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Who Pays My Medical Bills If I Have A Personal Injury Case?

Written by Dormer Harpring reviewed by KC Harping. April 17, 2025Auto Accident,Personal Injury

Suffering an injury in an accident brings many challenges, and one of the most pressing is figuring out how to cover medical expenses. Bills can pile up quickly, leaving you wondering what costs are your responsibility and how a settlement might impact your financial situation. The question, Do I have to pay medical bills out of my settlement? is common and valid. Understanding who is responsible for your medical costs and how settlements work can help you make informed financial decisions. 

Dormer Harpring explains how medical bills are handled in personal injury cases, breaking down at-fault laws, insurance claims, and economic options so you can make informed decisions about your recovery.

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Will I Have to Pay My Medical Bills from My Settlement?

The short answer is: it depends. Your medical bills will often be deducted from your settlement before you receive your final payout. Your health insurance provider, Med Pay, or any medical liens will typically be paid first. This process ensures that all outstanding debts related to your treatment are covered, but it may reduce the amount of money you receive.

Is Colorado an At-Fault State?

Yes. Colorado operates under an at-fault, or tort, system. This means the driver who caused the accident is responsible for covering damages, including medical bills, through their insurance. However, proving fault and processing claims can take time, so you may have to cover costs upfront before receiving compensation.

What Does “At-Fault” Mean for Injured Individuals?

Being in an at-fault state doesn’t immediately relieve you of financial responsibility. Until the insurance company accepts liability and pays out, you might need to cover your medical bills through insurance or other means, and if liability is disputed, this process can take months or even years. Additionally, if the at-fault party’s insurance company delays or denies the claim, legal action might be necessary to secure the compensation needed to cover medical expenses. 

How Does an Insurance Claim Work in Colorado After an Accident?

After an accident, your first step is typically to file an insurance claim. This approach helps determine how much compensation you can receive for medical bills, property damage, and other expenses. Keep in mind:

  • The at-fault driver’s insurance may pay for your medical costs, but this process can take months or even years if liability is disputed or the case goes to court.
  • Colorado law requires all drivers to carry liability insurance for bodily injury, with a minimum of $25,000 per person and $50,000 per accident. However, these limits might not be sufficient for severe injuries.

If the at-fault driver’s policy doesn’t cover all your expenses, you might be eligible for Uninsured/Underinsured Motorist (UM/UIM) coverage or Med Pay through your insurance. According to the Colorado General Assembly, UM/UIM coverage isn’t mandatory, but one can step in if the other driver is underinsured or uninsured.

Contact a Colorado Personal Injury Lawyer

Understanding Med Pay Coverage

Medical Payments Coverage (Med Pay) is an optional insurance add-on in Colorado designed to help with medical expenses. Here’s how it works:

  • Med Pay covers medical costs for you and your passengers, regardless of fault.
  • Coverage starts at a minimum of $5,000, though higher limits are available.
  • It can help with copayments, deductibles, and other out-of-pocket costs that health insurance doesn’t cover.

One significant benefit of Med Pay is its quick access to funds. Unlike liability claims, Med Pay doesn’t require proof of fault, meaning you can receive payments immediately to cover urgent medical bills.

Using Personal Health Insurance After an Accident

If you have health insurance, it may cover some of your medical expenses until your case is resolved. However:

  • Health insurance may not cover every treatment, especially if it’s accident-related.
  • You’ll still be responsible for deductibles, copayments, and uncovered services.
  • Your insurer may place a lien on your settlement to recover the costs they paid upfront, meaning you may need to reimburse them.

How Do Medical Liens Work?

Medical liens allow healthcare providers to recover unpaid costs once they receive a settlement. Hospitals and medical providers in Colorado can place a lien on your compensation if bills remain unpaid. Here’s how it works:

  • Providers first bill your health insurance or any other available payer.
  • They may file a lien to claim a portion of your settlement if no payment is received.
  • Once your case settles, liens must be satisfied before you receive your final payout.

While medical liens help ensure providers are compensated, they can reduce the money you ultimately receive from your settlement.

Holding the At-Fault Party Accountable

Proving negligence isn’t always straightforward, especially when the at-fault party disputes responsibility. Evidence such as police reports, witness statements, traffic camera footage, and medical records can strengthen your case. Working with legal professionals can also help gather expert testimony and reconstruct the accident if needed.

If a fair settlement isn’t reached through negotiations, you may need to file a lawsuit. Litigation can be a longer process, but it ensures that your right to compensation is pursued aggressively. During this phase, your legal team will present evidence, argue liability, and advocate for the full extent of your damages in court.

Holding the responsible party accountable secures financial relief for your recovery and promotes safer driving behaviors and responsibility on the road. Seeking legal guidance early on can improve your chances of securing the compensation you deserve.

Getting the Advice of a Personal Injury and Car Accident Attorney

Managing medical bills and insurance claims after an accident is complex, and you may wonder, “Do I have to pay medical bills out of my settlement?’’ Dormer Harpring Car Accident Attorneys are dedicated to supporting injured individuals through every step of their legal journey. Our team takes a hands-on approach to ensure your rights are protected and your financial burdens are minimized. We work tirelessly to:

  • Review and organize your medical bills to prevent unnecessary charges.
  • Negotiate with insurance companies to secure the highest possible settlement.
  • Resolve medical liens efficiently, ensuring you receive your rightful compensation.
  • Offer clear, straightforward legal guidance tailored to your specific case.
  • Provide compassionate support, keeping you informed and empowered throughout the process.

Contact our experienced Car and Personal injury Attorneys at (303) 747-4404 to discuss your case and get you the best possible outcome.

 

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Sean Dormer

Denver Personal Injury Attorney
Fighting for Justice, Winning Against the Odds

Sean Dormer has built his career on standing up to powerful corporations and insurance companies to get justice for the injured. With a relentless trial-focused approach, he has secured multi-million-dollar verdicts and settlements for clients who were turned away by other firms. His expertise has led him to speak at statewide legal conferences and advocate for fairer personal injury laws in Colorado.

A Colorado native, Sean brings dedication, legal acumen, and real-world trial experience to every case. If you’ve been injured, Sean and his team are ready to fight for you.


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This page has been written, edited, and reviewed by a team of legal writers following our comprehensive editorial guidelines. This page was approved by attorney, K.C who has more than 20 years of legal experience as an  Denver personal injury attorney,