The World of Auto Medical Coverage – Necessary or Not?


Okay, So What’s the Deal with Vehicle Medical Coverage?


Auto medical coverage, sometimes called “med pay” in insurance-speak, is what kicks in to pay your doctor bills, hospital expenses, even funeral costs if you, members of your family, or anyone else driving your car (with your permission) gets hurt or killed as a result of an auto wreck. Medical bills covered are not just the catastrophic kind that require a screaming ride to the emergency room in the back of an ambulance – they also include minor injuries such as wrenching your back while trying to get great Aunt Agnes out of the back seat or slamming your finger in the car door while she’s yelling at you. Med pay will also pay all the above-mentioned costs if you or a family member takes a hit from a roving vehicle while walking down the street or are unfortunate enough to be in someone else’s car that gets smashed. It does NOT cover your best pal, Harry, or your third cousin twice removed to whom you may have given permission to walk down the street or get in someone’s car other than yours. Even as much as some like to bash insurance companies, one has to admit that would be unreasonable.

No-Fault or Not?

You do need to know what type of medical coverage you are getting on your car policy. Most med pay policies turn a blind eye to which driver caused the accident, but some do not cough up a payment until your major medical insurance, uninsured and/or underinsured motorist coverages, or the other driver’s bodily injury liability insurance is exhausted. Med pay policies that set these limits are called “excess medical,” and though they are tighter with regard to the circumstances under which they will pay, the premiums are quite a bit less than the type of medical coverage that will cover regardless of what other health coverage you may have. You can also get med pay from some insurers at a slightly lower rate if you’re willing to pay a deductible (out-of-pocket expense).

Think Before You Decide

Skimping on or eliminating med pay coverage is tempting if you count on your health insurance to cover any car crash medical bills. But don’t forget a couple of important things: Although you and your family will be covered by that health policy, your great Aunt Agnes or your kid’s best friend who might be along for the ride won’t be. And if anyone in the wreck gets killed, your health insurance certainly is not going to pay for the funeral – but med pay will. So say you have a great, comprehensive health care policy from where you work, the deductible and/or co-payment is something you can live with, and it looks like the only thing you really need to think about is paying for someone outside the immediate family’s funeral or their medical bills if you’re involved in a major smash-up. Do you really need auto medical insurance? Like almost all insurance, it’s a gamble, and only you can calculate your own personal odds. Are you a single person with no friends who always rides alone and already has your funeral expenses taken care of? Or are you a soccer mom who regularly carts around a carload of kids? It’s really up to you to decide what you’re willing to risk and what you’re willing or able to pay. Just remember: The spirit of great Aunt Agnes may haunt you forever if you don’t take care of her, and you may forever be smashing your finger in the car door trying to get out because she’s still yelling at you from beyond the grave.

But then again . . . nah.

Check the Law!

And last, but certainly not least, here is one very important note: Auto medical insurance is required by law in some states, though you do still retain the right to decide how much coverage you are willing to pay for. To find out if yours is one of those states, visit the Web site of the National Association of Insurance Commissioners (NAIC) at www.naic.org/state_contacts/sid_websites.htm  and click on your state. This will take you to your state’s insurance board where you will find a wealth of information you may or may not be straining at the leash to learn regarding auto insurance, including, of course, auto medical coverage.



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