Advertiser Disclosure

Understanding Medical Payments Coverage

August 24, 2016
Auto Insurance, Insurance
Understanding Medical Payments Coverage
At NerdWallet, we adhere to strict standards of editorial integrity to help you make decisions with confidence. Some of the products we feature are from our partners. Here’s how we make money.
We adhere to strict standards of editorial integrity. Some of the products we feature are from our partners. Here’s how we make money.

Medical payments coverage, or MedPay, pays for the treatment of injuries you or your passengers suffer in a car accident, no matter who caused the crash. It also pays the medical bills if you or one of your family members is hit by a car while on foot or riding in someone else’s vehicle.

MedPay has many of the same benefits as your health insurance. But if your health plan has gaps in coverage, low limits or steep deductibles, MedPay makes a wise and generally affordable addition to your car insurance policy.

Table of contents

Where MedPay is available

What MedPay does and doesn’t pay for

MedPay vs. PIP

Who needs MedPay

Choosing your MedPay limits

How much MedPay costs

Where MedPay is available

MedPay is required in certain states and isn’t available in others. In most states, it’s optional when you buy car insurance.

[back to top]

What MedPay does and doesn’t cover

It’s wise to confirm with your insurer exactly what MedPay covers in your state, but here’s a general snapshot of what it will and won’t pay for.

MedPay CoversMedPay Doesn't Cover
  • Treatment of injuries you or your passengers sustain in a car accident, including medical, dental, surgical and chiropractic care.

  • Treatment of injuries you or your family members sustain while riding in someone else's car or as pedestrians.

  • Ambulance fees.

  • X-rays, prostheses and nursing.

  • Funeral costs following a fatal crash.

  • Health insurance deductibles or copays.
  • Wage reimbursement if injuries force you to miss work. PIP does have this benefit.

  • Child care costs if you're limited by accident injuries. PIP also has this benefit.

  • Treatment for injuries to other drivers you might cause in a crash. Liability insurance does have this benefit.

  • Treatment of injuries or health problems unrelated to a car accident.








[back to top]

MedPay vs. PIP

It’s easy to confuse MedPay with its car insurance cousin, personal injury protection. Both pay for medical treatments and services after a car accident, regardless of who caused the crash.

However, PIP has more extensive benefits than MedPay, such as wage reimbursement if injuries force you to miss work. One drawback of PIP is that it often includes a deductible, which is a predetermined amount that your insurer subtracts from claim payments. MedPay typically does not involve a deductible.

Because MedPay and PIP have a great deal of overlap, most drivers pick one or the other if given the choice between them. PIP isn’t available everywhere, but it’s required in 12 states.

» MORE: Personal injury protection in no-fault states

[back to top]

Who needs MedPay

MedPay is optional for most drivers. It’s required in Maine and Pennsylvania, and New Hampshire residents who choose to buy auto insurance must buy MedPay as well.

When deciding whether you need this coverage, keep in mind that MedPay and health insurance aren’t mutually exclusive. MedPay can be a safety net in case you exceed your health plan’s limits or receive charges that it doesn’t cover, such as for chiropractic care or an ambulance ride. MedPay can also help cover your health insurance deductible or copays incurred for car accident treatment.

You might also want MedPay if you frequently drive passengers that aren’t part of your family. MedPay applies to anyone riding in the car at the time of the accident.

» COMPARE: Car insurance quotes

[back to top]

Choosing your MedPay limits

You can choose your MedPay limits. Maximum amounts available vary by state and insurer, but they’re typically $10,000 or less.

It’s difficult to recommend a “right” amount of MedPay. You should choose a coverage amount based on your own financial situation and health insurance.

For example, if you only want MedPay to cover your health plan’s deductible or pay for miscellaneous costs such as X-rays, a few thousand dollars’ worth of coverage might be plenty. But if you have low limits on your health insurance or no health coverage at all, you might consider higher MedPay limits.

[back to top]

How much MedPay costs

To give you an idea of how much adding MedPay to your car insurance policy will cost, NerdWallet sampled quotes in three states — California, Ohio and Texas — for 30-year-old drivers adding $5,000 worth of MedPay coverage.

California had the highest cost to add MedPay in our sampling, at $87 per year, or roughly $7 a month. In Ohio, buying MedPay increased rates by only about $3 a month. These are relatively low costs as far as car insurance coverages go. And if your health insurance has low limits or limited coverage, MedPay is probably worth the investment.

NerdWallet’s car insurance comparison tool can help you shop around and view multiple quotes.

[back to top]

Alex Glenn is a staff writer at NerdWallet, a personal finance website: Email: aglenn@nerdwallet.com.

METHODOLOGY

We tested sample rates for 30-year-old drivers from the largest insurers across 10 ZIP codes in California, Ohio and Texas. We first averaged the three cheapest rates for drivers without MedPay, then averaged rates from the same three companies after adding MedPay.

Our test policies included 100/300/50 liability insurance limits, 100/300 uninsured motorist bodily injury coverage, collision and comprehensive with a $1,000 deductible, and $5,000 MedPay where applicable. We used a 2012 Toyota Camry in all cases. These are sample rates generated through Quadrant Information Services. Your own rates will be different.