Sally Morin continues discussing the five most important things you must do when negotiating a settlement in your personal injury case.

Now that you’ve established rapport with the adjuster and set the boundaries for who controls the information in your case, you need to make sure that you are getting good quality medical care that is reasonable and necessary.

You want to be sure to seek care from well-reputed healthcare providers who provide quality services. Insurance companies will not pay for care that they find to be “shady” or of no value in helping you recover from your injuries. You must restrict the treatment for which you seek to be compensated to that which is “reasonably necessary.”

This means treatment that is reasonable in cost and medically necessary because of the accident. So, you certainly can be compensated for the $90 massage you received because your orthopedic surgeon recommended it to break up scar tissue caused by the accident, but you will not be compensated for a $250 massage you got at a fancy spa because you felt like relaxing.

You also want the treatment to be very soon after the accident. If you seek treatment a few days after the accident, it can be assumed that this is a reasonable delay in seeking treatment. However, if you wait till a few months after the accident, you will likely not be compensated for that treatment due to the “unreasonable” delay.

Finally, you want to make sure treatment is not excessive. For example, if you receive 50 chiropractic adjustments for a minor injury, you will have trouble getting paid for that, but if you receive a dozen acupuncture treatments for pain documented at the emergency room, you should have no trouble getting that covered.

So, to recap – “Reasonable and Necessary” medical care is well-reputed, quality, reasonably necessary, close in time, and not excessive. The bottom line is that if the information you are presenting is reasonable, the adjuster will be more apt to give you a fair settlement.

If you have any questions about a particular personal injury case, please submit your case for review by the experienced personal injury team at Sally Morin Personal Injury Lawyers. We are top-ranked personal injury attorneys with offices in San Francisco, Los Angeles, Oakland, and San Jose.

This video and accompanying text is not intended to be a source of legal advice for any purpose. Prior results do not guarantee a similar outcome. The information in this video and text does not constitute a guarantee, warranty or prediction regarding the outcome of your case.

Accident Client

If you’re someone who is considering an attorney for a personal accident, I highly recommend Sally Morin and her professional staff of attorneys. If you would like to know more details, feel free to contact me via Yelp and I would be happy to share more details. While I use Yelp quite often, I rarely post reviews… unless I’m truly blown away by great service (or angry with horrible service). If there were a sixth star, I would certainly give it to Rebecca and Sally!

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It is essential to know your rights after a traffic accident so you can protect yourself and the value of your claim.
This guide will help you:

  • 1Know what to do when dealing with insurance claims, police reports and lawyers.
  • 2Avoid making mistakes that undermine the value of your claim
  • 3Put yourself in a position to get the best settlement possible