What does the auto insurance company's have to pay for?
Question:
Answer:
Who says they have to pay 3x your medical bill.
What you get will depend on whatever the other party was insured for.
If this is just vehicle damage then you will have to pay your own medical bills.
whatever your policy says, did you read it, is that what it said
Who's insurance company are you talking about? What they "have" to do, depends on if it's YOUR insurance company, or the other guy's.
YOUR insurance has to follow the policy agreement - to pay up to the policy limit, subject to deductibles, if any, for all the coverages you may have purchased which are applicable.
The OTHER insurance, has NO obligation to pay you, until after a judge says so, in court. Obviously, most "settle" a claim way before it goes to court. But there are a LOT of factors to consider.
Are they accepting 100% liability for the accident? If not, they may only offer to pay part of the loss. Is your state a "no fault" for medical payments? If so, you can't collect ANY medical benefits until your policy has paid the limit. Do you have a limited tort option on your policy? If so, except in a very few cases, you have NO right to pain and suffering.
Also, the "3x medical bill" would be a reference to pain and suffering. It's NOT the way it works. IF you are entitled to ANY pain and suffering, it will be dependent on the type of injury you have, and what kind of permanent effect it has on your life. For all those soft tissue injuries, where nothing shows up on an xray, and all you have are chiropractor bills, you might not get anything AT ALL.
So, in other words, there isn't enough information here to give you an answer. But you SHOULD talk to your OWN agent, who can give you exact information that fits your policy, AND your state laws.
I am assuming you mean the other persons insurance company.
You are completely wrong with regards to what you are entitled to. Let me break it down for you. This is based on the assumption that they have accepted liability for the loss and in your state you have qualified for a claim. In some states just because you have an injury does not mean you qualify for a claim.
1.Medical Bills – they will only pay for reasonable treatment and bills for injuries related to the accident. For example if you were in a very minor accident they are not going to pay for you to go to the chiropractor 4 times a week for 6 months. It has to be reasonable that the injury occurred from the loss. Furthermore, they will only pay upon completion of the claim not while you are treating. They pay one time and that is at settlement.
2. Car Rental – they only have to pay for the rental for the vehicle is in the shop. If your car takes 3 days to fix you cannot take into the shop on Thursday or Friday and pick it up on Monday or Tuesday. They only owe you for 3 days, not over the weekend. If vehicle was not drivable than they only pay for a reasonable time frame. They do not have to pay for any additional insurance that you may be required to purchase from the rental place.
3.Loss of Work – only if medically documented. If you missed work because your car was in the shop they do not pay for that. If you missed work because you were sore but not excused by a medical provider than it is not paid for.
4.Car Repair – yes they owe for that.
5.3 times the medicals – you WILL NOT, let me repeat WILL NOT get 3 times meds.
Let me explain why… Mr. Smith and Mr. Brown suffer from the exact same injury in an auto accident. Smith goes to the ER where they take x-rays and a cat scan. Brown goes to his family GP. They are both diagnosed with exact same injury and need no follow up. Smith’s bill will be $5,000 and Brown’s bill will be $100. Why should Smith receive a settlement of $15,000 and Brown a settlement of $300? What is someone has a 10-inch gash on his or her face. Doctor bill for stitches is $500 – should they only receive $1500 even though they have a huge scar?
Your settlement will not be near as much as you think it is. When I worked claims I was able to settle 95% (which were soft tissue injuries to neck and back) of my claims under 5k and this included the wage loss and medical. Most injury claims I settled had pain and suffering amounts under 2k, even closer to 1000-1500. You are not going to get rich from this.
Again this is based on the assumption that you qualify for a claim, they feel that your injuries are accident related, and your treatment is reasonable.
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