What Is PIP Insurance?

Headshot of Jeremy Schiowitz
Written by Jeremy Schiowitz

Personal Injury Lawyer at Isaacson, Schiowitz & Korson, LLP.

Over 20 years of experience in Personal Injury.

Graduated from Brooklyn Law School: Juris Doctor, 2003.

Personal Injury Protection (PIP) insurance is a type of auto insurance coverage that provides medical expenses and, in some instances, lost wages and other damages. It is known as “no-fault” coverage because it pays out claims irrespective of who is at fault in the accident. PIP is mandatory in some states, including New York, and optional in others, offering benefits like coverage for medical costs, funeral costs, and loss of services due to injury.

When you are covered by PIP insurance in the state of New York, your policy will typically pay for reasonable and necessary medical expenses after a car accident. The specifics of what PIP covers can vary by state and policy, but it generally includes medical treatments, rehabilitation costs, and sometimes, dental and psychiatric care. Your PIP coverage also often extends to other passengers in your vehicle who may not have their own PIP insurance, making it an important protection for you and your passengers.

Understanding the limits of your PIP coverage in New York is crucial. Each state that requires PIP has set minimum coverage amounts. Policies usually define the time limit for receiving benefits, which can be from one to three years from the date of the accident. It’s important to know how these limits can affect you and to consider purchasing higher limits if your state minimums won’t cover your potential needs. Often, most New Yorkers buy the minimum coverage and after an accident, realize that these limits are far too low to provide proper protection. It is always wise to learn more about this coverage to make a smart decision that goes beyond factoring in the cost of your premium.

Understanding PIP Insurance

Personal Injury Protection (PIP) insurance is an essential component of your auto insurance policy that covers medical expenses and other related costs regardless of who’s at fault in an accident.

Definition and Purpose

PIP insurance, also known as Personal Injury Protection, is designed to cover medical expenses, lost wages, and other incidental costs resulting from an auto accident. It is a form of “no-fault” coverage, which means it provides benefits regardless of who caused the accident.

Coverage Details

Medical Expenses:

  • Emergency services
  • Surgical treatments
  • Follow-up doctor visits
  • Medications
  • Rehabilitative services

Additional Protection:

  • Lost wages due to work absence
  • Costs for services you can’t perform (e.g., home cleaning, child care)
  • Funeral expenses in the event of a fatal accident

Italicized items are variable depending on your specific policy, and if you’re not sure yours includes those coverages, you should call your insurer to find out. Coverage limits will also vary, so you should review your policy or speak to your insurance agent for precise information about your PIP coverage.

Navigating PIP Insurance

Personal Injury Protection (PIP) insurance is imperative for covering medical expenses, lost wages, and other costs after an auto accident, regardless of fault. It’s crucial to understand the claim process and the specific regulations that apply in the state of New York.

Claim Process

To file a PIP claim in New York City or elsewhere in the state, you should promptly notify your insurance provider about the accident. Follow these steps:

  1. Notification: Inform your insurer immediately after the accident to start the claim process.
  2. Documentation: Gather all necessary documents, such as an accident report, medical records, and proof of lost wages.
  3. Submission: Submit the claim form provided by your insurer, attaching all relevant documentation.
  4. Evaluation: Your insurer will review the claim and determine the payment based on your policy coverage.

State Regulations and Requirements

PIP coverage varies widely across different states. For the state of New York, here’s what you need to consider:

  • Mandatory vs. Optional: Some states require PIP insurance, while in others it’s optional. For instance, New York requires a minimum of $50,000 in PIP coverage, while in California it’s optional.
  • Minimum Coverage: Each state that requires PIP stipulates a minimum coverage amount. Check New York’s insurance department website for specifics, though keep in mind that minimum coverage may not be enough to fully protect you.
  • Claim Time Frame: Understand the deadlines for filing PIP claims, which typically range from 14 to 30 days post-accident. Ensure you file within this period to be eligible for benefits.

Contact us for help with car accident claims and to speak with a car accident lawyer about your legal options.

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