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Badly hurt alone in a wreck, with a small medical limit

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JV

Reviewed & verified by A. Jason Velez, Esq.*

Founding Attorney, 1LAW · Last reviewed July 8, 2022

Legal Inquiry

Consumer Legal Issue

I had full coverage. I ran off the road in a single-vehicle wreck and broke my spine in two places with two crushed vertebrae. I am in a bad way, and my insurer only wants to pay a small amount toward my medical costs. Why is that all there is?

Attorney Answer

The short answer is that the small medical figure is not an offer, a settlement or a valuation of your injuries. It is the entire limit of one specific, minor part of your policy — and because no other driver was involved, there is no injury claim behind it for anyone to value.

This is the hardest thing about a single-vehicle crash and it is worth stating plainly rather than softening. An injury claim is a claim against somebody who caused your injuries. Where another driver is at fault, you claim against them and their liability insurer, and what you recover reflects your treatment, your lost earnings and what the injury has done to your life. Where you ran off the road and no one else was involved, there is no at-fault party — so there is no liability claim, and nothing for anyone to assess against injuries as serious as yours.

"Full coverage" is where the confusion usually comes from, and it is a phrase that means less than it sounds. It is not a policy type. It is how people describe having liability plus collision and comprehensive. Each of those does a separate job:

Liability pays other people for damage and injury you cause. It never pays you. - Collision pays to repair or replace your own vehicle. That is your car, not your body. - Medical payments coverage pays a fixed, usually small amount toward your own medical bills, regardless of fault. This is almost certainly the figure you have been given, and a limit of that size is typical. It is paid out to its limit and then it is finished.

So the insurer is not lowballing you in the sense you may suspect. It is paying a small benefit to its limit because that is the only benefit in your policy that responds to your own injuries in a single-vehicle crash. That is a genuine and serious problem with the coverage, and it is not a negotiation.

There are places worth looking, and they should be looked at by a lawyer rather than assumed. Whether anything else contributed to the crash — the condition of the road, a defect in the vehicle, another vehicle that forced you off without contact — changes the analysis completely, and these are exactly the questions someone who was badly hurt and alone at the scene is least placed to answer. Whether your policy carries any other first-party benefit is a question of reading the whole policy, not the letter you were sent. And with an injury of this severity, health coverage, short and long-term disability, and Social Security disability are separate systems with their own rules.

Do not sign anything closing the matter while you are still finding out what happened. A spinal injury with crushed vertebrae has a long and uncertain course, and a release signed now covers what comes later.

What you can do

1. Ask your insurer, in writing, for a complete copy of your policy including the declarations page — not a summary. You need to see every coverage on it, not the one they have mentioned. 2. Ask specifically which coverage the payment is being made under and what its limit is, and get the answer in writing. 3. Get the crash report and keep every medical record from the scene onward. 4. Do not sign any release or settlement while your treatment and prognosis are still unfolding. 5. Preserve the vehicle if at all possible, and photograph it before it is repaired, sold or scrapped. If anything about the vehicle or the road contributed, the vehicle is the evidence and it is usually gone within weeks. 6. Make sure your health insurer is billed for the treatment once the medical payments limit is exhausted, and ask a hospital financial counselor about assistance if you are uninsured. 7. Ask about short-term and long-term disability through your employer, and about Social Security disability. These are separate from the car policy and have their own deadlines. 8. Speak to an Alabama attorney before concluding there is nothing here. Most will look at a matter like this at no cost, and the questions worth asking — about the road, the vehicle and the full terms of your policy — are not ones to answer from a hospital bed.

⏱ Time limits apply. Ala. Code § 6-2-38(l) gives two years: “all actions for any injury to the person or rights of another not arising from contract and not specifically enumerated in this section must be brought within two years.” Evidence goes sooner — footage is overwritten and memories fade — so the practical deadline is usually much earlier than the legal one.

An Alabama attorney can tell you quickly how the facts here line up, and most will look at a matter like this at no cost.

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Frequently Asked Questions

Does car insurance pay for your injuries in a single-vehicle accident?

Only through first-party coverages on the policyholder's own policy, principally medical payments coverage, which pays a fixed and usually modest amount toward medical bills regardless of fault. Liability coverage pays other people for harm the policyholder causes and never pays the policyholder, and collision coverage pays for the vehicle rather than for injuries. Without another at-fault driver there is no liability claim to value.

What does "full coverage" actually mean?

It is not a defined policy type. It generally describes carrying liability together with collision and comprehensive coverage. Those protect other people, and the policyholder's vehicle, respectively. Neither provides a payment for the policyholder's own injuries, which is why a driver who believed they had full coverage can be seriously hurt and find that only a small medical payments limit responds.

Is a medical payments limit a settlement offer?

No. Medical payments coverage is a fixed benefit paid up to its stated limit regardless of fault, and exhausting it is not a valuation of the injury or a settlement of any claim. It is a different thing from a liability settlement, which is negotiated against an at-fault party and reflects treatment, lost earnings and the effect of the injury.

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