Waverunner |
09-29-2017 11:31 AM |
I am not inferring that your health insurance policy will not pay for coverage from an automobile injury, however, in the event of an auto accident injury, your health insurance is never primary insurance, but secondary insurance.
Read your own health insurance policy. Especially the clauses that are titled Coordination of Benefits (other insurance) and the Subrogation and Right of Reimbursement.
Coordination of Benefits is a limitation of coverage and/or benefits to be provided. It is designed to avoid duplication of payment for Covered Services and/or supplies.
An excerpt from my policy:
The following rules shall be used to establish the order in which benefits under the respective plans will be determined:
1. This plan always pays secondary to any medical payment, personal injury protection (PIP) coverage or no-fault coverage under any automobile policy available to you.
Subrogation and Right of Reimbursement states that if benefits are paid under the Contract for expenses incurred due to Third Party Injuries, then the insurer retains the right to repayment of the full cost of all benefits provided under the Contract on your behalf that are associated with the Third Party Injuries.
An excerpt from my policy:
We may recover the full cost of all benefits paid by us under this Contract without regard to any claim of fault on your part, whether by comparative negligence or otherwise. In the event you or your representative fails to cooperate with us, you shall be responsible for all benefits provided by us under this Contract in addition to costs and attorney’s fees incurred by us in obtaining repayment.
The bottom line is that your health insurance carrier does not want to be the first in line to pay for your auto accident injuries. You will have to do a lot of "cooperating" with them to help them get reimbursed by any at-fault third party. If you don't, they will stop paying and come back to you for 100% of the benefits they have paid under the health insurance plus their legal fees.
Having UM/UIM coverage under your automobile insurance transfers your rights and responsibility to go after the at-fault third party to your auto insurance carrier. UM/UIM covers all passengers in the car, including the driver.
It still remains a personal choice. My choice is to carry high UM/UIM limits under my auto policy. Make yours an informed choice.
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