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Elderly parents

retrospective medical insurance reimbursements

6 replies

WanderleyWagon · 05/10/2025 17:04

Dear hive mind,

It is emerging, as my parent goes through his early and mid-80s, that there are lots of administrative things that he has never actually understood, though he assured me for years that he was able to manage his own affairs.

One of them is his medical insurance; he lives in a country where private medical insurance is standard, but seems to incurred thousands of pounds worth of expenditure for therapies that could have been reimbursed if he had thought to ask.

(It's also just possible that he did claim them but can't now remember either way).

I'll be calling his insurance company tomorrow to ask what's possible in terms of retrospective claims, but I just wanted to ask you very knowledgeable and battle-hardened bunch: has anybody else had this experience with a parent, and needed to look into retrospective claims for things like health insurance?

Any insights you could share would be greatly appreciated, even if it's just to share a rant about parents who assure you that they have things under control...

I feel guilty that I didn't push harder to coach him when he was widowed many years ago, and that I didn't set up a proper monitoring system to make sure things weren't falling through the cracks. It wasn't technically my responsibility, as he was (and is) ostensibly an adult with capacity, but there were red flags at the time, and I'm finding it hard not to feel now that I have failed him.

OP posts:
PeanutButter55 · 05/10/2025 19:33

With respect OP.. what planet are you on? Any treatment/consultation/therapy needs to be specifically authorised by the health insurance company. If he self funded then obviously this wasn’t done at the time. You won’t have a leg to stand on.

LIZS · 05/10/2025 20:22

Not necessarily true if living abroad. But the process will be specific to that company. Many doctors send their bills direct to the insurer.

WanderleyWagon · 05/10/2025 21:13

PeanutButter55 · 05/10/2025 19:33

With respect OP.. what planet are you on? Any treatment/consultation/therapy needs to be specifically authorised by the health insurance company. If he self funded then obviously this wasn’t done at the time. You won’t have a leg to stand on.

Frank and helpful comment, thank you! I will check what the scheme rules are.

in a way, if we don’t have a leg to stand on I will feel better because it wasn’t just something that could have been fixed by putting in reimbursement requets in a timely manner…

OP posts:
WanderleyWagon · 05/10/2025 21:16

LIZS · 05/10/2025 20:22

Not necessarily true if living abroad. But the process will be specific to that company. Many doctors send their bills direct to the insurer.

thank you!

I suspect that he didn’t know enough to ask providers about insurance at the start; in any case, at least now I have realised there is a problem and can be more vigilant in future…

OP posts:
LIZS · 05/10/2025 21:23

Normally the clinic/dr will request insurance details upfront. Has he paid these invoices himself?

WanderleyWagon · 06/10/2025 14:15

LIZS · 05/10/2025 21:23

Normally the clinic/dr will request insurance details upfront. Has he paid these invoices himself?

Yes, that's right - he seems not to have been asked, or asked himself, the question about whether it would be covered by his insurance.

OP posts:
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