Med-Pay and Property Damage

Posted on May 25, 2011 06:34 by Joe Owen

There are two provisions of an insurance policy that are often not fully understood by clients when they are in an accident.  These are the provisions of med-pay and the rules on property damage.

Med-Pay

Most insurance policies in Virginia include coverage for medical payments for injuries suffered in an accident. This is a benefit you receive whether the accident is your fault or the fault of someone else. The amount of coverage varies with the policy. The coverage varies from $500 to $5000 per person per accident depending on how much coverage was purchased in the policy. However, the total coverage available for an accident can be multiplied by the number of vehicles covered by the policy. It is important to know that a claim for med-pay must be made within one year of the accident. Payment of this coverage does not affect your premium. It is not treated as a loss claim against your policy. You may collect med-pay even if the accident is your fault. It is simply protection you purchase to protect you and your family while riding in vehicles you own. If you are in an accident, check your policy to see how much med-pay is available to you. In many cases you will need to ask for your med-pay. Many companies and agents do not tell their customers that this coverage is available under their policy. It is another way the insurance industry tries to save money. This is not true for all, but you cannot depend on the company’s adjuster or your personal agent to advise you on med-pay coverage. One of the things we do as a service for our clients is to process and collect the full amount of med-pay they are entitled to under their policy. This is part of the service we provide at no additional charge. We will gather the medical bills and the supporting documentation needed by the insurance company to pay the money owed to our clients under their policy. 

Property Damage

One of the most traumatic issues of an accident, other than serious injury, is the loss of the trusted vehicle you own. Often the vehicle has been a good serviceable and reliable source of transportation. You may have just spent a significant sum to repair the vehicle. Then in an instant it is a total loss. What are your rights? Virginia law is clear. The insurance company is only required to pay the lesser of the cost of repair or the fair market value of the vehicle at the time of the loss. No More!! On the total loss this is most often not enough to replace the vehicle. The car is paid off and now you are faced with a note, or worse, you feel you can’t afford a replacement vehicle, even a used one. It seems unfair but that is the law.

The other side of the coin is if you have a new vehicle and there is substantial damage. That can be equally traumatic. Your new car, your pride and joy, is now a crumpled mess. You can’t imagine how you could ever drive that car again. The carrier says they will not declare the vehicle a total loss. You want the car totaled and the insurance company to buy you a new one. Under Virginia law the insurance company can dictate that it will only pay to fix the car and not declare it a total loss. But if the company decides to follow that path, then it is also required by law to pay for the diminution in value after the repair has been completed. This is important to consider. Under Virginia law you are required to disclose that the vehicle has been damaged if the repair costs are over $500. This is true whether you sell it yourself or trade it in to a dealership for a new vehicle.Under most policies in Virginia you are also entitled to a rental car. If the accident is not your fault then the guilty person’s insurance company is required to pay. The insurance company must pay until your car is repaired. If the car is a total loss then it only pays for a reasonable time following a determination that the car is a total loss. This is usually 10 to 14 days.


Do I really need a lawyer to help me or can I handle my personal injury case myself? 

There may be cases in which the insurance carrier for the person who caused your accident and injuries will treat you fairly.  In cases where you have minor injuries you may be ahead of the game to resolve the case yourself.  However if you incur significant medical bills it becomes more difficult to get a fair settlement for your claim.  An additional consideration is the fact that often the insurance company wants to settle very quickly.  This may be a mistake also.  You should wait a minimum of 6 months after you feel you are well to make sure no further problems come up.  Because once you accept a settlement and sign the release, you can never go back and reopen your claim.  I regularly field questions from people who want information on whether they should settle.  They want to know if the offer is fair.  I am happy to meet and discuss these cases and if it is a fair offer I say so.  Many times the offer is not fair and the person will benefit from the expertise of our firm.

When should I hire a lawyer to handle my personal injury case?

In short, sooner is better.  There are things that need to be done very soon after an accident in order to properly prepare and pursue a personal injury claim -- key things that if done will increase the recovery for the client.  It is important to properly investigate the circumstances which led to the accident while the evidence is fresh.  We find that the ability to interview the witnesses as soon as possible after the accident can be crucial.  Over time witnesses move and are difficult to locate.  Their memory fades.  Police officers misplace their notes.  Evidence is lost or no longer available.  The vehicles are disposed of and not available for pictures.  Pictures of the vehicles are very important to show the severity of the collision and in some cases critical to proving how the accident occurred.

When Should I Seek Medical Treatment?

One of the things I see affecting the recovery in some personal injury cases is the stoic attitude of the injured person.  Many people don’t want to keep running back to the doctor.  They also feel that I will get better and really don’t need to see the doctor.  However the insurance companies will use gaps in treatment to discount the value of the claim, both in negotiations and at trial.  I have often worked with clients who were in constant pain for many months but did not seek treatment.  The argument is made that if you were in that much pain you would have gone to the doctor.  Another problem occurs from the delay in seeking treatment.  There are times when the client’s doctor cannot say his or her treatment was a result of the accident because the client had not been seen for a long period of time.  The client had been in constant pain but the constant pain had not been documented.  We always recommend that our clients continue to get treatment while they are suffering pain and disability from their injury.