What happens if the at-fault driver’s insurance isn’t enough to cover my medical bills?: North Carolina

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What happens if the at-fault driver’s insurance isn’t enough to cover my medical bills? - North Carolina

Short Answer

In North Carolina, if the at-fault driver’s liability insurance won’t cover all of your medical bills, you look next to underinsured motorist (UIM) coverage and any medical payments (Med Pay) coverage on the car you were riding in, your own auto policy, or sometimes a household member’s policy. You must also protect your right to UIM by getting your UIM insurer’s written consent before settling with the at-fault insurer. Health insurance can help, but medical liens and reimbursement rules may affect the final payout.

Understanding the Problem

North Carolina: As a passenger, can you use your own or the car’s insurance to pay medical bills when the at-fault driver’s policy limits are too low? This question matters because your recovery often depends on layering the right coverages in the right order while protecting your rights before you settle with the liability insurer. Here, you were a passenger, and a claim was opened on the driver’s policy you rode with to confirm available coverage.

Apply the Law

North Carolina law requires drivers to carry liability insurance. When that policy is not enough, injured people may access uninsured/underinsured motorist (UM/UIM) coverage and Med Pay benefits. UM applies when the at-fault driver has no insurance; UIM can apply when the at-fault limits are lower than the UIM limits available to you. Occupants of an insured vehicle are generally covered for UM/UIM under that policy, and you may also have coverage under your own or a resident relative’s policy. The main forum is an insurance claim; if settlement is not reached, you may file a civil lawsuit in a North Carolina trial court. A key deadline is the general three-year statute of limitations for personal injury claims.

Key Requirements

  • Liability first: The at-fault driver’s bodily injury liability coverage pays before any UIM; payments reduce (set off against) any UIM payout.
  • UIM trigger: UIM is available only when your available UIM limits exceed the at-fault driver’s liability limits; policy language and statutory rules control.
  • Occupant coverage: As a passenger in a covered vehicle, you are generally an insured for that vehicle’s UM/UIM and Med Pay.
  • Consent to settle: Get written consent from your UIM insurer before you settle with the at-fault insurer, or you risk losing UIM rights.
  • Med Pay is no-fault: Med Pay can reimburse reasonable medical expenses regardless of fault, up to the purchased limit.
  • Liens and reimbursement: Medical providers and certain benefit payors may assert liens or reimbursement rights that affect your net recovery.
  • Deadline to sue: If a settlement is not reached, you generally must file suit within three years of the crash to preserve your claim.

What the Statutes Say

Analysis

Apply the Rule to the Facts: You were a passenger, so you likely count as an insured under the vehicle’s UM/UIM and Med Pay. If the at-fault driver’s liability limits are too low, you would look next to UIM on the vehicle you rode in, then to your own auto policy and potentially a resident relative’s policy. Because a claim was opened with the driver’s insurer you rode with, that should help verify Med Pay and UM/UIM without implying that driver was at fault. Before any settlement with the at-fault insurer, get your UIM carrier’s written consent to preserve UIM benefits.

Process & Timing

  1. Who files: The injured passenger (or their attorney). Where: Insurance claims are filed directly with the at-fault insurer, the vehicle owner’s insurer, and your own insurer; lawsuits are filed with the Clerk of Superior Court in the North Carolina county where the crash occurred or a defendant resides. What: Liability claim, UM/UIM claim notice, and any Med Pay claim (with bills/records). When: Provide prompt written notice to all insurers; if settlement is not reached, file suit within three years of the crash.
  2. Request written consent from any UIM insurer before accepting the at-fault insurer’s policy limits. Insurers usually need supporting records; allow several weeks for review.
  3. After liability limits are paid and UIM/Med Pay issues are resolved, liens are negotiated and paid from settlement funds, and releases or UIM endorsements are executed to close the claims.

Exceptions & Pitfalls

  • Settling with the at-fault insurer without your UIM carrier’s written consent can forfeit UIM coverage.
  • Multiple injured people may share the at-fault driver’s “per-accident” limit, reducing what is available to you.
  • UM/UIM availability depends on policy limits and definitions; coverage under a household member’s policy can be fact-specific.
  • Medical provider and benefit-plan liens must be addressed before funds are disbursed; unresolved liens can delay payment.
  • Opening a Med Pay or UM/UIM claim on the host driver’s policy does not admit fault; rating decisions are insurer-specific, but no-fault claims are typically not treated as chargeable accidents.

Conclusion

When the at-fault driver’s insurance is too low, North Carolina law lets you seek benefits from UIM and Med Pay on the car you occupied, your own auto policy, and sometimes a resident relative’s policy, with liability coverage paying first and offsetting UIM. Protect UIM by getting written consent before settling with the at-fault insurer. If negotiations stall, file a civil complaint with the Clerk of Superior Court within three years of the crash.

Talk to a Personal Injury Attorney

If you're dealing with medical bills that exceed the at-fault driver’s insurance and need to coordinate UIM and Med Pay, our firm has experienced attorneys who can help you understand your options and timelines. Call us today at [919-341-7055].

Disclaimer: This article provides general information about North Carolina law based on the single question stated above. It is not legal advice for your specific situation and does not create an attorney-client relationship. Laws, procedures, and local practice can change and may vary by county. If you have a deadline, act promptly and speak with a licensed North Carolina attorney.

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