Who pays medical bills in a car accident

does health insurance cover car accident injuries

Car injury doctors’ short answer is YOU, yet then the careless driver’s insurance agency will repay you.

Does health insurance cover car accident injuries?

On the off chance that you are harmed in an auto crash that isn’t your flaw, the other driver (typically through his insurance agency) is answerable for your doctor’s visit expenses. Anyway, the other driver’s protection won’t pay your primary care physicians legitimately or repay you after each specialist visit. Rather, you should hold up until after you have completed every single clinical treatment and have been released by your PCPs before requesting a settlement check from insurance company with the insurance agency. Contingent upon your wounds, it could take a while, or even years, before you reach ‘most extreme clinical improvement’ and get released by your PCPs. Meanwhile, most specialists need to escape or they will send you to accumulations.

Planning clinical installments

That is the place other protection steps in. On the off chance that you have health care coverage or Medicare, you can present your settlement check from the insurance company. Surprisingly better is if you have “Clinical Payment” inclusion (“Med Pay” for short) under your vehicle protection strategy. Medications Pay will pay your primary care physicians and even repay you for health care coverage co-pays and deductibles on the off chance that you decide to utilize your health care coverage as well.

On the off chance that you don’t have protection or any way to pay for clinical consideration after a car collision injury, Gama Law Firm can place you in contact with clinical experts who will treat you currently however concede their bills until you settle with the careless driver’s insurance agency. Gama Law Firm can likewise help keep those bills you’ve just gotten out of assortments.

Remember that when you do settle with the other driver’s insurance agency, you may need to utilize a segment of that repayment cash to repay your medical coverage, Medicare, or others who have rewarded you depending on the prerequisite that they would get repaid out of your repayment.

Contingent upon the repayment rate and option to be repaid, the measure of a settlement you put in your pocket can be altogether influenced by which charges you pay first, which charges you submit to medical coverage or Med Pay, and which bills can be conceded until settlement. This includes the methodology that you have to examine at an early stage with your lawyer. What happens if I don t pay my car insurance?

does health insurance cover car accident injuries

Example of how medical bills get taken care of in a typical personal injury case:

1. John gets injured in an accident caused by someone else.

2. John’s medical care includes an ambulance trip, a hospital visit, several doctor visits, two months of physical therapy, and a spine injection by a pain management doctor to help manage the pain.

3. John submits all of his bills to his health insurance company. The spine injection is the only service that is not covered by his health insurance, but John’s attorney gets the pain management doctor to agree to keep his bill out of collections until they can settle his case with the other driver.

4. After six months of care, John is discharged by his doctors.

5. John’s attorney prepares a settlement package and after some negotiations between John’s attorney and the other driver’s insurance company, John finally agrees to a settlement. The settlement includes fair compensation for all medical bills (including health insurance co-pays and deductibles), John’s lost wages, pain, suffering, and inconvenience.

6. John’s attorney notifies his health insurance company about the settlement, who requests reimbursement for their payouts. After some negotiation, his insurance agrees to reduce their reimbursement request by 20%.

7. John’s attorney also negotiates with the pain management doctor who agrees to discount his bill by 30%.

8. John keeps the rest (minus attorney fees and any case costs).


To understand the medical bill payment process in the state of California, we have to look at the state’s car insurance laws and requirements. Under the law, California is a fault auto accident state. When you get into an accident with another driver, the at-fault driver is responsible for paying the damages the accident causes.

As a victim of the accident, you can pursue one of three paths to receive compensation for your medical expenses and other losses.

– You can file a claim with your own insurance company if you have coverage available.

– You can file a claim with the at-fault driver’s insurance company via his or her liability coverage.

– You may be able to file a personal injury lawsuit against the at-fault driver.

Under California law, drivers must carry a minimum of $15,000 in liability coverage to compensate victims of accidents they cause. If you suffer injuries in a car accident, you can claim this coverage – but you may face restrictions up to policy limits. If your injuries exceed the coverage, you cannot claim additional funds. In addition, you cannot receive additional funds to pay for medical expenses after you receive a lawsuit settlement.

How to get paid after a car accident. Car accident clinic. Does medical insurance cover car accidents?


Work Comp
Having trouble getting your medical bills paid after a car wreck? One of the first things your attorney’s staff will check is if your injury is work-related. If you were injured while on the job you not only potentially have a case against a third party but you also have what is called a worker’s compensation claim. When you are hurt on the job the work comp insurance is actually the primary payor. It will be the first insurance to kick in and handle medical bills related to your injury. So the workman’s comp insurance needs to be notified and you need to be issued a claim number. Then all of your bills can be sent directly to them. These types of cases are fairly rare but nonetheless are a possibility that needs to be considered.

Typically, with most car accident cases, there is no work comp carrier but there is PIP or personal injury protection. PIP insurance is coverage on your auto insurance policy. This coverage is required by law to be on every auto on the road. This insurance is the first coverage that is responsible for medical bills that are the result of an injury sustained in a car accident. For instance, when someone is injured in a car accident the ambulance might take them to the emergency room for treatment. There may be small, out of pocket expenses like pain meds that were prescribed by the emergency room doctors. These charges would be paid by the PIP coverage of the owner of the vehicle that the injured person was in. Even if that vehicle was not driven by the at-fault driver. These initial bill payments will be reimbursed later by the at-fault insurance company. This enables everyone to seek needed medical attention without waiting to figure out who is at fault and who will be responsible for the bills.

Medicaid. Car accident injury settlement.
What happens if i don’t pay my car insurance? After the PIP insurance has been exhausted then another means will need to cover the medical expenses. The victim’s health insurance will be next in line to pay the bills. Medicaid and Medicare are both government entities that provide health insurance benefits. They are health insurance programs for low-income individuals or people with various disabilities that meet certain criteria in order to qualify for those medical benefits. Medicaid is generally for people who need low-cost medical care and are unable to afford it and Medicare is for people over the age of 65, senior citizens.

Health Insurance. Car accident doctors
There is also private health insurance. They deal largely in the same way as Medicare and Medicaid except for some of the laws that don’t apply. They still need to be put on notice that some of the bills coming in will be related to an auto accident. This is because when they pay the bills that are related to an auto accident caused by someone else, then later when they discover that the injuries were in fact due to a third party case, they may attempt to subrogate against your personal injury settlement. What that means is they will pay those bills but they are going to want that money back. So in the end, when you are in a car accident, health insurance really just serves as a short term stop gap that helps you get from point A, the accident, to point B, getting the money from the third party auto insurance carrier.

Attorney Liens
The next thing that comes into play is what’s called attorney liens. Once you have gone through answering the questions, Is there work comp? Is there PIP? Is there Medicare or Medicaid? What about private health insurance? , then you look into attorney liens. Attorney liens are what you do when you have nothing else that will pay. When you are represented by an attorney oftentimes medical providers feel ok and comfortable if the attorney will sign a document granting them priority access to your injury settlement if and when the case resolves. The ultimate responsibility to pay those medical bills still remains the obligation of the victim. However, the attorney lien allows the doctor to treat you but then not demand a partial payment at the visit and then the balance in thirty days which is typical in the medical field. , they charge you the amount and create your bill but they just record it and put it in your file. Then they wait. They don’t bill you. They don’t send you to collections. They don’t create problems for you and they continue to provide you with medical care on a regular basis. They continue to provide the care that you need because they feel confident that their bill will get paid in full because your attorney has provided a lien on their behalf. They will be paid at the same time that you receive your portion of the settlement.

Out of Pocket
The last option to get those medical bills paid while you are waiting for your settlement is your own out-of-pocket expense. Sometimes situations may arise where you have exhausted every single one of the above avenues. PIP, work comp, Medicaid or Medicare, private health insurance, and attorney liens and there might be one bill, or one provider, where none of those things are going to work. But you need to see them. This type of situation would be the only time that an attorney would ask the victim to pay out-of-pocket expenses as they go. Obviously, no one wants to be sent to collections while you wait for a year for your case to settle. However, we try to track every dime spent by that victim and at the end of the case, the victim is going to be reimbursed for all of those expenses. It will all come back to you if the case goes well. Good luck getting your medical bills paid after your car wreck.

Those are the six ways or tricks to get your bills paid while awaiting your personal injury settlement.

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