What is Med Pay Insurance?

Believe it or not, most of the cost associated with our insurance rates (how car insurance rates are determined) is based on the cost to settle a claim versus the amount of money actually paid for injury liability or physical damage.  Think attorney fees and court costs.

“Med pay insurance,” or “medical payments to others,” is an optional coverage addition to your auto insurance policy that eases the necessity of court involvement after an accident.

Basically, Med Pay will cover the medical costs associated with bodily injury resulting from an accident, without having to prove any fault.  However, you must be both injured and have expenses associated with treatment resulting from the accident.  We are talking basic injury here.  Limits do not typically exceed $5,000.  Also, this coverage cannot be triggered in the future after an accident has occurred, e.g. no stiff neck two weeks down the road.

According to most policy language, any insured in your vehicle is eligible for Med Pay rewards.  “Insured” often refers to the named insured, or the name on the policy, the named insured’s spouse and family members, anyone living in the insured’s household, or anyone you allow to drive your vehicle.   However, there are also some exclusions to this type of policy.

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Med Pay is purchased on a “by vehicle” basis.  This means if you have one policy covering two cars, you must purchase Med Pay for both if you wish to be covered while in either vehicle.  This is similar to physical damage coverage, where you may have two cars on a policy, but only wish to have one repaired in the event of an accident.

Med pay and personal injury protection (PIP) are no-fault coverage, conceived in an attempt to reduce the overall cost of car insurance and unclog the American court system.  Whether it’s working or not is an ongoing debate.

No fault coverage refers to instances where an individual, other than the driver of the vehicle, is injured in a minor accident where fault may be difficult or impossible to determine.  This coverage will pay a specified amount of money to the injured party.  The typical coverage limits for med pay and PIP span from $1,000 to $10,000.

Let’s look at an example:

You’re driving a friend to work, when you careen off the road and hit a tree at low speed while avoiding a car that wandered into your lane.  Your friend breaks her arm during the impact.  She may choose not to file a claim against your insurance company, but still needs to go to the hospital and get treatment, resulting in a $2,500 hospital bill.

If you have med pay coverage, your insurance policy will cover the hospital costs without the need for your friend to file a claim to determine who was at fault or charged the deductible.  The $2,500 hospital visit would be much cheaper than investigating the accident and paying court costs and attorney fees.

Med pay coverage limits are “stackable” in some states.  This means if you have a $5,000 med pay limit on your policy and have an accident in which three people are injured, your insurance company would be responsible for up to $15,000 in injury expense.

Some argue that if you have health insurance there is no need to have med pay insurance, as health insurance may cover your injury expense in the example above.

As always, I recommend purchasing as much insurance coverage as you can afford. Get an online quote and speak to your insurance company or independent agent if you have questions about med pay coverage or cost.  This will ensure you are full covered at a fair price.

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  1. Dennis Pelletier December 25, 2016 at 6:41 am -

    I just got into a head on collision. It was considered my fault. My health insurance will pay nothing till my med pay is all used up to pay the bills they would normally pay. My med pay helps me 0. But my health insurance sure likes it!
    Dennis from Maine

  2. Derrick mccoy August 23, 2017 at 10:10 pm -

    Someone hit me at an red light my bills was over 7,000 and my passage was over 10,000 we’ve been paid from her insurance company months ago but yesterday my lawyer said I had an check from medpay how much am I looking at in payments

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