An insurer’s right to recover what it paid from a third party at fault.
Subrogation lets your insurer step into your shoes to recover costs from whoever caused a loss. After it pays your medical bills from an accident, it may claim reimbursement out of any settlement you win from the at-fault party.
“The plan retains a right of subrogation and reimbursement from any recovery.”
Upload your bill or EOB and Main AI checks it line by line, flagging where a charge or term like this may not be right.
Analyze my document free →If you settle an injury claim, your health plan may assert a lien for what it paid — reducing your net recovery. The terms vary, and the amount is sometimes negotiable. It is a reason to account for the plan’s claim before agreeing to any settlement figure.
See this in your own document: run a free analysis — findings quote the exact language.
“You agree to reimburse the Plan first from any recovery, before your own expenses.”
A “first dollar” reimbursement clause can leave you with less than expected — the plan’s share may come off the top of your settlement.