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Health Works Collective > News > Do I Have to Pay Medical Costs Out Of Pocket After an Accident?
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Do I Have to Pay Medical Costs Out Of Pocket After an Accident?

You may need to pay for medical bills after a car accident, even if you have insurance.

Diana Hope
Diana Hope
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5 Min Read
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Getting into an accident can really knock you off your feet, physically and financially. Even small car accidents can have big consequences. If you’re going through this, you’re probably wondering how you’re going to pay for these huge medical expenses. Thankfully, there are many situations where at least a large portion of your bills are covered. 

Contents
  • Understanding Insurance
  • Health Insurance
  • Comprehensive Coverage
  • Policy Details
  • Out-of-Pocket Expenses
  • Immediate Assistance
  • Auto Insurance
  • Liability Insurance
  • Out-of-Pocket Expenses
  • High Deductibles
  • Coverage Gaps
  • Subrogation
  • Bottom Line

Understanding Insurance

First things first, your medical bills might not necessarily drain your bank account. Insurance often swoops in to save the day. Here’s how it may be broken down: 

Health Insurance

If you have health insurance coverage, it can often cover a portion of your medical costs after an accident. Each policy is unique, so it’s worth checking your coverage limits and how it applies to your case. You might still need to chip in with deductibles or copays, but they’re going to be much easier on your wallet than footing the whole bill.

Having health insurance is like a safety net when surprise medical bills show up. Knowing that it can pitch in after an accident is a pretty reassuring feeling. But remember, how much it helps out depends on the nitty-gritty of your policy.

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Comprehensive Coverage

Comprehensive health insurance covers a broad range of medical services like doctor visits, hospital stays, surgeries, and even medications. If you opted for this kind of coverage, you might be off the hook for a good chunk of those medical bills.

Policy Details

Here’s the thing, not all health insurance policies are made the same. Some cover more, others less. The whole shebang depends on what’s written in your policy—those terms and conditions are your roadmap here.

Out-of-Pocket Expenses

Even with health insurance you might still be responsible for some out-of-pocket costs yourself, like those deductibles and copays we talked about. They might sting a bit, but they’re usually easier to handle than the whole bill.

Immediate Assistance

The cool thing about health insurance is it’s like a fast pass at an amusement park. Instead of waiting for ages, it kicks in pretty quickly, making sure you get the care you need without too much delay.

Auto Insurance

Now, if your accident was in a car, your auto insurance might lend a hand too. Personal Injury Protection (PIP) and Medical Payments Coverage (MedPay) are two sides of that coin.

PIP is invaluable—it covers not just your medical expenses but also lost wages and other related costs. The best part about PIP is that it doesn’t matter whose fault the accident was.

MedPay, on the other hand, focuses solely on medical expenses. It takes care of stuff like hospital bills and ambulance fees, regardless of blame.

Liability Insurance

When someone else is at fault for your accident, their liability insurance might step up to cover your medical expenses. Unfortunately, these insurance companies will likely fight to prevent your payout and dispute who’s responsible for the accident. In this case, hiring a personal injury lawyer to negotiate with insurance companies and advocate on your behalf would be ideal according to Davis Kelin. 

Out-of-Pocket Expenses

There are scenarios where you might have to cover some expenses out of pocket. Having a clean understanding of your specific insurance coverage can prevent surprises in the event of an accident.

High Deductibles

If your insurance has a high deductible, think of it like a big financial hurdle. You’ll need to pay quite a bit before your coverage kicks in to cover the rest. 

Coverage Gaps

Policies sometimes have gaps or exclusions. Certain things might not be fully covered, leaving you to fill in the financial blanks.

Subrogation

Sometimes, if your insurance covers your bills, they might go after the at-fault party to get their money back through subrogation. If successful, you might get reimbursed for what you paid out of pocket.

Bottom Line

Generally speaking, you won’t have to foot the whole medical bill after an accident. Insurance, whether health or auto, is there to help you out. But knowing your policy, those deductibles, and any limits is crucial. And if things get hairy, getting professional legal help from a personal injury lawyer might be a smart move. You’ve got options to make sure that big medical bill doesn’t land solely on your lap after an accident.

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