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Florida's Injury Threshold and Non-Permanent Disk Injuries

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JV

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

Founding Attorney, 1LAW · Last reviewed October 13, 2021

Legal Inquiry

Consumer Legal Issue

In the State of Florida I was rear-ended by a semi-truck. Does my pain and suffering not count for compensation if my herniated disks and bulging disks are not permanent?

Attorney Answer

Your honest answer is a split one: if no physician will say the injury is permanent, Florida's threshold does block pain-and-suffering damages — but it does not block the rest of your claim, and "permanent" is a medical opinion, not a label the insurance company gets to assign. Herniated and bulging disks are frequently the subject of exactly that dispute, and the question is usually decided by what your treating doctors write, not by an adjuster's letter.

Section 627.737(2) is the gate. It permits a plaintiff to recover damages in tort "for pain, suffering, mental anguish, and inconvenience because of bodily injury, sickness, or disease arising out of the ownership, maintenance, operation, or use of such motor vehicle only in the event that the injury or disease consists in whole or in part of: (a) Significant and permanent loss of an important bodily function. (b) Permanent injury within a reasonable degree of medical probability, other than scarring or disfigurement. (c) Significant and permanent scarring or disfigurement. (d) Death."

Read those categories separately, because they are not one test. Paragraph (b) asks about permanent injury within a reasonable degree of medical probability — the standard is medical probability, not certainty. Paragraph (a) is its own route: a significant and permanent loss of an important bodily function. A disk injury that permanently limits how you bend, lift, turn, or sleep can be argued under (a) even when the word "permanent" has not been written next to a diagnosis. Whether your records support any of this is a question for a lawyer reading them alongside your physicians, and it often depends on documentation nobody has asked for yet.

Here is the half that gets missed. The threshold applies only to pain and suffering. Your economic damages are not gated by it. Personal injury protection under § 627.736(1) pays 80 percent of reasonable, medically necessary medical expenses and 60 percent of lost income within a $10,000 combined limit for medical and disability benefits — and § 627.736(1)(a) conditions medical benefits on the injured person receiving "initial services and care pursuant to subparagraph 1. within 14 days after the motor vehicle accident." Medical bills above what PIP paid, the 20 percent PIP does not cover, and lost wages beyond PIP's 60 percent remain recoverable from the at-fault side without meeting the threshold at all.

A semi-truck changes the other side of the case, not the threshold. Florida applies a rebuttable presumption that a driver who rear-ends another vehicle was negligent, which is a judge-made rule this page can describe but not cite. Beyond the driver, a motor carrier is generally answerable for its employee driver's negligence in the course of the work. Financial responsibility for commercial motor vehicles is set separately: § 324.021(7)(d) fixes those amounts by cross-reference to other statutes, not by the figures that apply to passenger vehicles. What coverage actually exists on a truck is something a lawyer establishes from the policies rather than assumes.

If a share of fault is argued against you, the era matters. For a crash before March 24, 2023, § 768.81(2) provided that contributory fault "diminishes proportionately the amount awarded as economic and noneconomic damages for an injury attributable to the claimant's contributory fault, but does not bar recovery." The Legislature changed that rule in 2023 for later crashes.

What you can do

1. Keep treating, and follow through on referrals. Gaps in treatment are the single most common reason a permanency opinion never gets written.

2. Ask your treating physician directly whether, within a reasonable degree of medical probability, you have a permanent injury, and ask that the answer be documented in your record.

3. Request complete copies of your imaging reports and all treatment records, including anything from before the crash that bears on your back.

4. Track your out-of-pocket costs and every hour of work you missed. Those are economic damages and are not affected by the threshold.

5. Do not give the trucking company's insurer a recorded statement, sign a medical authorization, or accept any payment before a lawyer has reviewed it.

Most lawyers offer a brief initial call at no cost, and a few minutes on your specific facts — the crash date, what the imaging shows, and what your doctors have written about permanency — is worth more than any general guidance, including this page.

⏱ Time limits apply. For negligence claims arising before March 24, 2023, the former four-year period under the earlier text of § 95.11 applied; a 2023 law changed both that deadline and Florida's shared-fault rule, and § 95.11(5)(a) now sets two years for later claims. Which version governs your crash depends on its date and is a question for a Florida attorney, not for this page, which does not calculate any date.

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Courts & Legal Aid in Florida

Frequently Asked Questions

What is Florida's tort threshold for pain and suffering after a car crash?

Section 627.737(2) permits a plaintiff to recover in tort "for pain, suffering, mental anguish, and inconvenience because of bodily injury, sickness, or disease arising out of the ownership, maintenance, operation, or use of such motor vehicle only in the event that the injury or disease consists in whole or in part of: (a) Significant and permanent loss of an important bodily function. (b) Permanent injury within a reasonable degree of medical probability, other than scarring or disfigurement. (c) Significant and permanent scarring or disfigurement. (d) Death." Those are four separate routes, not one test. Paragraph (b) asks about medical probability rather than certainty, and paragraph (a) turns on lost function rather than on the word permanent appearing in a diagnosis.

Can you recover medical bills in Florida if your injury is not permanent?

Yes. The § 627.737(2) threshold gates only pain and suffering; economic damages are not gated by it. Personal injury protection under § 627.736(1) pays 80 percent of reasonable, medically necessary medical expenses and 60 percent of lost income within a $10,000 combined limit for medical and disability benefits, and § 627.736(1)(a) requires the injured person to receive "initial services and care pursuant to subparagraph 1. within 14 days after the motor vehicle accident." Bills beyond the PIP limit, the portion PIP does not pay, and lost wages beyond PIP's 60 percent can still be pursued from the at-fault driver without any showing of permanency.

Who decides whether an injury is permanent in a Florida injury claim?

Not the insurance company, though its letters often read that way. Permanency under § 627.737(2)(b) is a medical opinion, given within a reasonable degree of medical probability, and it comes from physicians — usually the treating doctors, sometimes supported or contested by examining physicians retained by each side. If the case is tried and permanency is disputed, the finder of fact decides between the competing opinions. Practically, this means what the treating records say matters enormously: consistent treatment, documented limitations, and a physician who has been asked the permanency question directly and answered it in writing.

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