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Does child support include plastic surgery procedures?

My divorce decree states I am to pay half of all my daughter’s medical expenses. My ex decided, that as a graduation gift, she would take my daughter to get a “nose job”, which is certainly not medically necessary. She is now saying I owe her half the cost of the procedure. My question is, since this procedure was not medically necessary and I was notified of it way after the fact, do I still need to pay half? Does child support include plastic surgery procedures?

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Child support orders in Pennsylvania generally require that unreimbursed medical expenses be shared in proportion to the parents’ incomes after the parent who receives support pays the first $250 of unreimbursed medical expenses per child, per calendar year. However, not all unreimbursed medical expenses are subject to this rule. Pennsylvania Rule of Civil Procedure 1910.16-6(c)(1) states that “Medical expenses include insurance co-payments and deductibles and all expenses incurred for reasonably necessary medical services and supplies, including but not limited to surgical, dental and optical services, and orthodontia. Medical expenses do not include cosmetic, chiropractic, psychiatric, psychological or other services unless specifically directed in the order of court.”

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