Health insurer recovers costs?
Questioner
Here is a question. My friend was convicted of attempted manslaughter. In the substantive legal case, this also resulted in compensation for damages, in which the deductible, etc., etc. had already been submitted. Compensation of 12,000 euros. This was paid promptly. The gentleman is now in custody for this incident. Now there is another letter from the health insurer for 10,000 euros. Whether this can be paid within 2 weeks. Is this possible? Are they allowed to claim this back in this way? It is a letter with a few sentences and the amount. I have asked whether they can give me the content of what needs to be paid for. This is because the other party will do everything to ensure that he will have to pay and I would like to know exactly what needs to be paid for. This is not possible due to the privacy law. Otherwise, I would rather have it brought before the court. Is this possible? I am not going to pay if I do not know what for. We thought that it was settled with the 12,000 euros, but that was not the case. What can I do?Lawyer
Good evening, In principle, a victim can claim compensation in a criminal case. Think of material damage (including medical costs, damaged property, etc.), but also non-pecuniary damages. Medical care for the victim consists of more than the deductible. The costs that are reimbursed from the basic insurance (and possibly additional health insurance) of the victim can be recovered from your friend by the insurer (the so-called right of recourse). These are therefore the remaining medical costs that were not discussed in the criminal proceedings. If your friend does not agree with the amount, it is advisable to request all information from the insurer regarding this claim. As the claimant, the insurer has a civil law obligation to substantiate the claim properly. The action by your friend was unlawful, which gives the insurer the possibility of recourse. In some cases, it is also possible that your friend is not liable for the full amount. This depends on what is stated in the (criminal) verdict. If you do not agree with the claim on your friend, you can (with the permission/authorization) of your friend object to this, possibly before the court. Please feel free to contact us without obligation to discuss the case further. Gr, Mr. Mr. S. Leito FerLei Legal 06-49175526Neem de volgende stap
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