Car Insurance Your Injury Protection Weegy

Car insurance that pays for your injuries Weegy is a crucial aspect of vehicle ownership. It safeguards you financially in the unfortunate event of an accident, ensuring you receive the necessary medical attention and compensation for your injuries. Understanding this coverage is paramount to making informed decisions about your protection.

This comprehensive guide delves into the intricacies of personal injury protection (PIP), examining its coverage limits, exclusions, claim filing processes, and comparisons with other insurance types. We’ll also explore variations in coverage across states, illustrate common situations where PIP is vital, and provide preventative measures to mitigate the need for claims. Finally, we’ll Artikel how to choose the right policy for your needs.

Table of Contents

Understanding the Coverage

Personal injury protection (PIP) coverage is a crucial component of car insurance, providing financial support for injuries sustained in a car accident, regardless of who was at fault. It’s designed to protect policyholders and their passengers from the financial burdens associated with medical expenses, lost wages, and other related costs, often filling gaps not covered by other insurance policies.

This coverage offers a vital safety net in the event of an accident.PIP coverage differs significantly from other types of car insurance, primarily focusing on the injured party’s needs rather than liability. While liability coverage addresses the financial responsibility for damages to other parties, PIP coverage is solely focused on the insured and their passengers’ well-being, regardless of fault.

This means the policyholder can receive benefits even if they were partially or entirely at fault for the accident.

Personal Injury Protection (PIP) Coverage Explained, Car insurance that pays for your injuries weegy

PIP coverage steps in to pay for medical expenses, lost wages, and other related costs stemming from a car accident, regardless of fault. This coverage is crucial for individuals facing substantial financial burdens resulting from injuries sustained in an accident. It helps cover expenses such as doctor visits, hospital stays, physical therapy, and rehabilitation. Additionally, PIP can compensate for lost wages if the injury prevents the insured from working.

Examples of PIP Coverage Usage

PIP coverage is utilized in a variety of accident scenarios. For instance, if a driver sustains injuries in a collision, regardless of who was at fault, their PIP coverage will likely cover medical expenses. Similarly, if a passenger is injured in a car accident, their injuries would also be covered by the policyholder’s PIP coverage. Furthermore, if a person is involved in a minor accident and sustains injuries that result in missed work, PIP can help cover lost wages.

Benefits Covered under PIP

A typical PIP policy covers a wide range of expenses. Commonly included benefits are medical expenses, including doctor visits, hospital stays, and rehabilitation costs. Lost wages due to inability to work are also usually covered. In some cases, the policy might also cover funeral expenses if the accident results in death.

Comparison of PIP and Medical Payments Coverage

Feature PIP Coverage Medical Payments Coverage
Coverage of Fault Covers injuries regardless of fault. Covers injuries regardless of fault.
Coverage of Passengers Covers injuries to the insured and passengers. Covers injuries to the insured and passengers.
Coverage of Other Parties Does not cover injuries to other parties involved in the accident. Does not cover injuries to other parties involved in the accident.
Coverage of Property Damage Does not cover property damage. Does not cover property damage.
Coverage of Liability Focuses on the injured party’s expenses. Focuses on the injured party’s expenses.

Medical payments coverage is often a secondary layer of protection, but it can help in specific circumstances. It might provide additional financial support in situations where the other driver’s insurance doesn’t fully cover all costs, and sometimes there is overlap in coverage.

Coverage Limits and Exclusions: Car Insurance That Pays For Your Injuries Weegy

Car insurance that pays for your injuries weegy

Personal Injury Protection (PIP) coverage, while designed to compensate for injuries sustained in an accident, often comes with limitations. Understanding these limitations is crucial for accurately assessing the potential benefits and ensuring you are aware of any potential gaps in coverage. These limitations can affect the amount you receive and the types of injuries covered.

Common Limitations on PIP Benefits

PIP benefits are typically capped at a specific dollar amount per person and per accident. This limit is established by the insurance policy and can vary significantly between states and insurance companies. For example, a policy might limit total PIP payments to $50,000 per person, regardless of the severity or duration of the injuries. Additionally, some policies have limits on the duration of benefits, potentially impacting long-term care or rehabilitation expenses.

It’s essential to carefully review your policy’s specific limits to understand the extent of coverage.

Potential Exclusions from PIP Coverage

Certain types of injuries or situations might not be covered under PIP. Pre-existing conditions, injuries sustained while intoxicated, or injuries resulting from intentional acts often fall outside the scope of PIP coverage. For instance, if you sustain an injury while intoxicated, the insurance company might not be obligated to provide compensation. Likewise, injuries arising from deliberate acts of violence against you by another party might be excluded.

How Deductibles Impact PIP Claims

A deductible is a set amount you must pay out-of-pocket before your insurance company begins to pay claims. This amount can vary depending on the policy and the type of claim. For PIP claims, the deductible is typically applied to the overall compensation amount. For example, if your policy has a $500 deductible and your claim totals $2,000, you would be responsible for the first $500, and the insurance company would cover the remaining $1,500.

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This deductible amount reduces the overall compensation received.

Different Types of Policies and Their Limitations on PIP Benefits

Different types of auto insurance policies can have varying limitations on PIP benefits. For instance, a basic policy might offer lower PIP limits compared to a comprehensive policy. Furthermore, the state in which you live can impact the minimum coverage requirements, affecting the availability and amount of PIP benefits. Comparing different policy options from various providers is vital to ensure adequate protection.

Table Illustrating Common Exclusions in Various Policies

Policy Type Common Exclusions
Basic Policy Pre-existing conditions, injuries from intentional acts, injuries sustained while under the influence of alcohol or drugs
Comprehensive Policy Pre-existing conditions, injuries from intentional acts, injuries sustained while under the influence of alcohol or drugs, injuries resulting from certain activities (e.g., engaging in extreme sports)
Specialty Policy (e.g., for high-risk drivers) Pre-existing conditions, injuries from intentional acts, injuries sustained while under the influence of alcohol or drugs, injuries resulting from certain activities (e.g., engaging in extreme sports), higher deductibles

Filing a Claim

Navigating the process of filing a Personal Injury Protection (PIP) claim can feel daunting. Understanding the steps involved and the necessary documentation will ease this process. This section Artikels the procedure, required paperwork, typical timelines, and the critical role of insurance adjusters.Filing a PIP claim is a structured process designed to ensure fair and timely compensation for your injuries.

The claim process is designed to be straightforward, allowing you to focus on recovering from your injuries while the insurance company handles the paperwork.

Claim Filing Process Overview

The PIP claim process begins with notifying your insurance company of the accident and your resulting injuries. A prompt notification is essential to initiate the claims process promptly. This typically involves contacting your insurance provider directly, either by phone or online, to report the incident and your need for medical care. Your insurance company will provide you with specific instructions on how to proceed with the claim, which might involve completing an online form or submitting the required documentation.

Required Documentation for a PIP Claim

Several documents are typically required to support a PIP claim. These documents help the insurance company verify the details of the accident and your injuries. Essential documentation often includes:

  • A copy of the police report (if applicable): This report provides a detailed account of the accident, including witness statements and contributing factors. It’s important to note that if no police report was filed, other supporting documentation, such as witness statements or accident scene photos, may be required.
  • Medical records: These records document the medical care you received, including diagnoses, treatments, and estimated costs. This documentation provides evidence of the injuries sustained and the associated expenses.
  • Proof of lost wages (if applicable): If you missed work due to your injuries, you need to provide documentation, such as pay stubs or employment verification, to demonstrate the loss of income.
  • Photographs of the accident scene (if possible): These visual aids can be valuable in establishing the context of the accident. They can assist in determining the cause of the accident or the severity of the damages.
  • Any relevant documentation from the other driver or party involved (if applicable): In cases where another party was at fault, obtaining statements or any other documentation relevant to the accident can expedite the claim process.

Typical Timeframe for Processing a PIP Claim

The time it takes to process a PIP claim varies depending on the complexity of the case and the insurance company’s internal procedures. Claims involving straightforward injuries and readily available documentation often get processed more quickly. In more complex cases, involving disputes over liability or extensive medical treatments, the processing time can be longer. On average, simple claims can be resolved within a few weeks, while more intricate cases can take several months.

It is crucial to remember that each claim is unique and the processing time may vary.

Steps Involved in a PIP Claim Process

The following table Artikels the typical steps involved in a PIP claim process. The steps may vary depending on the insurance company.

Step Description
1. Report the accident Contact your insurance company to report the accident and your injuries.
2. Gather required documentation Collect all necessary documents, including medical records, police reports, and proof of lost wages.
3. Submit the claim Provide the gathered documentation to your insurance company.
4. Evaluation by the adjuster The insurance adjuster reviews the claim and supporting documentation to assess the validity of the claim and the amount of compensation.
5. Negotiation and settlement The insurance company may negotiate a settlement with you. If a settlement is not reached, the claim may proceed to further evaluation.
6. Claim payment Upon agreement on a settlement, the insurance company issues the payment.

Role of Insurance Adjusters in PIP Claims

Insurance adjusters play a crucial role in PIP claims. They are responsible for evaluating the validity of the claim and determining the appropriate compensation. Their responsibilities include:

  • Reviewing documentation and evidence:
  • Assessing the validity of the claim and the extent of injuries:
  • Negotiating settlements:
  • Communicating with you and medical providers:

Adjusters often work to reach a fair settlement that adequately addresses your medical expenses, lost wages, and pain and suffering.

Comparison with Other Insurance Types

Personal Injury Protection (PIP) coverage is a unique component of auto insurance, distinct from other insurance types like health insurance or disability insurance. Understanding its role in a comprehensive insurance strategy requires recognizing how it complements, and sometimes overlaps with, these other types of coverage. This comparison highlights the key differences and similarities, empowering informed decision-making regarding your insurance portfolio.

PIP Coverage vs. Health Insurance

Health insurance typically covers a broad range of medical expenses, including those resulting from accidents, illnesses, and preventative care. PIP coverage, on the other hand, is specifically designed to pay for medical expenses arising from car accidents, regardless of fault. Crucially, PIP coverage is often mandatory in some jurisdictions.

Overlap and Differences

While both PIP and health insurance cover medical expenses, their scope and limitations differ significantly. Health insurance often provides broader coverage for a wider range of medical needs beyond car accidents. PIP, however, is usually more limited in its coverage amounts and may not cover pre-existing conditions. It typically focuses on immediate medical care following a car accident.

Importance of Reviewing Your Complete Insurance Portfolio

A comprehensive review of your entire insurance portfolio is essential to ensure adequate protection. This involves evaluating your existing health insurance, disability insurance, and other relevant policies to understand how they interact with PIP coverage. A well-structured insurance plan can minimize gaps in coverage and reduce the potential for financial strain during unforeseen events.

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Contrasting PIP and Health Insurance

Characteristic PIP Coverage Health Insurance
Coverage Trigger Car accident Illness, accident, preventive care
Coverage Scope Medical expenses from car accident Broader range of medical expenses
Fault Determination Usually regardless of fault Depends on policy specifics
Pre-existing Conditions Typically covers medical treatment, but restrictions may apply. Coverage often varies depending on the policy and pre-existing condition
Coverage Limits State-mandated minimums, but can vary Significant variation based on policy and premiums.

Situations Where One Might Be Preferable to the Other

PIP coverage is particularly beneficial in situations where a car accident results in injuries requiring immediate medical attention. It can provide financial relief for those expenses without the need to pursue other claims. Health insurance, on the other hand, offers broader protection for a wider array of medical needs, including preventative care, chronic conditions, and illnesses unrelated to accidents.

A situation where health insurance might be more preferable is for ongoing medical treatment after a car accident, where the costs extend beyond the immediate aftermath of the accident. Ultimately, the choice depends on the individual’s specific needs and circumstances.

Coverage Variations by State

Personal Injury Protection (PIP) coverage is a crucial component of car insurance, but its specifics differ significantly from state to state. These variations impact policyholders’ rights and responsibilities when seeking compensation for injuries sustained in a car accident. Understanding these differences is essential for making informed decisions about insurance coverage.State laws govern the minimum and maximum amounts of PIP coverage available, as well as the types of injuries that are covered.

This often includes medical expenses, lost wages, and pain and suffering. Navigating these differences can be complex, requiring careful attention to specific regulations.

State-Specific PIP Coverage Differences

The nuances of PIP coverage laws across states result in a wide array of benefits and limitations. This variability directly affects the amount and type of compensation available to injured parties. Understanding these variations is critical for selecting appropriate coverage.

State PIP Coverage Highlights
California Generally, California has broad PIP coverage, often including a fixed amount for medical expenses regardless of fault. However, limitations may exist regarding coverage for pain and suffering or non-economic losses.
Florida Florida’s PIP laws are known for their mandatory nature and comprehensive coverage, typically including lost wages and medical expenses. However, it has limits on certain types of compensation.
New York New York’s PIP laws offer a balance between comprehensive coverage and potential limitations, with a focus on medical expenses and lost wages. It’s crucial to note the specific stipulations regarding fault.
Texas Texas PIP laws typically offer limited coverage for medical expenses. However, the scope of coverage can expand in situations where the accident involves injuries resulting from a significant accident.

Impact of State Laws on PIP Claim Processes

State-specific PIP laws directly influence the claim process. For example, states with mandatory PIP coverage might streamline claims, while states with less comprehensive laws might necessitate a more detailed evaluation of the injury and coverage. This can result in variations in claim processing times and outcomes.

Importance of Understanding Local Regulations

A thorough understanding of your state’s PIP laws is crucial for navigating the complexities of car insurance claims. Knowing the specific regulations pertaining to your location ensures you understand your rights and responsibilities regarding PIP coverage.

Resources for State-Specific PIP Laws

Locating resources for each state’s PIP laws can be done through official state government websites. These resources often provide detailed explanations of coverage, exclusions, and claim procedures. Consulting these official sources will offer the most accurate and up-to-date information.

  • State Departments of Insurance: Many states have dedicated departments of insurance that provide information and resources on PIP laws and regulations. These are usually readily available on the state government’s website.
  • Legal Aid Organizations: Organizations providing legal aid often offer resources for understanding your rights regarding insurance claims, especially in situations with complex issues.
  • Consumer Protection Agencies: Consumer protection agencies within each state can be valuable resources, providing information on common insurance issues and potential legal remedies.

Examples of Situations

Personal Injury Protection (PIP) coverage plays a crucial role in helping individuals recover financially after an accident, regardless of who is at fault. Understanding when PIP applies and when it doesn’t is essential for making informed decisions about your insurance needs. This section provides illustrative examples of PIP coverage in action, highlighting both favorable and unfavorable scenarios.PIP coverage, in essence, is designed to protect the policyholder’s medical expenses and lost wages resulting from an accident.

It’s a critical component of car insurance, often providing financial relief when traditional insurance might not.

Illustrative Examples of PIP Coverage in Action

PIP coverage kicks in when a policyholder is involved in a car accident, even if they are at fault. The key is that the accident results in injuries. Here are some examples:

  • A driver is rear-ended while stopped at a red light. They sustain whiplash and neck pain. PIP coverage would likely cover their medical bills, including doctor visits, physical therapy, and prescription medication, as well as lost wages if they miss work due to their injuries.
  • A passenger in a car involved in a multi-car pileup suffers a broken arm and a concussion. PIP coverage would typically cover the passenger’s medical expenses, lost wages, and pain and suffering, depending on the specific policy terms. This is true regardless of whether the driver was at fault.
  • A driver, while driving safely, is struck by a drunk driver and sustains a serious head injury. PIP would cover the driver’s medical expenses, lost wages, and rehabilitation costs, regardless of fault.

Scenarios Where PIP Coverage is Critical

In situations where injuries are significant and long-lasting, PIP coverage becomes crucial.

  • A person suffers a spinal cord injury in a car accident. The long-term rehabilitation and medical expenses could quickly exhaust personal savings. PIP coverage would provide crucial financial support to manage these substantial costs.
  • A pregnant woman experiences complications due to a car accident. Medical bills, lost wages, and potential complications related to the accident would likely be covered under PIP, allowing the family to focus on the recovery process.
  • An individual suffers severe burns in a car crash. The extensive medical care, long-term rehabilitation, and potential loss of earning capacity would be significantly alleviated by PIP coverage.

Situations Where PIP Coverage May Not Apply

It’s important to understand that PIP coverage has limitations.

  • A policyholder intentionally causes an accident and is injured. Most policies exclude intentional acts from coverage.
  • An accident occurs while the policyholder is operating a vehicle not covered by the policy. The policy would likely not cover injuries sustained in this case.
  • A policyholder is injured in a motorcycle accident. PIP coverage typically only applies to accidents involving automobiles, not motorcycles.

Case Studies Involving PIP Claims

The following are hypothetical case studies illustrating PIP claim outcomes:

Case Study Injuries PIP Coverage Costs Timeline
Case 1 Minor whiplash Full coverage for medical bills and lost wages $5,000 3 months
Case 2 Broken leg, requiring surgery Full coverage for medical bills, lost wages, and rehabilitation $25,000 6 months
Case 3 Severe head injury, requiring extensive therapy Full coverage for medical bills, lost wages, and therapy $100,000+ 2+ years
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These examples illustrate the potential financial impact of PIP coverage. Remember, these are just hypothetical scenarios. Actual costs and timelines will vary based on the severity of the injuries and the specific insurance policy.

Preventive Measures

Minimizing the need for PIP claims hinges significantly on proactive measures. Safe driving practices and diligent vehicle maintenance are crucial in preventing accidents and the resulting need for personal injury protection coverage. By adopting these strategies, individuals can substantially reduce their risk of incurring costs associated with PIP claims.A commitment to safe driving habits and routine car maintenance is a vital aspect of responsible vehicle ownership.

By adhering to these practices, drivers can significantly decrease the probability of accidents and related PIP claims. This proactive approach not only protects the driver’s financial well-being but also contributes to a safer driving environment for everyone.

Safe Driving Habits

Safe driving habits are fundamental to minimizing accidents and, consequently, PIP claims. These habits encompass a range of behaviors that promote responsible and attentive driving. Consistent adherence to safe driving practices reduces the likelihood of collisions, thus lowering the risk of incurring PIP claims.

  • Maintaining a safe following distance allows for quicker reaction time in unexpected situations, significantly reducing the likelihood of rear-end collisions. For instance, a safe following distance of three seconds allows the driver to react to sudden stops or obstacles.
  • Paying close attention to road conditions, including weather patterns and traffic flow, is crucial for anticipating potential hazards and adapting driving style accordingly. In rainy weather, drivers should adjust speed to maintain control and avoid hydroplaning.
  • Avoiding distractions, such as cell phone use, eating, or adjusting the radio, is paramount to maintaining focus and alertness while driving. Distracted driving is a leading cause of accidents.
  • Adhering to speed limits and traffic laws is essential for maintaining control and avoiding collisions. Exceeding speed limits increases the severity of potential accidents.

Table of Safe Driving Tips

Consistent adherence to safe driving practices significantly reduces the likelihood of accidents and associated PIP claims. This table provides a concise summary of safe driving tips:

Safe Driving Tip Explanation
Maintain a safe following distance Allows for quicker reaction time in unexpected situations.
Pay attention to road conditions Anticipate potential hazards and adjust driving style accordingly.
Avoid distractions Maintain focus and alertness while driving.
Adhere to speed limits Maintain control and avoid collisions.
Use turn signals Communicate intentions clearly to other drivers.
Obey traffic laws Promote a safe and predictable driving environment.

Strategies to Avoid Car Accidents

Developing strategies to avoid car accidents is an integral part of safe driving practices. By proactively identifying potential risks and implementing preventative measures, drivers can significantly reduce their chances of being involved in accidents.

  • Regularly checking tire pressure and tread depth is crucial for maintaining vehicle stability and control. Low tire pressure or insufficient tread depth can lead to loss of control and accidents.
  • Ensuring proper lighting and visibility of the vehicle is vital for safe nighttime driving. Dimmed headlights or obstructed visibility can significantly impair driving safety.
  • Regular vehicle maintenance, including oil changes and brake inspections, is critical for maintaining optimal vehicle performance and preventing mechanical failures that could lead to accidents. Properly functioning brakes are essential for safe stopping.

Car Maintenance Preventative Measures

Routine car maintenance plays a pivotal role in preventing accidents and mitigating the risk of PIP claims. Regular upkeep ensures the vehicle’s optimal performance, reducing the likelihood of mechanical failures that could lead to accidents.

  • Regular oil changes, tire rotations, and brake inspections are crucial for maintaining optimal vehicle performance and preventing potential breakdowns.
  • Checking fluid levels (brake fluid, power steering fluid, coolant) and ensuring they are within the recommended ranges is essential to prevent malfunctions.
  • Inspecting the vehicle’s lights, wipers, and other components regularly to ensure proper functionality. Faulty lights or wipers can impair visibility and safety.

Finding the Right Policy

Car insurance that pays for your injuries weegy

Selecting the right car insurance policy with comprehensive Personal Injury Protection (PIP) coverage requires careful evaluation and comparison. Understanding your needs and the nuances of different policies is crucial for making an informed decision. This process involves analyzing policy details, comparing providers, and ensuring you fully grasp the terms and conditions.

Evaluating Policies with Comprehensive PIP Coverage

Evaluating policies with comprehensive PIP coverage involves a multifaceted approach. Assess the policy’s coverage limits, considering potential medical expenses, lost wages, and pain and suffering. Look for specific details regarding the types of injuries covered and any exclusions. The financial protection provided by PIP should align with your anticipated needs.

Comparing Insurance Providers Based on PIP Coverage

Comparing different insurance providers requires a systematic approach. Consider the provider’s reputation, financial stability, and customer service ratings. Crucially, compare the specific PIP coverage details, including the limits and any exclusions. Request quotes from multiple providers, ensuring a fair comparison of similar coverage levels. Comparing policy documents directly is essential.

Reading and Understanding PIP Policy Documents

Thorough review of PIP policy documents is essential. Pay close attention to the coverage limits, definitions of eligible injuries, and any specific exclusions. Understanding the fine print is crucial to avoid unforeseen issues later. Identify clauses that limit or restrict coverage. Seek clarification from the insurance provider if anything is unclear.

Comparing Policies Side-by-Side (PIP Focus)

A well-structured comparison table can streamline the policy selection process. This table should clearly display relevant details about each policy’s PIP coverage. For example, it should include coverage limits, exclusions, and any specific conditions.

Insurance Provider Coverage Limit (PIP) Exclusions (PIP) Deductibles (PIP) Additional Benefits (PIP)
Company A $100,000 Pre-existing conditions (after 1 year), intentional self-harm $500 Rental car, lost wages (up to 80% of average income)
Company B $150,000 Pre-existing conditions (after 2 years), reckless driving $1000 Rental car, lost wages (up to 75% of average income)
Company C $200,000 Pre-existing conditions (after 3 years), injuries from illegal activities $1500 Rental car, lost wages (up to 90% of average income), ambulance costs

Questions to Ask Insurance Agents Regarding PIP

Effective communication with insurance agents is key. Ask questions about the specific terms of the PIP coverage, such as the types of injuries covered and any limitations. Inquire about the process for filing a claim. Be clear about your specific needs and ask for clarification on any unclear points.

  • Coverage Limits: Ask about the maximum amount payable for medical expenses, lost wages, and pain and suffering under the PIP coverage.
  • Exclusions: Inquire about any exclusions that might limit your coverage, such as pre-existing conditions or intentional acts.
  • Claim Filing Procedures: Understand the steps involved in filing a claim, including documentation requirements and contact information.
  • Coverage Variations by State: Inquire about how state laws might affect the PIP coverage offered.
  • Additional Benefits: Ask about any additional benefits that may be included, such as rental car coverage or reimbursement for rehabilitation services.

Last Point

In conclusion, understanding car insurance that pays for your injuries Weegy, specifically personal injury protection (PIP), is essential for safeguarding your well-being and financial security. By carefully evaluating coverage limits, exclusions, and claim procedures, and comparing policies, you can select the most suitable protection. Remember, proactive steps like safe driving and preventative maintenance can significantly reduce the need for such coverage in the first place.

This knowledge empowers you to navigate the complexities of car insurance and make informed decisions about your protection.

Common Queries

What if my health insurance covers some of my medical expenses?

PIP coverage often complements health insurance, paying for expenses not covered by your health plan. It is crucial to understand the overlap and differences to avoid unnecessary costs.

How long does it typically take to process a PIP claim?

Processing times vary depending on the insurance company and the complexity of the claim. However, most claims are processed within a few weeks to a couple of months.

What documentation is required for a PIP claim?

Required documents usually include medical bills, police reports (if applicable), and proof of your injuries. Consult your insurance provider for a complete list.

Can I use PIP coverage if I’m at fault in an accident?

PIP coverage typically covers injuries sustained by you, regardless of who is at fault in the accident. This is a critical distinction from other types of coverage.

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