Personal Injury Protection - Mid-Columbia Insurance Agency

Personal Injury Protection (PIP)

  • PIP is an extension of car insurance available in some U.S. states.
  • It covers medical expenses and, in some cases, lost wages and other damages.
  • PIP is sometimes referred to as no-fault coverage.
  • It is designed to be paid without regard to fault or legal liability.
  • PIP claims can be made by the insured driver or persons injured in an accident.

Coverage and Variations of PIP

  • PIP is mandatory in some states.
  • Coverage varies from state to state in terms of what is covered and what treatments are considered medically necessary.
  • In Texas, PIP covers medical expenses, 80% of lost wages, and caregiver services.
  • Some states allow PIP claims even if a workers compensation claim exists.
  • PIP is the insurance of first resort for medical bills in some states.

Subrogation and Financial Position

  • In some states, PIP is subrogatable, meaning the insurance carrier pays for the loss and recovers it from the liable party’s insurance carrier.
  • Claimants benefit financially as their medical bills are paid, regardless of liability.
  • PIP covers the insured’s own injuries, passengers in their vehicle, and pedestrians struck by any vehicle.
  • States without PIP may have auto medical payments (AMP) coverage.
  • PIP and AMP limits range from $1,000 to $250,000 depending on the injury and state.

Submitting Insurance Information and Settlements

  • Claimants should submit their own insurance information to medical providers.
  • Third-party carriers are not legally obligated to pay claimants’ medical bills.
  • Third-party carriers only pay after a judgment against them.
  • Settling a claim with a third-party carrier is considered a voluntary payment.
  • Rejection of PIP coverage remains unless requested to be added or a new policy is started.
« Back to Glossary Index