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  #1  
Old 10-30-2009, 08:22 AM
Lowerbackfusion Lowerbackfusion is offline
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Join Date: Oct 2009
Posts: 1
Question Stipping Out - What is a Guideline

Had lower lumbar fusion-

My lawyer came to me with an initial thought..That was far below what I believe the case to be..(considering all aspects), I do not want to be "greedy" but I also do not want to be taken advantage of.

I was told that without "knowing" the exact amount that was already paid out in Dr.s fees by the insurance company, then the amount is a "guess" ..after other aspects are taking into account.

What is a fair calculation (for both sides to consider)?

ppd is calculated and already being paid. So how do you account for future and what do you base it off of?

any and all assistance would be greatly appreciated.
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Old 10-30-2009, 01:25 PM
BvIA BvIA is offline
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Join Date: Feb 2007
Location: Calif
Posts: 9,616
Default Re: Stipping Out - What is a Guideline

Future medical is based on calculating/averageing the last 2 or 3 years of medical treatment costs for the injury.

Take that number to extrapolate over your rated age life expectancy.

FMC/Future Medical Care is a SWAG/Scientific Wild Ass Guess...at best.

Know too, if there is a surgery in your future, or other extensive medical anticipated, you are not likely to get all of that paid in a lump sum. IC"s are not quick to pay for a surgery and IW may or may not have.
Also, once a figure is calculated, that would be then reduced to ''todays dollars''. You won't be using the FMC money right away...you can deposit in a interest bearing account just like the carrier can, and wait for it to 'grow'.

The IC has the past treatment costs... request a benefits paid statement, That will show each date of service/check no. and amount paid. Including labs, Rx, Dr appts etc. The IC doesn't just toss that out.

Whatever money you do receive, should be deposited in a interest account and used ONLY for treatment to your injury. Another carrier, nor Medicare/Medicade would be steping up to pay the bills. You would be assuming liability out of pocket.
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