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Guide

Who Pays Medical Bills After a Car Accident in Florida?

Florida’s no-fault system means your own insurance usually pays first for your injuries, whoever caused the crash. Understanding how that coverage works — and where it stops — helps you plan.

By Swift Accident Help Editorial Team · Last reviewed · General information, not legal advice

Key takeaways

  • Your own PIP generally pays first, regardless of fault.
  • PIP pays 80% of reasonable medical expenses, up to $10,000.
  • PIP generally requires initial care within 14 days of the crash.
  • Without an emergency medical condition determination, PIP medical benefits are limited to $2,500.

How PIP pays

Personal injury protection (PIP) is required on Florida vehicles with four or more wheels. It pays 80% of reasonable medical expenses — and also certain lost income — up to a $10,000 limit, whoever was at fault. It also includes a $5,000 death benefit.

Two conditions matter most. First, you must receive initial services and care within 14 days of the crash. Second, the full $10,000 of medical benefits is available only if a qualifying provider determines you had an emergency medical condition; otherwise, medical benefits are limited to $2,500. See the PIP 14-day rule.

When bills go beyond PIP

Serious injuries can cost far more than $10,000. Depending on your situation, other sources may include health insurance, medical payments coverage on your auto policy, your uninsured motorist coverage, or a claim against the at-fault driver. Which apply depends on your policies and the facts — a participating attorney can review them.

Keep good records

  • Every bill, explanation of benefits and receipt.
  • Prescriptions and medical equipment costs.
  • Mileage to and from appointments.
  • Time off work and lost pay.
  • Letters from your insurer about your PIP claim.

Frequently asked questions

Does PIP pay 100% of my medical bills?

No. PIP pays 80% of reasonable medical expenses, up to your policy’s limit — $10,000 at the Florida minimum.

I don’t own a car. Who pays?

You may be covered under a PIP policy in your household, or under the PIP of the vehicle involved, depending on the facts. Ask the insurers involved.

What if I waited more than 14 days to see a doctor?

Florida PIP generally requires initial care within 14 days. A participating attorney can review whether other coverage may apply.

Sources

Official sources this page relies on. Laws and procedures change — check the source for the current version.

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