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Who is Responsible for a Child’s Uninsured Medical Expenses?

Typically in Maryland, the custodial parent is responsible for payment of a minor child's uninsured medical expenses (e.g. co-payments or deductibles) from child support paid by the non-custodial parent.

However, if the child's uninsured medical expenses are "extraordinary," such expenses are added to the basic child support obligation under the Maryland Child Support Guidelines and divided between the parents in proportion to their adjusted actual incomes.

"Extraordinary" medical expenses means uninsured expenses over $100 for a single illness or condition, including reasonable and necessary costs for orthodontia, dental treatment, asthma treatment, physical therapy, treatment for any chronic health problem, and professional counseling or psychiatric therapy for diagnosed mental disorders.


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Under Maryland law, child support is determined based on the Income Shares Model. Therefore the monthly support amount for the child is proportionally shared between the two parents based on their incomes, past W-2s, and child support worksheets. One parent will then pay the other parent his or her share of child support. Considerations will also be made for existing debt, property settlement, mortgages, other children or any other financial considerations.
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