subject: Medical Payments Insurance Coverage [print this page] Many people who are ill will start to think about their medical payments coverage under their health insurance plan. It is important to realize that not all things can be planned for, but you may have options. It is also safer to plan ahead to mitigate risk by buying a better insurance coverage.
There are limits to medical payment coverage, which is defined in the policy you draft with your insurance agent. Please realize that everyone's situation is different so it is absolutely necessary to check with professional advice and not act on this information alone. In one instance, for example, standard automobile policies have automobile medical payments that are usually covered with a lower end cap ($5,000 to $10,000). Most often the policy will cover for others on the road that you are in an accident with, such as pedestrians and other drivers.
However, there are pretty broad exclusions that require additional coverage out there. For example, passengers with you in the car may or may not be covered, but usually they are defined as third parties. You will also not be covered with other modes of transportation, such as motorcycles. Technically, this is because a motorcycle does not have 4 wheels. Thus, snowmobiles may not qualify as well, although you should check current law in your area for variations.
I once knew a guy who crashed his motorcycle and got injured. He did not have motorcycle coverage, although he thought he was covered by the auto policy he was under. In the end, he assumed all of the risk and the loss of his bike. He also had to pay for his own medical bills, but luckily it was only a broken arm. Of course, it still was a lot of outside of pocket medical bills. Simply put, you absolutely need to check your medical coverage for your policy!
Medical payments coverage may be similar to other types of coverage, in that they only apply in cases defined under your coverage. If a category is excluded, and the act or event falls under the exclusion, you will not be covered, nor will your third party. There is much exclusion to standard policies so it is necessary to go over everything with an agent. Here are a couple examples.
Say you are running a business from home. If someone falls on your property while doing business with you, that person is excluded from your medical payments coverage. You will be directly responsible for him. Other cases of exclusion include worker's compensation exclusions for auto insurance medical coverage. If you become injured while under employment and regardless of whether you qualify for or apply for worker's compensation, you will be precluded from coverage. In regards to auto insurance, there are very specific conditions for which you need to be occupying your vehicle. It will either be covered or excluded. For example, if you use a motor home or an RV, you may need to look at a variation of homeowner's insurance, and not auto insurance. However, auto policies may be required while driving the RV.
by: Casey Trillbar
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