Ordinary Medical Expense

Some court orders contain a provision entitled Ordinary Medical Expense  (OME). The OME will be listed in your order, it may be $357 per child per year. The court orders have a specific monthly amount to be paid for OME

Ordinary medical expenses include co-payments and deductibles, and most uninsured medical-related costs for children, but do not normally include remedial care costs such as:

  • Cough syrup
  • First-aid supplies
  • Vitamins
  • Other routine over-the-counter items

How OME Affects Medical Expense Reimbursement

The OME affects the medical expense reimbursement because the OME must be exceeded before any reimbursement amount is calculated. If the OME is not exceeded, no reimbursement of medical may be reimbursed. 

If proof of the OME is not provided to the Friend of the Court (FOC), the OME will be deducted from the submitted health care expenses to determine what expenses are to be reimbursed.

Calculating Payments

Expense TypeAmount
2013 Medical Expenses$1,000.00
Minus 2013 OME$357.00
Extraordinary Medical Expenses$643.00
Responding Party’s Percentage (50%)0.50
Amount the Responding Party Must Pay$321.50


Medical Treatment Over One Year

If medical treatment lasts more than one year, then the OME must be deducted for every year that treatment is being done. Orthodontics for example, may last 22 months. If the treatment starts April 1, 2013 and the orthodontic contract is for 22 months (until February of 2015) the OME must be deducted for 2013 and 2014. For example:

Expense TypeAmount
2013 Medical Expenses$5,000.00
Minus 2013 OME$357.00
Minus 2014 OME$357.00
Extraordinary Medical Expenses$4,286.00
Responding party’s percentage (50%)0.50
Amount the Responding Party Must Pay$2,143.00


Annual Ordinary Health Care Expenses

The Eaton County Friend of the Court has an Annual Log for Uninsured Health Care Expenses (PDF) you should use to keep track of these expenses you must incur before submitting claims for reimbursement from the other party. The annual Ordinary Health Care expense that you must incur before submitting claims for reimbursement from the other party commences January 1 if each year and runs to December 31 of that year.

In the event that your prior order does not specify an Ordinary Health Care amount, the prior responsibility percentages shall be utilized.