THIRD PARTY LIABILITY

Third-party liability refers to expenses for injury or illness caused by another person (called a third party) for which that other person is liable or legally responsible to pay.

If you select an HMO Plan, services are provided if you or your spouse are injured through the actions of someone else (third party), such as in an automobile accident.  If you collect any amount from the other person or his or her insurance company, the HMO is entitled to obtain reimbursement from you for the value of all hospital and medical services provided by them for the care of your injury.  The amount collected from you will never be more than the amount you collect from the other person or the insurance company.  If you have any questions, contact your HMO for details.