Unreimbursed medical expenses may be allocated between the parties in a support matter in proportion to their income under Pa. R.C.P. 1910.16-6. The court may include the expenses within the support order or direct that it is paid directly to the party receiving support or their healthcare provider. The first $250 per year is the responsibility of the party incurring the expense. The parties will only need to share expenses that exceed $250 per year. Medical expenses eligible for reimbursement include co-pays and other expenses for reasonable, necessary supplies or services. Surgical, optical, dental and orthodontic expenses are included but are not an exhaustive list.

Expenses that are generally not eligible for reimbursement include cosmetic, chiropractic, psychiatric and psychological expenses. They may be included by mutual agreement or specific order of the court. Unreimbursed expenses should be calculated on an annual basis. Proof of the unreimbursed expenses must be supplied to the other party by March 31st of the following year. A limit may be placed on the amount to be reimbursed if it would otherwise be excessive. Domestic Relations can assist in the collection of unreimbursed expenses if the other party still refuses to pay their share after receiving timely documentation of the expenses. Untimely submission of unreimbursed expenses is left to the discretion of the court as far as if they will still be allocated between the parties.

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