assert a lien
Spanish translation: imponer gravámenes sobre los costos pagados (hacer valer o imponer derecho de retención)
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| 05:25 Jun 2, 2019 |
| English to Spanish translations [PRO] Law/Patents - Law (general) / Health Insurance | |||||||
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|  Selected response from: Stuart and Aida Nelson United Kingdom Local time: 09:58 | ||||||
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| 4 +2 | imponer gravámenes sobre los costos pagados (hacer valer o imponer derecho de retención) |
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| What is a Settlement Lien? - How do you assert a lien in a personal injury action? |
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Answers
1 hr confidence: 
peer agreement (net): +2
peer agreement (net): +2imponer gravámenes sobre los costos pagados (hacer valer o imponer derecho de retención) Explanation: Si un miembro recibe/tiene 'Medicaid' (cobertura de seguro de enfermedad) a través de esta compañía, y esta compañía no ha impuesto gravámenes sobre los costos pagados (hacer valer o imponer derecho de retención) , ¿significa eso que Medicaid (en este caso el estado, ver referencia abajo) tampoco impondrá gravámenes sobre los costos pagados (hará valer o imponer derecho de retención)? Los gravámenes en casos de lesiones personales casi siempre son reclamados por una compañía de seguros de salud privada que inicialmente pagó algunas o todas sus facturas médicas derivadas de una lesión, en casos en los que más tarde se le dio una compensación (a través de un fallo judicial o acuerdo) después de presentar una demanda por lesiones personales por esas mismas lesiones. En algunos estados, el proveedor de seguro de salud tiene derecho a un reembolso del 100% por lo que ya ha pagado. En otros estados, el proveedor de servicios reducirá su recuperación en el porcentaje del acuerdo que ya ha sido pagado a su abogado (generalmente un tercio), más una parte proporcional de los costos y gastos legales. Medicaid y Medicare. Bajo Medicaid, el solicitante de Medicaid está obligado a ceder sus derechos a los pagos de atención médica de un tercero al estado. Incluso si un individuo en Medicaid no persigue un reclamo, el estado tiene el poder de hacerlo. En un caso de lesiones personales en el que Medicaid ha pagado las cuentas médicas, el estado está obligado por ley a ser pagado de las ganancias del caso, e impondrá un gravamen sobre cualquier acuerdo. Sin embargo, debe quedar claro que los gravámenes de Medicaid sólo se aplican a los pagos de Medicaid relacionados con la lesión. Traducción de: https://www.alllaw.com/articles/nolo/personal-injury/liens-a... ¿Qué es Medicaid? Medicaid es un programa federal de seguro de salud. El programa paga las facturas médicas de personas y familias con bajos ingresos y pocos recursos ¿Medicaid es distinto que Medicare? Sí. Tanto Medicaid como Medicare son programas federales de seguro de salud que pueden ayudar a pagar atención en un asilo de enfermería. Pero no brindan la misma cobertura. Si tengo propiedades o dinero, ¿Medicaid pagará la atención en un asilo de enfermería? Posiblemente. Cuando presente su solicitud, Medicaid se fijará en sus bienes (dinero y propiedad). Si sus bienes son demasiado altos, quizás no sea elegible. ¿El estado puede imponer un derecho de retención sobre mi casa o forzarme a venderla? https://ctlawhelp.org/es/medicaid-pague-atencion-asilo-enfer... Esto significa que usted puede tener bienes sobre el límite normal de elegibilidad y aún calificar para Medicaid. Además, los bienes que fueron omitidos no estarán sujetos a gravámenes de Medicaid y cantidades que se pueden recuperar después de que usted fallezca. Conozca más sobre el Programa de Recuperación de Medicaid en Texas (Texas Medicaid Estate Recovery Program, por su nombre en inglés). https://www.tdi.texas.gov/pubs/consumer/cb032s.html |
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35 mins peer agreement (net): +2 |
| Reference: What is a Settlement Lien? - How do you assert a lien in a personal injury action? Reference information: Personal injury settlement liens are growing in popularity. Lawsuits can last several years, and multiple individuals and entities can try to get their "piece of the pie" by establishing claims on the eventual settlement award in a personal injury case. What is a Settlement Lien? In general, a lien is a court order placed on one party's personal property to satisfy debt owed to a third person or entity. In the context of a settlement, the personal property is the settlement award, or at least the portion that the lien holder is asserting a right to. The third party seeking to place a lien on a settlement must file a lawsuit through the court system. In the personal injury context, liens can be filed by any entity that paid any of the injured party's bills. Who May Have a Lien on Personal Injury Settlements? Healthcare Providers. Some of the most common personal injury settlement lien holders are healthcare providers. In many cases, the injured party does not have health insurance or the party's health insurance does not cover all medical bills. Healthcare providers will seek to recover all medicals bills with a settlement lien. However, when the injured party has a HMO or no insurance at all, he or she may be able to repay only a partial lien. Partial repayment involves negotiations with the healthcare provider, usually facilitated by the plaintiff's attorney. Liens can also be created by prior agreement. The injured party with no or minimal health insurance may sign an agreement -- called a consensual lien or a Letter of Protection in some states -- with the healthcare provider at the time of receiving care or treatment. This agreement is often signed by the plaintiff and the plaintiff's attorney and it is an agreement to pay back the healthcare provider with funds received from the settlement in the case or from the final judgment in court. These agreements are often vaguely worded and ambiguous and it is advisable for the plaintiff's attorney to draft the agreement. Health Insurance Carriers. Personal injury settlement liens may be embedded into the health insurance plans of certain employers. These plans create rights to assert a medical lien on the injured party's settlement. Valid liens include government employee insurance plans, ERISA plans, and workman's compensation. Medicaid and Medicare. Under Medicaid, the Medicaid applicant is required to assign his or her rights to payments for medical care from a third party to the state. Even if an individual on Medicaid does not pursue a claim, the state has the power to do so. In a personal injury case in which Medicaid has paid for medical bills, the state is statutorily required to be paid from the proceeds of the case, and will impose a lien on any settlement. However, it must be made clear that Medicaid liens only apply to Medicaid payments related to the injury. The federal government has a statutory lien for Medicare payments. Under the Medicare Secondary Payor Act (MSP), Medicare should not pay medical bills when payments are made or expected to be made under workman's compensation or under insurance plans or policies. Where there is a conditional payment, the United States can bring an action against the primary plan responsible for payment of expenses. https://www.alllaw.com/articles/nolo/personal-injury/liens-a... How do you assert a lien in a personal injury action? Liens in personal injury cases are almost always asserted by a private health insurance company that initially paid some or all of your medical bills stemming from an injury, in cases when you were later given compensation (via a court award or settlement) after bringing a personal injury lawsuit over those same injuries. In some states, the health insurance provider is entitled to a 100% reimbursement for what it has already paid. In other states, the carrier will reduce its recovery by the percentage of the settlement that has already been paid to your lawyer (usually one-third), plus a pro rata share of the legal costs and expenses. https://www.personalinjurylawyer.com/legal-advice/personal-i... |
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