Is Medpay Worth It – An Injury Lawyer Perspective

As an injury lawyer, I always recommend that my clients advise their medical providers to bill their health insurance for all their medical Injury Lawyertreatment following an accident. However, accident victims may have another source to pay their medical bills, it’s called “medpay,” which is short for medical payments coverage. Read the blog below, “Is medpay worth it – an injury lawyer perspective.”

This topic has been talked about a lot online but recently I watched a video on YouTube where a speaker said that medpay was not that important. I disagree.

When you get in an accident, the insurance for the person who caused the accident will NOT pay for your medical bills until your case settles. In the meantime, your medical providers want to get paid. If the bills don’t get paid, they will send the bills to collections which might damage your credit rating.

Is medpay beneficial from an injury lawyer perspective? Read on to find out.

Who is covered by medpay?

In short, if you’re in a vehicle when it gets in an accident, you may be covered by medpay. So, if the car’s insurance policy has a $5,000 medpay policy and there are three people in the car, all three can utilize up to $5,000 to pay for their medical bills.

Is medpay mandatory in Illinois?

No. Medpay is an optional coverage in the state of Illinois. However, we strongly recommend that you have medpay insurance in your auto policy. Why? Keep reading.

The benefits of using medpay

I can’t tell you how many times I’ve signed up clients who ask me as their injury lawyer what they should do about their medical bills. While more people have health insurance, most of us have higher deductibles than we used to. We also often have co-pays every time we see a provider.

There are a lot of people out there who cannot afford these expenses. Medpay is the answer. First, you should always insist that your medical providers bill your health insurance. However, the co-pays and deductibles are the accident victim’s responsibility. It doesn’t make a lot of sense from an injury lawyer perspective. But we’ve seen a lot of bills sent to collections because of medical bills, even though the accident was not the victim’s fault.

If you have medpay insurance, you can and should submit your co-pays and deductible to your auto insurance carrier for payment. If you do not have health insurance at all, medpay can pay whatever medical bills you incur, up to your policy limits – regardless who was at fault for the accident.

Medpay is cost effective

The cost of medpay is extremely inexpensive! According to Glenview, Illinois, Farmers Insurance agent Erick Weingardt, you can add $5,000 in medpay to your auto insurance policy for approximately $10 every six months and you can increase that to $10,000 in medpay for only a few dollars more (depending on your driving record).

Erick said “Medical coverage is an important coverage for all drivers to include on their
auto insurance policy.  It pays for all people in the vehicle, regardless of fault.  The medical coverage will pay most, if not all, of your health insurance deductible & co-pays.  Many people need to use this coverage even when the accident was caused by the other driver.  Auto insurance companies do not want to offer a blank check, so they wait to settle.  With medpay, you get your medical bills paid right away.  For good drivers, the cost is only $1 to $2 a month for $5,000 or $10,000 of medical coverage.”

What medpay does not cover

There is something called personal injury protection (PIP) that is offered in some states. That is similar but slightly different from medpay. I have yet to have a client with pip coverage in Illinois.

The main difference is that PIP coverage also compensates the injured party for, among other things, their lost wages that were the result of their injuries.

Medpay reimbursement

Finally, medpay is great but if you are involved in a third-party accident, meaning the accident was caused by another (at-fault) party, then your auto insurance policy will seek reimbursement, if and when you settle/resolve your case.

However, pursuant to a legal theory, your auto insurance company will likely reduce the amount you owe by 1/3.

In sum, your injury lawyer has had so many cases where medpay has been an effective tool to help pay an accident victim’s medical bills, that we strongly recommend getting at least $5,000 in medpay on your auto policy.

For a free quote on auto insurance, contact Erick Weingardt at (847) 729-4620.

For a free legal consultation, feel free to call our office at 847-305-4105.

Should You File A Claim With Your Auto Insurance?

Frequently, victims of auto accidents want to file a claim solely with the insurance company for the vehicle that caused the accident. Should

Auto Insurance Claim
Should you file a claim with your auto insurance

you file a claim with your auto insurance as well? Yes. To find out why read this article or contact us at 312-848-9783.

Should you file a claim with your auto insurance? 

YES. You should file a claim with your auto insurance even if the accident was not your fault. There are several reasons why filing with your insurance right after an accident is important.

Uninsured/Underinsured Motorist Protection

First, there are several clauses in your own insurance contract that might be of benefit to you. The most important being your uninsured and underinsured motorist coverage. We’ve discussed UM and UIM coverage several times on this website. And we have spoken to many groups of people about the need to have adequate amounts of UM and UIM coverage.

In Illinois, if you have auto insurance, you automatically have a minimum of $25,000 in UM/UIM coverage. It is estimated that approximately 15 percent of all drivers in Illinois are uninsured. If the driver who hit you turns out not to have insurance, you will need to have filed a claim with your own insurance or you will be unable to recover for your damages. It happens all the time.

Some people want to wait to file with their own insurance company until after they hear from the defendant’s insurance as to whether there is insurance and if they accepted “liability” or responsibility for the accident.

That is risky. Accident victims often don’t obtain the name of the driver who hit them or the name and policy number of the defendant’s auto insurance. If that’s the case, you have to wait until the police report comes out to get that information and that often takes a long time, especially if it’s the Chicago Police Department.

Some insurance policies have a time limit within which a claim has to be filed in order to utilize uninsured motorist coverage. If you miss that deadline, the insurance company could reject your claim leaving you without any recourse. We have a new client who recently delayed filing a claim with her insurance for over 60 days because she thought she could pursue the defendant’s insurance. When our client finally did file with her insurance, she was denied for filing more than 30 days after the accident. By the time she got to us it was too late.

Medical Payments coverage

Many auto policies include medical payments or “medpay” coverage. Medpay is a clause in your insurance policy that will cover you for the first $2,500 or $5,000 etc. of your medical bills. We often use it to pay our clients’ co-pays or deductibles. You will eventually have to pay your insurance company back for the medpay you use out of the proceeds of your settlement. However, you will usually get a 1/3 reduction off of whatever medpay you use which is a significant benefit to you.

We have heard some attorneys argue that medpay is a waste of money. We disagree. We’ve seen it used too many times to our clients’ benefit to dismiss it so quickly. Especially for what it costs.

In addition, your medpay is “primary”, meaning, medpay must be exhausted before your health insurance will cover your remaining medical bills.

Property Damage

If you have collision coverage, it may also benefit you to file a claim with your own insurance company. The defendant’s insurance company is not going to pay for the repairs to your vehicle until they accept responsibility for the accident. That can take a while.

If you have collision coverage on your own policy, you can get your insurance company to pay for your property damage. This gets you back in your vehicle quicker.  It also avoids the situation where you have to pay for your own tow bill and reduces the amount of storage charges you pay while your car sits at the tow yard. You have a duty to “mitigate” (reduce/diminish) those charges.

If you use your own insurance to pay for the property damage, you will likely have to pay your deductible as discussed in this article. However, you will get reimbursed for your deductible once your insurance company “subrogates” or seeks reimbursement for your property damage from the defendant’s insurance company.

Other Benefits of Filing with your Insurance

Insurance companies have access to resources and tools to research whether a defendant has insurance; they have the manpower to interview witnesses; they can pay for an appraiser to travel to where your vehicle is to inspect it, and so forth. We utilize our clients’ insurance often to assist us in pursuing claims against defendants.

Other Issues

Will my auto insurance rates go up? It is possible. Anyone who tells you 100% that your rates will not go up is not telling the truth. Insurance companies have the ability to raise your rates for no reason, let alone if you are in an accident, even if they are not your fault. But that is a topic for another article.

What if there is no other vehicle involved? If you crash your car into your garage door and it causes $750.00 to your bumper, should you file a claim with your auto insurance? That depends. If you have a $500.00 deductible, it might not be worth it. You will only save $250.00 and this will count as a mark against your insurance which could cause your rates to go up.

Duty to cooperate. If you do file a claim with your insurance company, you have a duty to cooperate with your insurance company to investigate the accident. That might mean giving your insurance company a recorded statement, facilitating an inspection of your car, or undergoing a deposition. If you refuse the above, your coverage could be denied.

Conclusion

Call us today at 312-848-9783 if you are unsure whether you should you file a claim with your auto insurance after an accident. Our consultations are always free and we will come to you if we agree that our firm can help you.