Who Pays Your Medical Bills After a Car Accident in New York? Understanding No-Fault Insurance & Your Legal Rights
- Collins & Collins Attorneys

- 37 minutes ago
- 3 min read

If you’ve been injured in a car accident in New York, one of the first questions you’re likely asking is: “Who pays my medical bills?”
The answer surprises many people. In New York, car accident cases are governed by a No-Fault insurance system, which means fault does not initially determine who pays your medical expenses. Understanding how No-Fault works and where it ends is critical to protecting both your health and your financial recovery.
At Collins & Collins Attorneys, we’ve been helping injured New Yorkers navigate this system for over 70 years. Below, we break it down clearly and simply.
What Is No-Fault Insurance in New York?
New York’s No-Fault law requires that your own auto insurance policy pays for certain losses after a car accident regardless of who caused the crash.
This system was designed to:
Ensure quick payment of medical bills
Reduce delays caused by fault disputes
Get injured people treatment immediately
What Does No-Fault Insurance Pay For?
Under New York No-Fault, your Personal Injury Protection (PIP) coverage pays for:
✅ Medical Bills
Emergency room treatment
Hospital stays
Surgeries
Diagnostic testing (MRIs, X-rays, CT scans)
Physical therapy and rehabilitation
Necessary follow-up care
✅ Lost Wages
Up to 80% of your lost earnings, capped at $2,000 per month
Available if your injuries prevent you from working
✅ Necessary Expenses
Transportation to medical appointments
Household help (cleaning, childcare, etc.)
Other accident-related out-of-pocket costs
Important: These benefits are capped at $50,000 per person in most standard No-Fault policies.
Who Pays Your Bills if You Don’t Own a Car?
Even if you don’t have your own auto insurance, you may still be covered:
Passenger in a car → Covered under the vehicle owner’s policy
Pedestrian or cyclist hit by a car → Covered by the striking vehicle’s insurance
No insurance available → You may qualify through the Motor Vehicle Accident Indemnification Corporation (MVAIC)
Each scenario has strict deadlines and requirements—mistakes can cost you coverage.
What Happens When No-Fault Runs Out?
Once No-Fault benefits are exhausted—or if your injuries are serious—you may be entitled to pursue a personal injury claim against the at-fault driver.
This is where No-Fault ends and full compensation begins.
When Can You Step Outside the No-Fault System?
New York law allows injured victims to file a lawsuit only if they meet the “serious injury threshold.” This includes:
Fractures
Significant disfigurement
Permanent limitation of use
Significant limitation of use
Injuries preventing normal activities for 90 out of 180 days
If you qualify, you may recover:
Pain and suffering
Full lost wages (past and future)
Medical expenses beyond No-Fault limits
Long-term disability damages
Insurance companies often dispute injury severity, which is why legal representation matters.
Common Mistakes That Can Jeopardize Your No-Fault Benefits
Many claims are delayed or denied due to avoidable errors, including:
❌ Missing the 30-day No-Fault application deadline
❌ Delaying medical treatment
❌ Gaps in care
❌ Seeing providers not approved under No-Fault
❌ Giving recorded statements without legal advice
Once benefits are denied, insurers rarely reverse course without pressure.
How Collins & Collins Helps After a Car Accident
At Collins & Collins, we don’t just file paperwork, we protect your entire recovery.
We help by:
Filing and managing your No-Fault claim correctly
Ensuring medical bills are paid on time
Fighting improper denials or delays
Determining whether you qualify for a serious injury lawsuit
Pursuing maximum compensation beyond No-Fault when available
Our attorneys understand both the medical and legal complexities of New York car accident claims and we know how insurance companies operate.
Why This Matters
Medical bills add up fast after a crash. Without proper guidance, injured people often:
Pay out of pocket unnecessarily
Accept denied claims as final
Miss opportunities for additional compensation
Understanding No-Fault is the first step. Protecting your rights is the next.
Speak With a New York Car Accident Attorney Today
If you’ve been injured in a car accident and have questions about medical bills, lost wages, or No-Fault insurance, we’re here to help.
📞 Call Collins & Collins Attorneys at 716-885-9700📍 Serving Buffalo and communities throughout New York💼 Free consultations — no fee unless we win



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