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    Serious Injury Accidents and Insurance Company Coverage Concerns
    Copyright © 2006, Landon Prescott

    A serious injury accident can leave you not only physically
    injured, but can also leave you financially injured. Most of us
    think that we have insurance to cover such events, and while this
    is partly true, the insurance companies are primarily concerned
    with paying as little as possible while transferring the burden
    of the costs to you.
    
    Many people do not fully understand the in's and out's of how
    insurance companies really work. Insurance companies are
    generally looking to improve their bottom line and thus their
    stockholders shares. Let us take a look at how insurance
    companies work with hospitals to save money and transfer costs to
    you, the insured.
    
    If you are in a serious injury accident and break your leg, the
    insurance company will pay the hospital a percentage of the cost
    to treat your broken leg. Hypothetically, if you break your leg
    and decide to pay the hospital in full out of your own pocket,
    the cost would be $5,000. Now most of us assume that our
    insurance company pays the hospital the full $5,000, but that is
    not the case. The insurance company will only pay a portion. For
    example they may pay $4,000 for the procedure. This happens
    because insurance companies create complex contracts with the
    hospitals at a discounted rate. If the hospital does not agree
    to offer a substantial discount, the insurance company will not
    allow the hospital to be in their "covered network" of providers.
    This means that the hospital will generally not be able to treat
    any of the people covered by the insurance company. This could
    potentially be thousands of patients for that hospital.
    
    Due to the insurance companies having the upper hand in contract
    negotiations with the hospitals, the hospital always negotiates
    and agrees to some form of a discount. Either way, the insurance
    company will always pay less than full cost for the procedure.
    
    Depending on your insurance policy and coverage exemptions, you
    will most likely be required to pay for a portion of your medical
    care. This can include the deductible and any other special
    circumstances. Your policy may indicate that you are responsible
    for the first $1,000 of an inpatient stay (plus your deductible)
    and that the insurance company will pay the remainder. These
    amounts vary dependent upon your specific policy.
    
    If your insurance company can, they will shift as much of the
    costs to you as possible in a serious injury accident. This can
    result in you suffering huge financial difficulties. This is even
    truer if your insurance company agrees to only pay a percentage
    of the cost of your treatment. For example, they may agree to pay
    85% of cost. Now if you have a serious injury accident and the
    bill comes to $225,000 (which is not unheard of) then you would
    be responsible for $33,750 of the total bill.
    
    If another person is at fault in your serious injury accident
    then you face battling that person's insurance company. These
    companies will look for quick cheap settlements (or no
    settlement) and will try to take advantage of your lack of
    knowledge of what you are actually entitled to receive. Another
    example would be if both you and the person who is at fault have
    the same insurance company. This creates a whole new, and not
    uncommon, circumstance where your insurance company will try to
    save money on both sides of the issue.
    
    If you suffer from a serious personal injury, you need a
    competent and experienced lawyer to watch out for your best
    interests. Regardless of whether or not someone else is at
    fault for your injury you need a lawyer to help you through the
    process. Everyday thousands of Americans are getting a raw deal
    from their insurance company and most never even realize it; they
    just simply accept it as the way things work. A lawyer will help
    sift through the complex insurance coverage policies and will
    help you to find the parts of the policy that provide you with
    the most comprehensive coverage.
    
    When faced with a serious personal injury the last thing you
    should have to worry about is how you are going to pay your
    medical bills. Unfortunately, it is a reality that you need to
    take steps to make sure that you will not be stuck with an
    outrageous bill that your insurance company should cover. A
    lawyer is the only one who is truly on your side when you are
    faced with a serious personal injury, because he or she is
    working for you and no one else.
     
    



    Writer's Resource Box:
    Landon Prescott writes on topics related to insurance and health.
    For over 30 years Michael H. Silvers, A Law Corporation has 
    handled over 10,000 accident cases, with a success rate of 98.6%.
    Michael H. Silvers, A Law Corporation is a premier Personal 
    Injury Law Firm in the State of California, with the highest 
    rating possible, that specializes only in handling car accidents,
    motorcycle accidents, wrongful death cases, and other personal 
    injury motor vehicle accidents. http://www.michaelhsilvers.com/




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