What About Out-of-Network Costs?

January 5, 2015 in Uncategorized | MARTIN WREN, P.C. | LEAVE A COMMENT

When it comes to representing personal injury victims in a court of law, injury lawyers need to have a good working knowledge of how both the medical and legal systems work.

For instance, consider the complexity of care for the average injury victim. In Virginia, where the state has not yet adopted a personal injury payment system, the money to treat an injury victim typically comes from the at-fault driver’s insurance company. That means there can sometimes be a tug-of-war between counsel representing the victim and the insurance companies that may want to limit certain types of payouts.

The Out-of-Network Issue

One way insurance companies typically limit payouts is to create a health care network. This was intended to provide deep discount offers to patients who choose providers participating with insurance companies in specific ways. However, in some cases, it has become a way to screen out costs and cause more of the money for care to leave the patient’s own wallet. This has specific relevance to an injury case.

An injury victim should not have to experience difficulties when dealing with in-network and/or out-of-network treatment or coverage. But sometimes they do. One kind of scenario where this happens is where an in-network provider may use out-of-network professionals to treat patients at a facility. Sometimes the patient does not realize they have incurred extensive out-of-network costs until they get the bill!

Another problem that is often cited by injury lawyers is that insurance companies can put doctors in your network who are less likely to order a complete or more comprehensive range of tests and procedures. This can essentially end up limiting care for the injury victim, who then has to decide whether to choose out-of-network treatment that the network physicians do not offer or will not sign off on.

Accident injury victims need full and comprehensive treatment. Some of them often rely on qualified injury attorneys to get them access to the compensation they will need for full treatment and recovery. That said, Virginia lawyers can review state law to make sure the injury victim is not restricted in the care they receive.

We Counsel and Represent Injury Victims

As they look at the full context of an injury case, personal injury lawyers consider whether any third-party responsibility is involved or whether negligence or inattention to safety precautions contributed to an accident. They will do the fact-finding to figure out what caused an accident and how the injury victim’s costs can best be covered. They will counsel their clients and inform them of their legal options every step of the way, to help them protect their family’s finances.

In the state of Virginia, injury victims can call the qualified injury lawyers at MartinWren, P.C. We are experienced at helping Virginia families deal with an unfortunate accident while they care for an injured family member. Call us for consultation on an injury case to get started accessing your rights under the law.

Contact Our Virginia Lawyers

We serve clients throughout Virginia — from Charlottesville and Central Virginia to metropolitan Richmond; Harrisonburg and the Shenandoah Valley to Roanoke; and the cities of Hampton Roads to the Northern Virginia cities of  Fairfax, Alexandria and Arlington.

To speak with one of our attorneys, please call us at (434) 817-3100.

Our Virginia personal injury lawyers at MartinWren, P.C. have a statewide practice and offer free consultations at a time and location that is convenient for you.  We will gladly meet with you at your home or at the hospital, even on nights and weekends.

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