Does child support include plastic surgery procedures?

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.”