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Why Is PIP Mandatory In Some States But Not Others?

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running707
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It’s wild how quickly medical bills add up, even for something like a sprained wrist or whiplash. I used to think PIP was just another way for insurance companies to squeeze more out of us, but after seeing what a single ER visit costs, it makes more sense. In states where PIP is mandatory, it’s usually tied to the whole “no-fault” system—basically, your own insurance pays for your injuries no matter who caused the accident. That’s supposed to speed up claims and keep lawsuits down.

But yeah, in states that aren’t no-fault, they figure people can just use their regular health insurance or go after the at-fault driver’s liability coverage. It sounds good in theory, but if you’ve ever tried sorting out medical bills after an accident, you know it can get messy fast. I do wish there were more flexibility though—sometimes it feels like you’re forced into buying coverage you might not need if you have solid health insurance already.

Still, I’d rather pay a little extra than risk having to shell out thousands later. My neighbor skipped PIP because he thought his health plan would cover everything... turns out it didn’t cover lost wages or some of the rehab stuff. He ended up regretting it big time.

Insurance is one of those things where you don’t appreciate it until you actually need it. Annoying as it is on the monthly bill, I get why some states make it non-negotiable.


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law261
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Insurance is one of those things where you don’t appreciate it until you actually need it. Annoying as it is on the monthly bill, I get why some states make it non-negotiable.

That really hits home. I used to grumble about the extra cost too, but after seeing a friend go through a car accident without PIP, my perspective changed. He had decent health insurance, but like your neighbor, he was shocked at what wasn’t covered—especially when it came to physical therapy and lost wages. The process of chasing down the other driver’s insurance dragged on for months, and in the meantime, he was out of pocket for a lot more than he expected.

I get the frustration with being “forced” into coverage you might not think you need. But honestly, even solid health plans often have high deductibles or don’t cover things like transportation to appointments or household help if you’re laid up. PIP tends to fill in those gaps. It’s not just about medical bills—it’s about all those little expenses that pile up when you’re hurt and can’t work or take care of things at home.

The no-fault system isn’t perfect, but from a risk standpoint, I’d rather have something in place that pays out quickly regardless of who’s at fault. Waiting for liability claims to resolve can be a nightmare if you’re counting on that money to pay rent or buy groceries.

I do wish there was more flexibility for people who genuinely have comprehensive coverage elsewhere, but then again, accidents are unpredictable by nature. You never know when something minor will turn into a bigger ordeal financially.

At the end of the day, I’d rather err on the side of caution—even if it means paying a bit more each month—than gamble with my financial stability after an accident. It’s one of those things where peace of mind is worth the price tag, even if it stings a little when the bill comes due.


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dvortex95
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It’s wild how many people assume their regular health insurance will cover everything after a car accident, only to get blindsided by all the stuff that falls through the cracks. I’ve seen folks with “great” coverage still end up paying out of pocket for things like lost wages or even just getting rides to appointments. PIP really does step in where you least expect it.

The reason some states make PIP mandatory and others don’t mostly comes down to how they handle fault in accidents. States with no-fault laws want to cut down on lawsuits and get people paid faster, so they require PIP. Other states stick with the traditional at-fault system, so you’re relying on the other driver’s insurance (which, as you mentioned, can be a nightmare if there are delays or disputes).

I get wishing there was more flexibility, but honestly, most people don’t realize what they’re missing until it’s too late. I’ve had clients who were skeptical about PIP until they actually needed it—then suddenly it made perfect sense. It’s not perfect, but it does fill a lot of gaps that you wouldn’t think about until you’re in that situation.


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I’m literally in the middle of shopping for car insurance and had no idea PIP was even a thing until last week. Honestly, reading about all the “surprise” bills after accidents makes me nervous. Has anyone actually had to use PIP? Was it a hassle or pretty straightforward?


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robertnomad614
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Why Is PIP Mandatory In Some States But Not Others?

Honestly, reading about all the “surprise” bills after accidents makes me nervous. Has anyone actually had to use PIP? Was it a hassle or pretty straightforward?

I totally get where you're coming from—those stories about surprise medical bills freaked me out too when I was shopping around. I’ve had to use PIP once after a fender bender (nothing major, but enough for a trip to urgent care). Here’s how it went for me, step by step:

1. First, I called my insurance right after the accident, and they explained what PIP covers—basically medical bills, lost wages, and sometimes stuff like household help if you’re laid up.
2. They sent me a claim form. It was pretty basic—just details about the accident and my injuries.
3. After I submitted my receipts (urgent care visit, prescriptions), they processed it in about two weeks. No haggling or weird questions.
4. The check came straight to me, not the doctor’s office, which was nice since I’d already paid out of pocket.

I wouldn’t say it was hassle-free (the paperwork is annoying), but compared to dealing with health insurance alone, it was way less confusing. The best part? No fighting over who pays what—PIP just handled it up to my policy limit.

One thing I will say: if you’re on a tight budget like me and have some tickets or accidents on your record, PIP can be a lifesaver for avoiding those “surprise” bills you mentioned. It’s not perfect—some states have low limits and don’t cover everything—but honestly, I’d rather pay a bit more now than get slammed later.

If you’re worried about price, try tweaking your deductible or shopping around for different PIP limits. Some companies were way higher than others when I compared quotes.

Anyway, hope that helps take some of the mystery out of it. It’s not as scary as it sounds once you know what to expect... just keep your receipts and stay organized if you ever need to file a claim.


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