Med Pay and Health Benefits Do Not Constitute an Impermissible Double Recovery

by Kevin Patrick Rauseo on Jun. 04, 2015

Accident & Injury Car Accident Accident & Injury Accident & Injury  Personal Injury 

Summary: Med Pay and Health Benefits Do Not Constitute an Impermissible Double Recovery

Med Pay and Health Benefits Do Not Constitute an Impermissible Double Recovery


In Massachusetts, many automobile insurance policies have medical payments coverage (hereinafter referred to as "Med Pay") when PIP is exhausted or is not applicable to the accident, your automobile insurance will pay for the medical bills and expenses incurred as a result of an automobile accident from the Med Pay portion of the policy. In 2011 case from the Massachusetts Supreme Judicial Court, the state's highest court decided that an automobile insurer must pay the policy holder the cost of a medical bill, even if the medical bill was covered under the policy holder's health insurance. By way of example, a policy holder is injured in an automobile accident and incurs $1,000.00 in medical bills related to the accident. Under the Supreme Judicial Court ruling, the auto insurer would pay the policy holder the $1,000.00 for the medical bills, even if the policy holder's health insurance carrier has already paid the bill under its policy. The Court reasoned that unless the auto insurance policy restricts the payment, there is no prohibition on receiving the double recovery as the policy holder paid for this benefit and should receive it according to the terms of the insurance policy.

If you have any questions regarding insurance coverage as a result of an automobile accident please contact an attorney at Hamblett and Kerrigan for a consultation.

Kevin P. Rauseo is a director at Hamblett & Kerrigan P.A. He concentrates his practice in the areas of family and divorce law, Collaborative law, child custody and visitation, child support and alimony, personal injury, insurance defense, slip and fall accidents, automobile and truck accidents, motorcycle accidents, premises liability, dog bites and civil litigation. He is a member of the International Academy of Collaborative Professional and serves on the Professional Development Committee and has previously served on the Public Education Advisory Panel of the Academy. He also is a member of the Collaborative Law Alliance of New Hampshire. AV Preeminent Rated by Martindale-Hubbell. Recipient of the 2014 Nationally Ranked Top 10 Attorney Award from the National Academy of Family Law Attorneys (NAFLA). You can reach Attorney Rauseo atkrauseo@nashualaw.com.

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