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Auto Insurance Guide

Medical payments coverage (MedPay) in North Carolina auto insurance

MedPay pays your medical bills after an accident, no fault determination needed, no waiting. Here's how it works in NC and whether you should add it.

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What is MedPay?

Medical payments coverage (MedPay) is an optional add-on to your NC auto insurance policy. It pays for medical expenses for you and your passengers after an accident, regardless of who was at fault. No fault determination needed, no waiting for the at-fault carrier to accept liability.

What MedPay covers

  • Doctor visits and hospital stays resulting from an auto accident
  • Surgery and emergency room care
  • Ambulance transportation
  • Funeral expenses in the event of a fatality
  • Dental and chiropractic treatment (varies by policy)

MedPay does not cover lost wages, property damage, or liability to others. It's a medical expense coverage, not a replacement for liability or disability insurance.

MedPay vs. health insurance

Health insurance may cover accident injuries, but with deductibles, copays, and network restrictions. MedPay pays on top of health insurance, it can cover the out-of-pocket costs your health plan doesn't. It also typically doesn't subrogate against your personal injury recovery the way health plans sometimes do, which matters when you're pursuing a claim against an at-fault driver.

MedPay limits and cost

MedPay is typically offered in limits from $1,000 to $10,000. The cost is minimal, often $5 to $15 per year for $5,000 of coverage. The out-of-pocket medical costs after even a minor accident can easily exceed the annual premium for MedPay.

MedPay also covers passengers in your vehicle regardless of their own insurance situation. A friend or family member injured in your car is covered up to the policy limit.

Cooper's take

MedPay is one of the cheapest coverages on your auto policy and one of the most immediately useful after an accident. It pays fast, no fault needed. The out-of-pocket medical costs after even a minor accident can significantly exceed the annual premium for MedPay. I almost always recommend adding it, the cost-to-benefit ratio is hard to beat.

Cooper Parsons, NC License #19272643

Frequently asked questions

Is medical payments coverage required in North Carolina?

No. MedPay is optional in NC. North Carolina is not a no-fault state and does not require PIP (personal injury protection). MedPay is an optional coverage that provides quick payment for medical expenses after an accident, regardless of fault.

Does MedPay cover my passengers in NC?

Yes. MedPay covers you and any passengers in your vehicle at the time of the accident, regardless of fault. It also typically covers you if you're injured as a pedestrian or while riding in someone else's vehicle.

Do I need MedPay if I have health insurance?

MedPay can cover the out-of-pocket costs (deductibles, copays) your health insurance doesn't. It also pays quickly without fault determination, and typically doesn't subrogate against your injury recovery the way health plans sometimes do. Many people find MedPay a valuable supplement even with good health coverage.

How much does MedPay cost in NC?

Very little. Typical MedPay coverage of $5,000 may add as little as $5 to $15 per year to your auto policy. Actual pricing varies by carrier and your overall policy profile.

Written & Reviewed By

CP

Cooper Parsons

Owner & Licensed Independent Insurance Agent

NC License #19272643 · IronHaven Insurance · Wake Forest, NC · 25+ carriers

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