Understanding Medical Payments Insurance

Medical payments insurance coverage (sometimes called medical expenses coverage) reimburses your medical expenses, covering you, your passengers, and any family members driving the vehicle involved in an accident. You get coverage regardless of who was at fault for the accident.

If you or a family member got injured as a pedestrian, a bicyclist, or a passenger in someone else’s vehicle, you can also use medical payments insurance to cover this.

How Medical Payments Insurance is Different From Health Insurance

Medical payments insurance can be a good idea even though you already have health insurance because it can cover your copayments and deductibles. More importantly, it will cover your passengers, who generally are not covered by  your health insurance unless they are family members listed on your plan.

Unlike many health insurance policies, medical payments insurance has no co-pays. Even if you’ve exceeded the limits of your health insurance coverage, you will not lose coverage from your medical payments insurance.

What Does Medical Payments Insurance Cover?

Medical payments insurance covers the following:

  • Doctor visits
  • Emergency room visits
  • Hospital stays
  • Ambulance and EMT services
  • Surgery
  • X-Rays, lab tests, and other diagnostic services
  • Home nursing care
  • Wheel chairs and crutches
  • Restorative dental care (if teeth were damaged in an accident)
  • Prosthetic limbs
  • Chiropractic care

Medical payments insurance can also pay for funeral expenses that health insurance doesn’t cover.

In Arizona, the average cost of a funeral service and burial is about $4,100.  The average cost of a cremation is $900,but it can run as high as $2,395. However, funeral expenses are only covered in case of accidents – not for deaths by non-covered illnesses or natural causes.

Do I Need Medical Payments Coverage?

You may not even be aware whether you have medical payments insurance, or how much you’re paying for it. Insurance agents may add this coverage to every vehicle insurance policy, earning a commission on it. If you are not sure, ask your insurance agent for an itemized breakdown of your coverage.

Once you know whether you have this coverage and how much it costs, you can decide whether it’s a good idea to add or keep it.

Whether you would benefit from medical payments coverage depends on how high your deductibles and copayments are on your health insurance plan. If you, your family members, and your regular passengers already have good health insurance with a zero-to-low co-payment and/or deductibles, the value of medical payments insurance is greatly reduced. You would need to do a cost-benefit analysis to see if it’s worth buying a medical payments policy.

If you already have medical coverage insurance and decide you don’t need it, deleting it from your policy may save you hundreds of dollars a year.

Handling Medical Payments Claims

If you’ve been injured in an accident in the Chandler area, the Thompson Law Firm can help you seek compensation for your injuries.

Chances are,  the party who caused your accident has liability insurance. In which case, we can handle the paperwork for your claim and try to negotiate a settlement with the insurance carrier. If negotiations don’t result in a fair settlement offer, we can handle your lawsuit.

If, for some reason, your medical payments insurance carrier isn’t honoring your claim, or is delaying payments, we can also help you fix that.

When you’re ready to talk, please contact our office to arrange a free initial consultation.


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