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Financial Issues This forum is for discussing any of the financial issues involved in your divorce.

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Old 02-20-2017, 05:27 PM
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Default Medical expenses

Two questions:

1. How far back can medical expenses be claimed?

2. If you don't agree with a medical expense (ie therapy by an unlicensed "medical" practitioner that your benefits won't cover), do you have to agree to pay it?

My partners ex sent a list of medical expenses from the last three years that she wants reimbursement for. Not only did he not know about these expenses but some of them he never agreed to.
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Old 02-20-2017, 05:34 PM
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I would hazard a guess that expenses for the previous 12 months would be acceptable for review. Prior to that I would not consider any of them unless ordered to do so by the court. If your husband's ex files her income taxes in a timely manner then she should be able to provide medical expenses in a timely manner. I believe that there might even be some case law about this on CanLii and worth your while to do a brief search. Submitting a slew of bills, 3 years later, could be construed as creating financial hardship could it not?
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Old 02-20-2017, 05:48 PM
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Thats what I thought. Shes been sitting on these for how long? I wont even get started on the fact that there are NO receipts with this statement of expenses.
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Old 02-20-2017, 08:13 PM
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Quote:
Originally Posted by rockscan View Post
Thats what I thought. Shes been sitting on these for how long? I wont even get started on the fact that there are NO receipts with this statement of expenses.
My ex's g/f used to compile a whole thick wad of so-called business expenses for my ex (to try to reduce his income for SS). I used to laugh when I received them... particularly the ones with her husband's name on them (expenses from his business)....

I would think that you would only have to pay the current ones unless she can offer a valid explanation why they were not submitted beforehand? (I wouldn't open the dialogue by asking her this but if she kicks up a fuss you could then say you need a line-by-line detailed explanation to present to your accountant).
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Old 02-20-2017, 08:48 PM
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Hes convinced she was going to use these against money she owed him and was told by a lawyer she had to pay him. Now shes trying to claw back expenses shes been sitting on. Added to that, she never discussed non necessary medical expenses shes claiming. AND some of these expenses are "elective" because shes worried about their self esteem. Cosmetic expenses neither benefits cover should not be considered in my opinion.
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Old 02-20-2017, 09:41 PM
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How she deals with perception of low self-esteem (herself or children) when kids are with her is her problem one would think. Same as when his daughters are around their father. Different parenting styles...

Ignore and/or tell her to submit a separate claim - one claim does not trump the other.
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Old 02-21-2017, 10:24 PM
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Quote:
Originally Posted by rockscan View Post
Thats what I thought. Shes been sitting on these for how long? I wont even get started on the fact that there are NO receipts with this statement of expenses.
Why would you pay anything without a receipt?

To me the decision tree looks like this:

1) Is there a receipt?
YES: go to step 2
NO: will not pay

2) Was consent received beforehand?
YES: pay
NO: go to step 3

3) If consent had been asked beforehand properly, would it have been given?
YES: go to step 4
NO: will not pay

4) Is there a pattern of not asking for consent?
YES: will not pay
NO: pay

No receipt results in a "will not pay" decision immediately, we don't even get a chance to ask the other questions.
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Old 02-21-2017, 10:26 PM
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I think the ex has presented receipts. However, the question is whether these are payable as no permission for the expense was previously sought or granted.
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Old 02-22-2017, 07:03 AM
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No she didnt provide receipts. She provided a statement of claims from the insurance provider.

My main question was how far back is reasonable. Shes been sitting on these for three years and dumped them on him now. Hes waiting on a response from his insurance on how long he has to submit for his benefits to cover. Their agreement says receipts will be submitted promptly to the insurer.
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Old 02-22-2017, 08:13 AM
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Quote:
Originally Posted by rockscan View Post
No she didnt provide receipts. She provided a statement of claims from the insurance provider.

My main question was how far back is reasonable. Shes been sitting on these for three years and dumped them on him now. Hes waiting on a response from his insurance on how long he has to submit for his benefits to cover. Their agreement says receipts will be submitted promptly to the insurer.
1. Give her the information to the insurance that your partner has.
2. Provide her with the forms from the insurance provider and all other information.
3. Make her submit them.

These should have been submitted to BOTH insurance providers. Also, you can put the children on your insurance (if you have it) too. That way the cost for any of this should be 0$.

It was her mistake that resulted in the expenses. Also, if they don't cross $150 a year then they are not S7 anyways. I can't see how someone with supplemental insurance could have racked up more than $150 in deductibles.

Remember these are potentially S7 expenses and would be split to the proportion of income between both parents.

Good Luck!
Tayken
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