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Medical Expenses And Lost Wages
Automobile accidents in Florida are governed by the Florida "No
Fault" law. Regardless of fault, the Personal Injury Protection
(PIP)
coverage of your insurance policy pays forthe majority of your medical
expenses and lost wages. If you meet the threshold requirements
under Florida law, the at-fault driver will become responsible for
damages not covered by your PIP benefits. Additionally, the at-fault
driver may be required to compensate you for pain and suffering
and future medical expenses. Until the threshold is met, the at-fault
driver is only obligated to compensate you for property damage.
Property Damage
Florida Law requires that drivers carry property damage liability
coverage. If you are involved in an automobile accident and the
other driver was cited for causing the accident, the other driver's
property damage coverage will pay for the damage to your vehicle.
An insurance adjuster may contact you to examine your vehicle and
determine the extent of the damages. Please note that the insurance
company will repair or replace your vehicle based upon the value
of a similar vehicle. The insurance company is not obligated to
compensate you for extras contained in your vehicle or the amount
owed on your vehicle beyond its book value. You may also be
entitled to compensation for the loss of the use of your vehicle
and/or a rental car while your vehicle is being repaired. If the
other driver does not have property damage coverage, or you feel
that the adverse insurance company is not dealing with you in good
faith, you have the option of using the collision coverage on your
automobile insurance policy. However, the majority of policies with
collision coverage have a deductible of $100.00, $250.00, $500.00
or more. This means that you must pay this amount out of your pocket
before your insurance company will cover any additional damage to
your vehicle. It is a good idea to get two or three independent
estimates for the repair of your vehicle to have a reference point
when dealing with the insurance examiners. Most body shops
will give you a free repair estimate.
The Other Driver Is Not Insured
If the at-fault driver does not have bodily injury coverage, you
may be able to obtain benefits through your own uninsured/underinsured
motorist (UM) coverage. This coverage is available through your
insurance company for an additional premium. Florida Law only requires
that drivers carry property damage liability coverage and no-fault
personal injury protection coverage. Therefore, accepting UM coverage
on your policy will protect you against drivers who have either
no bodily injury or insufficient bodily injury coverage. If the
at-fault driver is uninsured or if his coverage is insufficient
to compensate you for your injuries, your UM coverage will step
in to compensate you.
Resolving Your Automobile Claim
Once you begin to experience complaints of pain, it is in your best
interest, both legally and medically, to obtain a medical evaluation
from a physician with whom you feel comfortable. It will be necessary
for you to treat with your physician and follow his recommendations
for treatment, including referrals for tests and second opinions.
Your doctor will chart your progress through your medical records,
as well as documenting the history of your injury-causing accident
as you have described it to him. Your doctor can also document his
diagnosis of your condition, as well as his prognosis of your future
medical condition and recommended treatment. It will be necessary
for you to treat with a physician until you reach the point of maximum
medical improvement (MMI). MMI is the point where your doctor
has determined within a reasonable degree of medical certainty that
your condition has stabilized to the extent that you have gotten
as well as you will get. At this time, your doctor will be able
to write a report which outlines his treatment and his prognosis
for your future medical condition. Your doctor will also use the
Guides to the Evaluation of Permanent Impairment published by
the American Medical Association to assign an impairment rating
to your injuries. This will permit non-medical individuals, such
as attorneys and insurance adjusters, to understand the degree to
which you have sustained a permanent injury. Under Florida Law,
you must be assigned at least a 1% permanent impairment in order
to make a recovery for pain and suffering damage from the at-fault
party. Should you be unable to obtain a settlement from the insurance
company, you have the alternative of filing a lawsuit against the
adverse driver and, if not settled during the litigation process,
bringing your claim before a jury to award damages.
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