Medical Payments Coverage in Florida

Medical Payment, an elective form of auto insurance, provides coverage for medical costs associated with accidents. In Florida, integrating MedPay into your auto insurance policy can be advantageous, yet it’s crucial to grasp its coverage scope, determine appropriate coverage levels, and weigh its advantages and disadvantages. MedPay, also known as medical payments coverage, is an optional feature that can be added to your automobile insurance policy. In the event of an accident, MedPay covers medical bills and funeral expenses arising from the incident, irrespective of fault. Typically, this coverage extends to the policyholder, their family members, and passengers in the vehicle. It’s important to note that MedPay availability varies by state, and it’s considered an additional optional coverage.

Driving entails numerous risks every time you get behind the wheel. Contemplating the potential mishaps on the road and the financial burden of injuries or damages can be daunting. Enhancing your insurance coverage may provide the reassurance you seek, ensuring you’re protected regardless of the circumstances.

Medical Payment is  an extra feature in auto insurance, which  handles costs linked to car accidents. Referred to as “MedPay,” it extends coverage to you, passengers in your vehicle, pedestrians you might injure, and yourself in various scenarios like being a passenger in another vehicle or sustaining injuries as a pedestrian, cyclist, or public transit user.

Auto insurance essentially constitutes an agreement between you and an insurance provider, wherein you commit to paying premiums in return for safeguarding against financial losses due to accidents or damages to the vehicle. It encompasses:

– Repairs for vehicle damages, be it your own or another driver’s vehicle.
– Compensation for property damage or bodily injuries resulting from accidents.
– Coverage for medical bills and/or funeral costs linked to accident-related injuries.

The specifics of coverage depend on your state’s mandatory minimum requirements and any supplementary coverage options you select. With the exception of New Hampshire, all states mandate drivers to carry a minimum level of bodily injury liability coverage and property damage liability coverage.

What is the coverage provided by Medical Payments Coverage in Florida?

MedPay coverage in Florida specifically covers medical expenses incurred due to an accident, including ambulance rides, hospital stays, surgery, and various medical treatments. Additionally, MedPay may also cover expenses like X-rays, dental treatments, and prosthetic devices. However, it’s crucial to understand that MedPay is restricted to medical expenses and does not extend to cover lost wages or other damages resulting from an accident. For coverage of lost wages or other damages, additional coverage must be purchased.

In Florida, drivers are mandated to carry a minimum of $10,000 in Personal Injury Protection (PIP) insurance coverage. This coverage handles 80 percent of medical expenses resulting from car accident injuries, leaving you responsible for the remaining 20 percent. However, if you find yourself unable to cover this 20 percent out-of-pocket, there’s an optional insurance type known as MedPay, or Medical Payment Coverage, that might cover the entire medical bill incurred from a car accident injury. MedPay ensures full payment of medical bills up to the maximum limit of your coverage. For instance, by adding $10,000 of MedPay coverage to your insurance policy, you would have a total of $20,000 in coverage for medical expenses ($10,000 from PIP and $10,000 from MedPay), thereby covering any medical bills up to $20,000.

What is not covered by car insurance medical payments?

Medical payments coverage, also known as medical expenses coverage, specifically applies to covering injury or funeral expenses resulting from a car accident. However, it’s important to note that car insurance medical payments do not extend to other types of damages.

For instance, damages to your vehicle, the other party’s vehicle, or other forms of property such as utility poles or fences are not covered under MedPay. Additionally, injuries sustained by the other party in the accident, regardless of fault, are not covered under MedPay; they are addressed under a separate coverage within your auto policy.

Furthermore, non-medical expenses like lost wages, childcare, and house cleaning, even if incurred due to injuries sustained in the accident, are not covered under MedPay.

It’s crucial to understand that any injuries or medical expenses exceeding your MedPay coverage limit are also not covered. For example, if your medical payments coverage is $10,000 but the total cost of injuries for you and your passengers amounts to $12,000, the additional $2,000 would not be covered under auto insurance medical payments.

How Does MedPay Coverage Work?

There are two primary methods through which Medical Payment Coverage operates. The initial method involves direct reimbursement as the main coverage, while the second method offers Medical Payment Coverage as an additional supplement to your current health insurance. The most suitable option for you will depend on the specifics of your home and auto insurance policies, as well as whether you reside in a no-fault state (Florida serves as an example of a no-fault state).

Read more @ Personal Injury Protection in Michigan

To determine which of your insurance coverages takes precedence in paying out, it is crucial to carefully review the terms outlined in your policies. Thoroughly examine each of your insurance policies to ascertain which one would offer the initial coverage for your medical expenses. Despite the assumption of standard procedures, variations exist among insurance companies regarding which policy takes priority in different scenarios.

Florida Car Accidents: What is the Extent of MedPay Coverage?

The mandatory Personal Injury Protection (PIP) coverage is comprehensive and beneficial, although it does not offer full coverage. As mentioned earlier, PIP insurance covers 80 percent of medical bills resulting from car accidents in Florida. Additional coverage for the remaining 20 percent of medical bills can be obtained through Medical Payment coverage, or MedPay.

MedPay provides coverage for the 20 percent of bills not included in PIP, as well as potential additional coverage once PIP’s $10,000 limit is reached. MedPay is specifically designed for medical expenses, as implied by its name. While it does not cover vehicle damage, it does cover costs related to hospital stays, ambulance services, emergency medical treatment, doctor’s appointments, rehabilitation, and medication.

In cases of fatal accidents, MedPay may cover extra funeral and burial expenses in addition to the $5,000 provided by Personal Injury Protection. Often, $5,000 is insufficient to cover the entire cost of funeral or burial expenses, leaving the deceased’s loved ones struggling to make up the difference. This additional coverage can offer some peace and relief to the family during a time of significant grief and loss.

Who Does MedPay Cover?

When you buy MedPay insurance for yourself, you are protected regardless of whether you were the driver or a passenger in a vehicle. It is not necessary for you to be the owner of the vehicle you are traveling in to be eligible for MedPay coverage. Moreover, if you are driving and have MedPay insurance, the passengers in your vehicle are covered by the MedPay policy that pertains to the car they are in. Additionally, in certain situations, you can opt to include MedPay coverage that extends to your benefits in case you sustain injuries from a vehicle while walking or biking.

How Much Does MedPay Cost?

While it may seem like an unnecessary expense to include MedPay in your car insurance policy each month, consider the low cost of this coverage compared to the benefits it offers. In many cases, the premium for MedPay is quite affordable, often less than $20 annually for coverage up to $10,000. Although this cost is spread out over a year’s worth of insurance payments, MedPay has the potential to save you from significant medical expenses.

Another advantage of MedPay is that it does not require a deductible or co-pay. Unlike other types of insurance, there is no initial payment you need to make before receiving benefits. This means that you won’t have any out-of-pocket expenses with MedPay, which is a unique feature among insurance policies.

It’s important to note that insurance companies vary in terms of premiums, so the cost of MedPay coverage will depend on factors such as your location, existing auto insurance, and driving record. The estimated cost of “less than $20” per year is an average figure and may not be exact.

If you’re interested in adding MedPay to your insurance plan and want to know the specific premium, contact your insurance provider. They can discuss the available options and help you choose a suitable coverage that aligns with your financial situation. Even if you believe you can’t afford additional coverage, it’s worth reaching out to explore your options, as you may be pleasantly surprised by how affordable it can be.

How Much MedPay Coverage Should I Get?

When deciding on the amount of MedPay coverage to purchase, it is crucial to take into account your existing insurance coverage. In Florida, Personal Injury Protection insurance is mandatory, providing a minimum coverage of $10,000. Remember that your PIP insurance will cover 80 percent of your medical bills up to the coverage limit, with MedPay covering the remaining 20 percent and any costs exceeding the PIP limit.

Consider your monthly budget when selecting your coverage amount. While increasing your insurance premiums may be inconvenient, it is preferable to facing substantial expenses for car repairs or medical bills. Ensure that you are comfortable with the out-of-pocket costs after exhausting your PIP and MedPay coverage. MedPay benefits vary among insurers, with common limits being $1,000, $2,000, $5,000, $10,000, and $25,000. Opting for a higher MedPay limit will result in higher annual premiums.

Is it worthwhile to purchase MedPay insurance?

In the state of Florida, it is mandatory for every driver to have a minimum of $10,000 of Personal Injury Protection insurance coverage. The question of whether it is necessary to add MedPay coverage on top of that is not a straightforward one. The answer depends on individual circumstances.

For some individuals, MedPay may not be necessary or beneficial. Those who already have comprehensive auto insurance coverage for property damage and bodily injury may not see significant advantages from MedPay coverage. Similarly, individuals who have high deductible plans or no personal health insurance at all may find the modest cost of MedPay to be a valuable addition.

In recent years, there has been a growing trend of adding MedPay to auto insurance plans. This is likely due to the rising costs of health insurance premiums and deductibles.

Ultimately, many people are finding the annual fee for MedPay to be worthwhile considering the potential benefits it offers. It provides peace of mind knowing that they will be covered in the event of a serious injury. Additionally, professionals who frequently deal with car accidents and insurance benefits often recommend MedPay or UM coverage, or both, as they believe the extra monthly fee is justified.

Is it necessary to visit my primary care physician to access MedPay benefits?

One significant advantage of MedPay is that you aren’t obligated to consult your primary care physician to receive reimbursement. MedPay covers expenses from chiropractors, specialists, physical therapists, and medications related to your injury or recovery.

MedPay Insurance vs. Uninsured Motorist Coverage

If you already have uninsured or underinsured motorist coverage, do you still need MedPay? Let’s compare both insurance types and their coverage.

Uninsured or underinsured motorist coverage is utilized when the other party is at fault for the accident and lacks insurance or has insufficient coverage. While driving uninsured is illegal, approximately one in eight drivers in Florida are uninsured. Being underinsured means that the other party’s bodily injury limits may not cover all your medical expenses. Uninsured motorist insurance is optional in Florida, an add-on to your regular auto insurance plan.

As mentioned earlier, MedPay is an additional coverage for your auto insurance that pays for the 20 percent of medical bills not covered by PIP. It also covers additional medical expenses after exhausting your PIP coverage limit.

Which Coverage Should I Choose?

Choosing between MedPay and Uninsured or Underinsured Motorist coverage depends on your existing insurance plans, such as health insurance and regular auto insurance. If you have comprehensive health insurance and ample PIP coverage, uninsured motorist coverage might be more beneficial. Conversely, if your health insurance is limited and you only have minimal PIP coverage, MedPay could be preferable. Additionally, if your regular auto insurance is lacking, adding uninsured motorist coverage can provide extra protection for your vehicle. Assess your overall coverage from all angles by creating a chart listing all your insurance types and their coverages. This will help identify any gaps in your policy and determine where additional coverage is needed.

Consider purchasing both types of insurance if possible. Having both ensures comprehensive coverage for bodily injuries and property damages in any accident scenario. Both are relatively inexpensive and the added cost spread over your monthly insurance bill is negligible.

Health Insurance vs. MedPay

You might wonder how your health insurance and MedPay coverage work together. They often overlap depending on your coverage. Both types of insurance contribute to medical expenses including testing, surgery, and other medical services, but not vehicle repairs following an accident.

Health insurance typically covers medical expenses related to your general health. Examine your health insurance plan in detail to understand what it covers. While some policies cover injuries from car accidents, others may not. If you lack coverage with your health insurance and opt out of MedPay, you could face out-of-pocket expenses.

Even if your health insurance covers car accident injuries, you may still have to pay copays or deductibles. MedPay could reimburse these expenses, leaving you with no out-of-pocket payments.

How Much Medical Payments Coverage is Required in Florida?

In Florida, medical payments coverage isn’t mandatory, but it’s an elective addition that drivers can include in their auto insurance policy. The coverage limit can differ depending on the insurance company and the specific policy.

How do I file a MedPay claim?

In order to initiate a MedPay claim, the initial step involves reaching out to your insurance provider to commence the claim procedure. The claims adjuster designated to handle your claim will guide you through the process of having your medical expenses covered. You will be required to provide details regarding the accident, including:

– Names of all parties involved.
– Make and model of the other vehicles involved.
– Insurance information of the other parties.
– Specifics about the accident and injuries.

The insurance adjuster will review the information and circumstances of the accident, and subsequently decide whether your claim is accepted or rejected.

To ensure your medical expenses are covered, inform your medical providers about your involvement in the accident so they can either bill you or directly bill the insurance company for payment. If you receive the bill, you can forward it to the insurance claims department for payment. If you have already settled the bill, you can submit the bill along with your payment receipt to receive reimbursement from the insurance company.

Why Consult a Florida Car Accident Lawyer

If you’re in a car accident in Florida and require additional medical coverage beyond your PIP limit, seek advice from an experienced car accident lawyer. Attorneys at Frankl Kominsky Injury Lawyers can review your insurance coverage and strive to maximize compensation for medical or property damage bills. They’re well-versed in various insurance coverage types and can help you understand complex policies.

Conclusion 

MedPay coverage in Florida is an optional addition to your auto insurance policy that primarily focuses on covering medical expenses resulting from car accidents. This coverage extends to all medical costs incurred in an accident, regardless of fault, for both the driver and passengers in the insured vehicle. However, it is important to note that MedPay does not cover medical expenses for individuals in the other vehicle involved in the accident. In Florida, MedPay insurance typically covers a range of medical expenses such as hospital visits, clinic checkups during recovery, dental treatment, ambulance transfer bills, x-rays, surgical payments, chiropractor bills, medical equipment like arm prosthetics, funeral expenses, and even the medical bills of pedestrians or cyclists that may have been hit.