Why you might want Med Pay and not be without it!
MedPay will cover medical expenses incurred after the PIP is exhausted. This would be in addition to any bills submitted by and paid for by your health insurer.
Without Med Pay, any bills incurred after PIP was exhausted that was paid by your private health insurance will need to be paid back to them. This is because they will likely place a lien on your case which allows them to get paid back out of your settlement. However, if you purchased Med Pay then you have additional insurance coverage and the remaining medical expenses (up to the limits you purchased) are submitted to your auto insurance to be paid through MedPay. In other words, MedPay can act as the primary medical coverage after PIP benefits have exhausted.
When does Med Pay kick in?
Any person who is injured in an accident involving a Massachusetts motor vehicle should first submit the necessary medical bills to the mandatory PIP insurance before the Med Pay provider. This is because mandatory coverage predates optional coverage. PIP coverage in Massachusetts is mandatory coverage. Med Pay coverage can be arranged if desired. In general, Med Pay coverage is only available after an injured party has exhausted all of his PIP benefits. This covers accident-related medical expenses.
There are situations when a Massachusetts MedPay insurer won't pay for accident-related medical expenses.*
(i) The accident that injured the person involved a vehicle being used for a residence
(ii) The injured party is eligible for worker's comp benefits in the event of an automobile accident.
(iii). The injured person was in a vehicle at the time the accident caused the injuries.
(iv), the car in which an injured person was at the time the accident occurred belongs to him or his household member. The regular use exclusion does not apply and it is not on any household member's policy.
(v) The med-pay insurer can deny coverage under the applicable policy.
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* The information provided on this website does not, and is not intended to, constitute legal advice or medical advice; instead, all information, content, and materials available on this site are for general informational purposes only. Readers of this website should contact their attorney and or medical provider to obtain advice with respect to any particular medical/legal matter. All liability with respect to actions taken or not taken based on the contents of this site are hereby expressly disclaimed. The content on this posting is provided "as is;" no representations are made that the content is error-free.
* The information provided on this website does not, and is not intended to, constitute legal advice or medical advice; instead, all information, content, and materials available on this site are for general informational purposes only. Readers of this website should contact their attorney and or medical provider to obtain advice with respect to any particular medical/legal matter. All liability with respect to actions taken or not taken based on the contents of this site are hereby expressly disclaimed. The content on this posting is provided "as is;" no representations are made that the content is error-free.
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