Callie's picture

Extraordinary medical expenses

Do any of you know the definition of "extraordinary medical expenses"? We pay half of all SD's medical bills, but I was looking over the support order and I don't quite understand it.

"Unless specifically ordered otherwise, the person receiving support is responsible for ordinary health care expenses of the children. However, both parents have an obligation to pay their share of extraordinary health care expenses. Extraordinary health care expenses mean those monthly medical expenses that exceed 5% of the basic support obligation from the Child Support Schedule Worksheet, Line 5."

So our 5% is $31.00. So does that mean we pay half of the amount over $31.00? Or, if it is over $31.00 we pay half? So if the bill is $32 do we pay $16 or $.50? Does that make sense?

Also, what does that include? If BM gives us a receipt for an ankle brace that she bought for SD at a drug store is that considered a medical expense? In my opinion, that would be in the daily care catagory like Tylenol or bandaids.

Can anyone help clarify?

mishsea's picture

How much is your time worth?

In my own opinion, if your looking a few hundred dollars here and there, it is worth your time to calculate it out? What's the ankle bracelet? $20? It would be worth it to me just to pay her the $20 and be done with it. It's not like a BM can electively spent excessive amounts of money on medical expenses, and presumably can't spend large amounts of money on care that wouldn't involve consultation with the child's father.

If you want to know technically how it works, you should probably go back to the lawyer who helped put the paperwork together.

Mocha2001's picture

Callie are you in WAshington

Callie are you in WAshington State? Sounds like it from the way you read the language. Anyway ... extraordinary expenses are legally classified as out of the ordinary. In otherwords, and annual check up, or taking a child to the Dr. when sick is not extraordinary. A broken arm, hospital stay, or surgery is extraordinary.

Hope that helps.

~ Katrina

~ Katrina

Caly71's picture

extraordinary expenses

I am in Washing ton state and I have the same question as Callie. I would like to know what is considered an extraordinary expenses. I have goggled it and there is no clear definition of what this is. Do you count braces, and it was not a joint decision. My husbands ex wife just went ahead and did it and now wants some money back that is not covered. If anyone has the definition of what WA State considers extraordinary expense please let me know.

questions's picture

I have the same question

I have the same question from the same state. Is orthodontia considered "extraoridinary"? I went to the law library to look for the definition and could not find anything concrete. I was directed to ask a lawyer.

kris19's picture

The State of Washington says

The State of Washington says Health care costs shall include, but not be limited to, medical, dental, orthodontia, vision, chiropractic, mental health treatment, prescription medications, and other similar costs for care and treatment. This is not Extraordinary expense.

nene27's picture

Hi there, We are going

Hi there, We are going through the same exact thing. My husbands ex is having braces put on J and I am trying to get her to understand that this is a extraordinary medical expense. She seems to think its an out of pocket expense. She is crazy and makes no sense. So I told her we would pay our 35% of the cost after insurance pays their part. She is like ill just let child support deal with it. She is wanting us to pay whatever the insurance doesnt cover. She is out of her mind. Any advise you can give?

kris19's picture

nene27 You will need to look

nene27

You will need to look at the Support Order. Washington State says Health care costs shall include, but not be limited to, medical, dental, orthodontia, vision, chiropractic, mental health treatment, prescription medications, and other similar costs for care and treatment. Our order states that Both parents need to provide Health Insurance, however my husband is responsible for 100% of extraordinary expenses which would be ER, Hospital stay or surgery. CO-pays are not extraordinary. And if you are providing insurnace and the mother is taking the child to an out of network provider then that should be her problem, not yours. You provide the insurance and if she chooses NOT to use it then shame on her.

Rags's picture

Unfortuneatley there is no

Unfortuneatley there is no right answer to this question. In my experience.

In our case both BioParents are responsible for half of all uncovered medical expenses. This includes co-pays, deductibles, etc....

But, BioDad refuses to pay crap for any uncovered medical expenses so the dollars, interest and penalties keep pileing up.

Eventually he will just file bankruptcy and we won't see a dime.

Good luck and best regards,

Success is rarely final. Failure is rarely fatal. It is character, courage and consistency of effort that count. Vince Lombardi (with some minor Rags modifications) To each according to their performance, screw Karl Marx. (Rags)

A parent is an example, mentor, confidante, advocate and disciplinarian. Not a buddy.-Rags

If you can't listen and learn then you will have to feel.-WLR

If you want to be a piece of my life then use your head or STFU and do what you are told.-Rags

BabyKat's picture

Regarding "Extraordinary"

Regarding "Extraordinary" Medical Expenses:
I live in Michigan and have experience with paying extraordinary expenses. My husband's child support order includes a stipulation regarding medical. It requires his ex to cover "ordinary" medical expenses in the amount of $690 per year before she can ask him for help. FOC used some formula to calculate this out, and it is for two children. The support order also stipulates that my husband is to pay 75% of "extraordinary" medical expenses.
Extraordinary simply means anything beyond the $690 his ex has to cover each year. It has nothing to do with the type of care the child gets (like emergency room vs. well-child check). FOC is simply saying, "Mom, you get child support and you are responsible for your kids medical bills. However, should you have an "extraordinary" year where the kids are sick a lot or one needs an operation or something, we'll make Dad help you out." So, she has to pay all the medical bills until she reaches that magic $690 she's responsible for. Then, every time she pays a copay or fills a prescription or anything, she sends us a bill for 75%. That is how we are required to pay for "extraordinary" medical. Let me know if I can help with anything. Been doing this a while now.

Life is fleeting; be spectacular!

maryjoh's picture

I have the same question but

I have the same question but it is about medical in the state of ohio.my son needed braces but i was told that his father (we were never married)does not have to pay for cosmetic expenses which i was told is cosmetic.can anyone tell me anything about ohio and the obligations of a father when it comes to braces.concerned

Usama Ghafoor's picture

Health care costs will

Health care costs will include, but not be limited to, medical, dental, orthodontia, perspective, psychological health treatment, prescribed medications are there..

tog's picture

Ours is clear that BM pays up

Ours is clear that BM pays up to $250 for each occurrence and he pays 40% of anything beyond that, which would include orthodontia (thank God SS doesn't need braces). She has good insurance, so I don't see him ever having to pay for anything. She's too cheap to put on braces he doesn't need that she'd have to pay 60% of the cost to cover.

I would say you pay half of anything over the first $31.00 per month. BUT, it might be worth clarifying with a lawyer if BM is the type to do frivolous medical stuff just for sport.

And if she has custody she doesn't have to get his agreement on anything, she can do as she pleases.