The Shoulder
The Shoulder
56
Insuranceswift-elk-300

Other driver's policy limit is way less than my bills — am I just stuck with that?

So I'm still trying to wrap my head around all of this. About two months ago I was stopped at a red light and got slammed into from behind by a pickup truck. My car is totaled, and on top of that I've been dealing with a herniated disc in my neck that my doctor says is going to need some kind of procedure — possibly surgery depending on how I respond to the next round of treatment.

I finally got the other driver's insurance info sorted out and an attorney I spoke with told me the at-fault driver only carries $30,000 in bodily injury liability. That's it. Meanwhile my medical bills are already climbing past that and I haven't even had the procedure yet.

A few things I'm confused about:

  • Is that policy limit the absolute ceiling on what I can recover from their insurance, no matter what?
  • What happens when medical costs blow past that number?
  • Does my own insurance play any role here — like, do I have any coverage that kicks in when the other person's policy isn't enough?

I feel like I did everything right — I wasn't moving, I wasn't at fault at all — and now I'm looking at a situation where the person who hurt me basically has the bare minimum coverage and I'm the one who has to figure out how to pay for everything.

Has anyone been through something like this? I don't even know what questions to ask at this point. Any experience or perspective would really help.

13replies

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13 replies

  • 18
    genuine-otter-345

    Former adjuster here. When a policy limit is low, the insurance company actually moves pretty fast to try to get you to settle for that amount — they want to close the file before you figure out your own coverage options or before an attorney gets involved. The speed they move isn't them being helpful. It's them protecting their interests. Don't mistake urgency for generosity.

    • 4
      calm-traveler499

      Wish I had seen this a month ago — would have saved me a lot of stress.

  • 14
    steady-bison-635

    I went through almost the exact same thing last year. The driver who hit me had the state minimum policy and my treatment costs blew right past it. The thing that actually saved me was that I had underinsured motorist coverage (UIM) on my own policy — I didn't even know I had it until my attorney pointed it out. Seriously, dig out your own declarations page and look for UIM or UM coverage. That was the difference-maker for me.

    • 6
      spry-dove-922

      Do NOT let their adjuster rush you into a quick settlement just because the policy limit sounds like a done deal. They will absolutely try to make you feel like that number is the only number and that you should just take it and move on. Get an attorney involved before you sign or agree to anything — once you settle you can't go back.

    • 18
      brave-stoat-371

      To answer your question directly: yes, the at-fault driver's liability policy is generally the cap on what their insurer will pay out. BUT — and this is important — that doesn't mean it's your only option. A few things worth looking into: (1) your own uninsured/underinsured motorist coverage, which exists specifically for situations like yours; (2) whether you have MedPay or PIP on your own policy to help cover bills while things get sorted; and (3) in some cases, if the at-fault driver has personal assets, there can be options beyond the policy, though that gets complicated. A PI attorney can look at the full picture.

    • 0
      restless-overpass672

      Following up on this — any update on how it turned out?

  • 9
    patient-crow-743

    Please don't delay any recommended treatment while you're sorting out the money side of things. I've seen patients put off procedures because they were stressed about bills and end up with much worse outcomes. A lot of providers will work on a lien basis for accident injuries, meaning they get paid when your case resolves. Talk to your doctor's billing office — they've usually dealt with this before.

    • 0
      patient-wanderer627

      Going through something similar right now. Did following up actually move the needle for you?

    • 3
      grounded-overpass587

      Took me three tries but they finally budged. Don't give up.

  • 9
    humble-raven-438

    I'm so sorry you're dealing with this on top of recovering from an actual injury. The financial and legal stress after an accident is a whole separate trauma. Please make sure you have someone in your corner — even just having an attorney look at your situation for free during a consultation can give you so much more clarity than trying to figure this out alone.

  • 8
    daring-wolf-603

    Not legal advice, but this is a really common and genuinely frustrating situation. The policy limit is usually the ceiling for that particular insurance company, but an attorney will stack everything — your UIM, MedPay, health insurance subrogation issues, all of it — to figure out what's actually available to you. Don't assume that one number is the end of the story before someone's done a full coverage analysis.

    • 4
      weathered-offramp772

      Saving this whole thread. Really appreciate the honesty here.

  • 5
    curious-crow-437

    Short answer: get an attorney, get your own policy in front of them, don't sign anything. You're asking the right questions but you need someone who can actually pull all the documents and tell you the real number. Most PI attorneys do free consults and work on contingency so it costs you nothing upfront.