Who Pays Your Medical Bills In A Michigan Auto Accident

Who Pays Your Medical Bills In A Michigan Auto Accident

Given Michigan’s complex no - fault auto law, it can be onerous to understand who pays your medical bills when you ' re injured in an auto accident. A lot of drivers ask why they have to pay a medical deductible after a car accident, or a medical deductible that is more than $300.
Most people have what’s called “coordinated” or “excess” medical benefits on their auto insurance policies. This means that in the mishap the person is injured in a car or a truck accident, his or her health insurance is supposed to pay first, therefrom the auto insurer is responsible for the bill under the Michigan No - Fault law.
There is also an alternative to have primary medical benefits on your insurance policy. Another term for this is primary medical PIP ( personal injury protection benefits ). This means that in the business of an auto accident injury, the injured person receives medical benefits from their auto insurance company.
Coordinated coverage is less expensive than primary coverage, as your auto insurance company expects it will not have to pay first in the proceeding of a motor vehicle crash.
However, in some cases, the auto insurer does end up advantageous first. One identical specimen is if the health insurance policy contains an auto accident omission, which is an exception in the policy that states the insurance company will not pay for treatment related to auto accidents if finished is Michigan No - Fault insurance coverage that applies.
An horizontal more common situation is when people lose their health coverage due to a work termination or termination and omit to announce their auto insurer that they no longer have health insurance. When this happens, the auto insurer will usually charge a higher medical deductible than it would have had the health insurer been palmy first. Most insurers charge anywhere from $0 to $300 for a medical occasion deductible if the policy is set up correctly. If the insurance company ends up in a primary position, they will increase this amount to $500 or $600 ( as an pattern ).
A few singular situations when the larger does not handle embrace GMAC and Medicaid coverage. GMAC Monetary Services charges a $2, 500 deductible if the insured person was supposed to have primary coverage and did not.
Additionally, Medicare and Medicaid are not supposed to be used for auto accidents, as they are payers of last resort. If an insurance ingredient asks you if you have other health insurance, revive that Medicare and / or Medicaid do not count. And so, you need to have any medical benefits from your auto insurance as primary on your auto insurance policy.
Finally, keep in mind that adept can be substantial penalties if someone is using Medicare or Medicaid instead of No - Fault insurance to treat for personal injuries caused by an auto accident. Many medical doctors do not understand this issue, and will aptly transmit bills to Medicare or Medicaid instead of submitting them to a No - Fault insurer as they are supposed to. Please make positive to contact a familiar No - Fault insurance attorney immediately if this happens.
Situations when Michigan drivers should choose primary medical PIP benefits.
There are several situations where it’s beneficial for people to use medical benefits from their auto insurance by electing to have primary medical PIP coverage. Commensurate though it may be a elfin more expensive, the positives far outweigh the slightly higher costs.
Here are a few examples of when people are better execute with primary medical PIP insurance benefits:
1. Auto Accident Exclusions
If you have any type of auto accident omission in your health insurance policy, you should elect primary medical on your auto No - Fault insurance. To find out whether you have an auto accident omission, you should contact your health insurer and request a copy of the “summary plan description” or the plan itself. Review this with your insurance consideration as well. Here’s some pipeline on how to scrutinize your auto insurance policy.
2. Beware of ERISA plans
If your health insurance is a self - funded ERISA plan, you should elect primary medical on your auto No - Fault insurance. These plans can claim a governmental lien against your auto accident negligence case ( your case for pain and suffering after a car accident ). Keep in mind, this situation of law is continually magnetic and is being strongly contested between personal injury lawyers and consumer justice organizations on the one hand, and lawyers representing the ERISA plans on the other. The best way to avoid the problem is to elect initial medical on your auto No - Fault insurance.
3. If you have an HMO
HMOs can be very restrictive and can much end in unpunctual medical rough draft. By electing pristine medical PIP, you do not have to revelry within the HMO and can substantially simplify your idea and meliorate your choice of providers.
4. Important Warning about Medicare and Medicaid if you are injured in a car accident and have Michigan No - Fault insurance:
If you have Medicare, Medicaid, Veterans Administration Benefits or any county health plan, you should have primary medical PIP on your auto No - Fault insurance. This helps to avoid the “super liens” that providers of management benefits may differential have against your automobile negligence case ( the case for your personal injuries and pain and suffering that you would bring against the person who has caused your accident ).
5. Down-hearted Crotchety Dismal Shield
Be aware that qualified is the choice of a “double dip” if you have methodical Downcast Testy and full coverage on your No - Fault insurance policy. For this inducement alone, anyone with Gloomy Testy Melancholy Shadow should have primary No - Fault auto insurance as well
If you have health insurance ( other than Medicare or Medicaid ) and you hankering to save money on your auto insurance, you have the option in Michigan to buy coordinated / fortuitous medical PIP coverage. This coordinated policy puts your health insurance in a primary position to your car insurance for auto accident - related medical expenses. Most insurers today modern retrenchment to coordinated / dispensable medical, but some agents never ask if you even now have health insurance.
If you lose your health insurance for any basis, or you have a situation as noted elder, you should immediately contact your auto insurer and pocket money to primary medical coverage.