Yes - sometimes, but what Queen's or your doctor told you about "sending bills to insurance" is separate from what an insurer, Medicare, Med-QUEST, or a hospital may later claim from your settlement.

The complications are usually these:

• Queen's bill vs. lien vs. insurance reimbursement are different things. A bill from The Queen's Medical Center is not automatically a legal lien. Hawaii providers generally must follow billing and collection rules; they do not just get first grab at your injury check because you were treated.
• Medicare has strong repayment rights. If Medicare paid for crash treatment, it can seek reimbursement from the liability settlement, and that usually gets resolved before you receive your net funds.
• Med-QUEST may seek recovery too. Hawaii's Medicaid program can pursue repayment for accident-related care it covered, but only from the part of the settlement tied to medical expenses.
• Your private health insurer may have subrogation or reimbursement rights. That depends on the policy language. A self-funded ERISA plan often has stronger reimbursement rights than a standard fully insured Hawaii health plan.
• PIP comes first in Hawaii car crashes. Hawaii is a no-fault state. Your own Personal Injury Protection coverage usually pays initial medical bills after a Pearl City crash, regardless of fault. With Hawaii's mandatory 20/40/10 auto limits, serious injuries can exhaust coverage fast, which is when lien fights start.
• A hospital may still pursue unpaid balances if bills were never paid by PIP, health insurance, or a settlement allocation.
• Government entity claims are different. If your crash involved a pothole or deteriorated road surface on Kamehameha Highway or another state or county road, the liability side may involve the State of Hawaii or City and County of Honolulu, but that does not erase Medicare, Med-QUEST, or insurer repayment claims.

If the settlement statement already includes deductions you do not recognize, ask for the exact breakdown between medical bills, liens, subrogation claims, case costs, and attorney fees.