovery, regardless of whether all or part of the recovery is for medical expenses or the recovery is less than the amount needed to reimburse you fully for the illness or injury. We may contract with a third party or subrogation agent to administer subrogation recoveries.
Appears in 141 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Our Right of Subrogation and/or Reimbursement. Subrogation You may have a legal right to recover some or all of the costs of your health care from someone else called a third party. Third party means any person or company that is, or could be, responsible for the costs of injuries or illness to you or any other dependent. This includes such costs to you you, or any other dependent covered under this plan. If we pay for costs a third party is responsible for, we reserve the right to recover up to the full amount we paid. Our rights of recovery apply to any payment made to you or due to you from any source. This includes, but is not limited to: • payment made or due by a third party; • payments made or due by any insurance company on behalf of the third party; • any payments or rewards made or due under an uninsured or underinsured motorist coverage policy; • any disability award or settlement payment made or due; • medical coverage payments made or due under any automobile policy; • premises or homeowners’ medical coverage payments made or due; • premises or homeowners’ insurance coverage; and • any other payments made or due from a source intended to compensate you for third party injuries. We have the right to recover those payments made for covered healthcare services. We can do this with or without your consent. Our right has priority, except as otherwise provided by law. We can recover against the total amount of any recovery, regardless of whether all or part of the recovery is for medical expenses expenses, or the recovery is less than the amount needed to reimburse you fully for the illness or injury. We may contract with a third party or subrogation agent to administer subrogation recoveries.
Appears in 7 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Our Right of Subrogation and/or Reimbursement. Subrogation You may have a legal right to recover some or all of the costs of your health care from someone else called a third party. Third party means any person or company that is, or could be, responsible for the costs of injuries or illness to you or any other dependent. This includes such costs to you or any other dependent covered under this plan. If we pay for costs a third party is responsible for, we reserve the right to recover up to the full amount we paid. Our rights of recovery apply to any payment made to you or due to you from any source. This includes, but is not limited to: • payment made or due by a third party; • payments made or due by any insurance company on behalf of the third party; • any payments or rewards made or due under an uninsured or underinsured motorist coverage policy; • any disability award or settlement payment made or due; • medical coverage payments made or due under any automobile policy; • premises or homeowners’ medical coverage payments made or due; • premises or homeowners’ insurance coverage; and • any other payments made or due from a source intended to compensate you for third party injuries. We have the right to recover those payments made for covered healthcare services. We can do this with or without your consent. Our right has priority, except as otherwise provided by law. We can recover against the total amount of any recovery, regardless of whether all or part of the recovery is for medical expenses or the recovery is less than the amount needed to reimburse you fully for the illness or injury. We may contract with a third party or subrogation agent to administer subrogation recoveries.
Appears in 6 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Our Right of Subrogation and/or Reimbursement. Subrogation You may have a legal right to recover some or all of the costs of your health dental care from someone else called a third party. Third party means any person or company that is, or could be, responsible for the costs of injuries or illness to you or any other dependent. This includes such costs to you or any other dependent covered under this plan. If we pay for costs a third party is responsible for, we reserve the right to recover up to the full amount we paid. Our rights of recovery apply to any payment made to you or due to you from any source. This includes, but is not limited to: • payment made or due by a third party; • payments made or due by any insurance company on behalf of the third party; • any payments or rewards made or due under an uninsured or underinsured motorist coverage policy; • any disability award or settlement payment made or due; • medical dental coverage payments made or due under any automobile policy; • premises or homeowners’ medical dental coverage payments made or due; • premises or homeowners’ insurance coverage; and • any other payments made or due from a source intended to compensate you for third party injuries. We have the right to recover those payments made for covered healthcare dental services. We can do this with or without your consent. Our right has priority, except as otherwise provided by law. We can recover against the total amount of any recovery, regardless of whether all or part of the recovery is for medical dental expenses or the recovery is less than the amount needed to reimburse you fully for the illness or injury. We may contract with a third party or subrogation agent to administer subrogation recoveries.
Appears in 5 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement