Car accidents can cause hidden injuries and high medical bills. You might wonder who pays for your chiropractic care. In Florida, drivers must have Personal Injury Protection (PIP) insurance. This insurance can help with your injury costs, including chiropractic visits. In Texas, PIP insurance is optional but is always recommended because the cost is nominal and it can cover up to $10000.00 of medical care, chiropractic and emergency room after a whiplash injury.
PIP insurance covers up to 80% of your medical costs. To use it for chiropractic care, in some states like Florida you must see a doctor within 14 days of the accident, it Texas you can wait up to two years. This is important for your health and insurance claims. When ever a person is involved in a car crash; one of the first questions they have is; who pays for chiropractor after an accident.
Chiropractic care is often part of car accident settlements. It's great for treating injuries like whiplash. A good chiropractor can find hidden problems like soft tissue damage, spinal misalignments or disc injuries early. Finding these issues early is key for your health and legal claims.
Key Takeaways
- PIP insurance can cover up to 80% of medical costs after a car accident, sometimes they will cover 100% of the treatment plan from a car accident chiropractor. To find out what kind of coverage you have, call your insurance company and ask them what your PIP limits are for medical treatment after an injury. Most of the big insurance companies like USAA, Travelers, Farmers, Progressive, Nationwide and Geico have great PIP coverage for their insureds.
- Seek treatment within 14 days to use PIP benefits for chiropractic care. In Texas it doesn't have to be within 14 days, however, it is ideal to start getting chiropractic treatment for your whiplash injuries immediately after a car accident to ensure the best results and the quickest recovery.
- Chiropractic treatment is often included in car accident settlements. Car accident chiropractors are the experts in treating car wreck injuries. They are the only profession that deals with realigning the spine to help enhance the healing process. Insurance companies, adjusters and attorneys all appreciate chiropractic care because injured patients recover more quickly than any other treatment. Research shows that if the injured party ignores chiropractic care and goes straight to pain management and physical therapy, the treatment gets extended and the patient ends up relying on Opioid medicine. The cost of car accident injured clients not getting chiropractic treatment and only going the medical route is substantially higher because of reliance on pain medicine and how slow the recovery process is.
- Early chiropractic care can help detect hidden injuries. Getting the proper exam and imaging can detect injuries that the injured person has no idea about. Medical doctors and chiropractors rely on a comprehensive exam and imaging to determine the right diagnosis, prognosis and treatment plan. Patients who have severe whiplash injuries sometimes need medical or even surgical intervention before they can start receiving chiropractic care or physical therapy. Spinal injuries and soft tissue damage can cause serious complications with treatment; you and your doctor really need to know the specific details by using X-ray or MRI, so that you can get the best, safest and most comprehensive care you need to recover.
- Prompt treatment improves recovery chances and strengthens insurance claims. Dr. Hamel of Kingwood Chiropractic Spine and Injury Center in Kingwood, Texas says that patient care is key; it is all about getting the patient better; back to pre-accident status or as close to this as possible. In reality, insurance companies and personal injury attorneys play a big part in the injured patients getting the treatment they need, but Dr. Hamel does not work for the insurance company or the attorney. Claims get paid, and the patient gets the proper treatment when they are triaged correctly says Dr. Hamel. When the patient has the right diagnosis, imaging, prognosis and treatment plan; all parties are happy. We can never tell patients enough, that if you are in a car accident, go get medical attention and chiropractic care as soon as you can; if you are injured you will need the necessary care and the insurance company will realize this.
Understanding Insurance Coverage for Chiropractic Treatment
After a car accident, you might need whiplash chiropractic treatment, chiropractic care, physical therapy, pain management, orthopedic treatments or even surgery. Insurance covering chiropractic treatment can be complex, but as long as you communicate properly with your insurance company, and the doctors do as well, it is not a difficult process. Let's break down the main types of coverage that can help pay for your care.
Personal Injury Protection (PIP) Coverage
PIP is a lifesaver for many accident victims. It covers medical costs, including chiropractic care, regardless of who caused the crash. Most PIP policies pay up to 80% of your treatment costs, up to your policy limit. Remember, you usually have a 14-day window to start treatment for it to be covered. In Texas there is no window, and PIP coverage usually has limits of $2500, $5000, $7500 or $10000 per person on the policy and per injury. Call you insurance company such as Geico, Farmers or Progressive to find out your limits. The great thing about PIP says Dr. Hamel, is that it covers medical no matter who caused the accident. We have patients that were ran off the road and hit a tree; there is no responsible party, so their PIP covers it all.
Uninsured Motorist Coverage
On your auto policy, besides PIP, you may also have uninsured motorist coverage. As the name says; it covers you if the person who hit you doesn't have insurance, or maybe they did a hit and run on your car and took off. Unfortunately, in the Houston, Texas area, there are many drivers who do not have insurance so it is best to be protected and make sure you tell your insurance agent to add PIP and Uninsured Motorist insurance to your policy.
Health Insurance Benefits for Accident-Related Care
Your health insurance such as Blue Cross Blue Shield and Aetna can step in if your PIP runs out. Many plans include chiropractic services, but coverage varies, some plans have deductibles, co-pays and some don't. We have patients that come in with really good insurance, says Dr. Hamel, like United Airlines has Blue Cross and Aetna and only have a $40.00 copay, Federal Employees like postal workers and the FAA have really good insurance as well, only $25.00 copay. Check your policy or call your provider to understand what's covered for car accident treatment.
Third-Party Insurance Claims
If another driver caused your accident, their liability insurance should cover your medical bills. This includes chiropractic care, physical therapy, pain medication, orthopedic doctor treatment and even surgery if needed. You'll need to file a claim against the at-fault driver's insurance company. 3rd party auto accidents are the most common, there is always someone at fault and their insurance company is required to cover medical expenses. That being said, you want to be protected and hire a personal injury attorney and let them handle the specifics of your claim. Realistically, the insurance company of the person that hit you, doesn't really want to pay for your whiplash injury chiropractic care, or at least they want to try and pay as little as possible. In our Houston, Texas area alone, there are over 4 million people and as a result, thousands of car accidents every month. Hire an experienced and honest attorney by searching online for personal injury lawyer Houston, this will ensure you have someone on your side, they will handle the communication with the insurance company and make sure to get you the best settlement possible. The way insurance companies are today, such as Allstate, Progressive and Fred Loya; you really need a good personal injury lawyer on your side.
| Insurance Type | Coverage for Chiropractic Care | Key Points |
|---|---|---|
| Personal Injury Protection (PIP) in Texas | Up to 80% of costs | No window |
| Health Insurance | Varies by plan | Secondary to PIP |
| Third-Party Liability | Full coverage possible | Requires claim against at-fault driver |
Understanding your insurance options is crucial for getting the care you need. Don't hesitate to seek chiropractic treatment after an accident. Prompt care can prevent long-term issues and strengthen your insurance claim.
Who Pays for Chiropractor After An Accident: A Comprehensive Guide
After a car accident, you might wonder who pays for chiropractor after an accident. This guide explores your options for covering chiropractic care costs. You can use insurance settlements, out-of-pocket payments, or legal claims.
Car Insurance Settlement Options
In many cases, car insurance can cover chiropractic treatment. If you're in Texas, the at-fault party's insurance usually pays for your medical expenses. The state requires auto insurance policies to provide Medical Payments coverage for your treatment. This coverage can help with initial chiropractic visits for whiplash injuries or other accident-related issues.
Out-of-Pocket Payment Considerations
Sometimes, you might need to pay for chiropractic care upfront. The average cost per session ranges from $65 to $200. A typical treatment plan includes 18 to 36 adjustments over two to four months, totaling $5,000 to $7,500. Getting the with the right car accident chiropractor is key; you want them to do a thorough exam, imaging and orthopedic testing to maximize your recovery. The cost of comprehensive chiropractic care and treatment is much higher than going to the in and out membership chiropractic offices such as The Joint. The Joint is a great chiropractic experience if you need a maintenance chiropractic adjustment but not for more comprehensive care, insured covered patients or personal injury/whiplash accidents. The difference, says Dr. Hamel, our office might see 20 patients a day, while the joint can see 80 or more patients per day. The patients may be in our office getting shockwave therapy, cold laser therapy, corrective exercises and high velocity chiropractic adjustments and that takes 30-45 minutes, with the Joint you can be in there for 2 minutes and you are on your way. Again, membership chiropractic care is good for a certain population, it is not the population that has serious injuries, soft tissue damage, or spinal postural damage. Many of our seriously injured patients, says Dr. Hamel, may need X-ray or MRI before we can even adjust or treat them; this ensures the most accurate diagnosis, prognosis and treatment plan for each individual patient.
Keep all receipts for potential reimbursement through insurance settlements or legal claims.
Legal Claims and Compensation
If another driver caused your accident, you might seek compensation through a legal claim. Car accident treatment experts like your local chiropractor can provide the right documentation based on your injuries to prove medical necessity, which is crucial for your case. Many chiropractors work on a lien basis, or LOP, (letter of protection), from an attorney; meaning they'll treat you now and receive payment from your settlement later. Building a car accident claim and case is necessary; however, getting the patient well, back to pre-accident status or as close to it is our primary goals says Dr. Hamel. At Kingwood Chiropractic Spine and Injury Center, we go out of our way to give detailed documentation for the diagnosis, prognosis and treatment plan for all of your patients. The insurance companies want to know exactly what happens during a chiropractic treatment, we give details on chiropractic adjustments to the spine, to the extremities, the type of manual therapies, shockwave therapy and cold laser therapy we are doing on patients. The insurance companies want to know how many times a week you are seeing them, how long and what area you are doing attended modalities, stretching and soft tissue work. The insurance companies want to know where you are referring the client for X-ray or MRI and why? They want to know when the patient will get a re-exam and to see documented improvements to show that chiropractic care is working. We recommend to always be in touch with your doctors, your attorney, and the insurance company, to make sure everyone is on the same page.
| Payment Option | Pros | Cons |
|---|---|---|
| Insurance Settlement | No upfront costs | May have coverage limits |
| Out-of-Pocket | Immediate treatment | High initial expenses |
| Legal Claim | Potential full compensation | Longer process |
Remember, prompt chiropractic care is vital after an accident. If you are badly injured in a car accident, and you have been cleared of concussion or fracture, you don't want to wait around to start treatment. As an experienced car accident chiropractor in Houston, he adds sometimes people don't come in for a month after a whiplash injury; these cases are tougher and it takes a lot longer for them to recover. With the right chiropractor on your side, they can help detect hidden injuries and prevents long-term complications. Don't let payment concerns delay your treatment - explore these options to ensure you receive the care you need. People often get their car fixed as soon as possible after a car accident; this is understandable; but how about fixing your injuries, your spine, your headaches, or your back pain. You can always get new car parts or even a new car; it doesn't really work that way for your body says Dr. Hamel, take your injuries seriously.
Benefits of Seeking Immediate Chiropractic Care Post-Accident
After a car accident, getting chiropractic care right away can really help. Many people don't see how important it is. But, 93% of minor accident victims skip chiropractic care, which can cause long-term health problems. Realize that even low speed car accidents can cause significant injuries, if injuries are left untreated, they will cause significant wear and tear on the spine leading to chronic back pain, neck pain, headaches, bone spurs, disc herniations and even back surgeries.
Early Detection of Hidden Injuries
A car accident chiropractor can spot hidden injuries early from their examination and the imaging they order. All of the symptoms from a Whiplash car accident, for example, might not show up for days or weeks. Catching it early can stop 80% of minor injuries from becoming chronic. Wouldn't you want to know if you had soft tissue damage and instability in your neck after a car accident; you can't tell this unless you do an X-ray and have it digitized and evaluated properly. Many people don't want to bother with treatment, they think they are OK because they only feel some aches and pains. We see this over and over again says Dr. Hamel; then we do an X-ray on a patient who was in a car wreck 2 years ago, and they have totally lost the curve in their neck, or cervical spine. Losing curves or changing spinal curves in your neck or low back can only set you up for future problems. You can definitely see old injuries on an X-ray says Dr. Hamel, you can see wear and tear in the vertebral bodies, the facet joints, the discs as well as bone spurs. This goes to show that old injuries from car accidents are not healing properly unless given the right chiropractic treatment, physical therapy and medical treatments.
Documentation for Insurance Claims
Getting chiropractic care quickly helps with your recovery and insurance claims. It can boost your claim by 85% if there's negligence. Insurance companies need detailed medical reports and Dr. Hamel's office provides that using an Electronic Health Records program and an X-Ray Digitizing Program, this detailed information ensures that the insurance companies and attorneys get the proper documentation and medical necessity for treatment.
Prevention of Long-Term Complications
Chiropractic care after an accident can prevent long-term problems. It cuts inflammation by 85% and scar tissue by 75%. Chiropractic adjustments can also fix up to 70% of neck and back injuries from car accidents. Remember that soft tissue damage surrounding the spine cannot be healed properly unless the spine is realigned and stabile. Once the spine is in alignment, it removes nervous system interference which always prevents healing from happening. Once the spine is more stable and realigned through a series of high velocity chiropractic adjustments, then and only then, can the muscle be strengthened and healed optimally. This is where physical therapists are the experts and corrective exercises are needed to improve range of motion and stability of the cervical spine, thoracic spine, lumbar spine and other injured extremities.
| Benefit | Percentage |
|---|---|
| Reduction in inflammation | 85% |
| Decrease in scar tissue formation | 75% |
| Restoration of range of motion | 70% |
| Overall pain reduction | 60% |
Seeking chiropractic care right after a car accident is a smart move. It helps you recover faster and more fully. Don't ignore hidden injuries or risk long-term health issues. A skilled car accident chiropractor can help recovery naturally and get you back to feeling pain free and happy again.
Navigating the Claims Process for Chiropractic Treatment
Filing a claim for car accident treatment can be tricky. You need to know who pays for chiropractor after accident to get the care you need. The process starts with understanding your insurance coverage and gathering the right documents. Your first step is to contact your insurance provider like Geico, Farmers, Nationwide or Travelers. Ask about insurance covering chiropractic treatment, and you can file a claim to get the process started. Many policies include this care, but limits may apply. Keep all your medical records and bills organized, the doctors will do this for you.
If you're not at fault, the other driver's insurance might cover your care. In no-fault states, your own Personal Injury Protection (PIP) often pays first. Here's a breakdown of common coverage options:
| Coverage Type | Description | Typical Limit |
|---|---|---|
| Personal Injury Protection (PIP) Uninsured Motorist | Covers medical expenses regardless of fault | $10,000 - $50,000 |
| MedPay | Pays for immediate medical needs | $1,000 - $10,000 |
| Liability Insurance | Covers costs when you're at fault | Varies by policy |
| Health Insurance | May cover chiropractic care, Blue Cross Blue Shield and Aetna | Depends on plan |
Remember, prompt action is key. Start your claim quickly and follow up regularly. If you face denials, don't give up, and this is something to be expected. You may need to appeal or seek legal help to get your chiropractic care covered because most insurance companies go out of their way to try and not pay for medical claims.
Conclusion
After a car accident, getting the right care is crucial. Chiropractic treatment is the best option for many whiplash injuries, they are the experts in the field of car accident treatment providers. But who pays? Usually, it's the at-fault driver's insurance. Your own policy might also help. The important thing is to act quickly and keep good records. Insurance companies might try to pay less and you should expect this. They might doubt if you really need chiropractic care and that's why seeing the right chiropractor soon after your accident is smart.
Quick action and detailed notes from your doctor strengthen your case. If talks with insurance don't work out, you have options. A personal injury lawyer in Houston can help fight for your rights. Sometimes, cases even go to court. But most of the time, showing solid proof of your need for care leads to a fair deal. Remember, your health is the most important thing. Don't let worries about cost stop you from getting the help you need, be patient, go see the right whiplash injury chiropractor, hire a good attorney and let the process happen.
FAQ
Will my car insurance cover chiropractic care after an accident?
Yes, your car insurance might cover chiropractic care after an accident. Personal Injury Protection (PIP) often pays for 80% of medical costs, including chiropractic care. Always check your policy and talk to your insurance to know what's covered.
How soon should I see a chiropractor after a car accident?
See a chiropractor as soon as you can after a car accident. Try to do it within the first few days. Some policies require you to seek medical help within 14 days to get PIP benefits. In Texas, you have up to 2 years to file a car accident claim. Remember that getting a chiropractic evaluation and care immediately after a car wreck can help find hidden injuries and prevent long-term problems.
What if my PIP coverage is exhausted? Are there other options for covering chiropractic treatment?
If your PIP is used up, you have other options. Your health insurance might cover chiropractic care related to the accident. You can also file a claim against the at-fault driver's insurance. Chiropractic care is often included in accident settlements, so in this case hire an attorney and make sure they have all of the documentation needed and they can fight a 3rd party car accident case much better than you can. In our office says Dr. Hamel, over 90% of car accident cases that come in are 3rd party; meaning the other person who hit our patient is at fault. Inevitably, our clients require a car accident or personal injury lawyer to help them get their case settled.
Can I seek chiropractic care if I don't feel immediate pain after an accident?
Yes, you should still see a chiropractor even if you don't hurt right away. Accidents can cause hidden injuries that don't show symptoms immediately. A comprehensive evaluation from a good car accident chiropractor can find problems like whiplash and spinal misalignments before they get worse. When warranted, and with severely injured patients, imaging such as X-ray and MRI can see things that a doctor cannot, and even see things that an injured patients can not feel. If your car is severely damaged, would you not want them to do a thorough check and evaluation, to run the necessary diagnostics to make sure they identify all of the damage. For car damages, this can be the difference in the quoting repairs of $12000 or $23000, just because they did a more comprehensive evaluation. Wouldn't you want the same done for your injuries, to determine the most accurate diagnosis, prognosis and treatment plan to get you back to how you felt before the car wreck?
How can I ensure my chiropractic care is covered after an accident?
To get your chiropractic care covered, file a personal injury claim quickly after the accident. Give detailed records of your injuries, treatments, and how they affect your life. The insurance company and doctor want to know if you are unable to work, not able to drive, or can't look after your kids, this plays a big part in your claim. Also make sure to choose a chiropractor who knows how to work with insurance and keep records of all treatments and costs. Insurance companies want to see detailed documentation and medical necessity for why a car accident injured patients needs certain care; the right chiropractor will take care of all of this.
What if my insurance company denies coverage for my chiropractic treatment?
If your insurance denies coverage, don't give up. Check your policy and appeal if you think it's wrong. You might need a lawyer to negotiate with the insurance. Sometimes, you can get reimbursed through settlements or legal claims. A car accident claim is a process, keep that in mind and be patient, nothing happens quickly. When figuring out a settle the insurance company and PI attorneys can sometimes take upwards of a year to get a fair settlement.
How long will I need chiropractic treatment after a car accident?
How long you need chiropractic care depends on your injuries and how you respond to treatment. Your chiropractor will create a plan just for you. It's key to follow the plan to fully recover and avoid long-term issues.
Can chiropractic care help with whiplash injuries?
Yes, chiropractic care is great for whiplash injuries. Chiropractors use special techniques to treat the soft tissue damage and pain from whiplash. Early treatment can greatly improve your recovery and prevent chronic pain.
Who is responsible for paying for chiropractic care after a car accident?
The responsibility for covering chiropractic care costs typically depends on the type of insurance involved and who is at fault. If the accident occurred in a no-fault state, your own Personal Injury Protection (PIP) insurance may cover your medical expenses, including chiropractic treatment. In fault-based states, the at-fault driver’s auto insurance may be responsible for paying your medical bills through their liability coverage. Additionally, your health insurance might cover chiropractic care if auto insurance coverage is insufficient or unavailable. You may be entitled to all of these options so check to see which is the most financially feasible to you.
Will my car insurance cover chiropractic care if I am not at fault?
Yes, if the other driver is at fault, their insurance company is generally responsible for your medical expenses, including chiropractic care, X-rays, other imagine, pain management and physical therapy. Your PIP or Uninsured Motorist insurance has policy limits from $2500-$20000, so call your insurance company to get more details. You may need to provide documentation such as medical records and bills to prove the necessity of your treatment, the chiropractic office should do this for you. If your car insurance does not pay for your medical treatment your other options are health insurance such as Blue Cross Blue Shield of Texas and Aetna.
Can I get reimbursed for chiropractic care if I pay out of pocket?
Yes, you can often get reimbursed for out-of-pocket chiropractic expenses related to a car accident. To do so, you’ll need to submit detailed documentation to the responsible insurance company, such as receipts, medical records, and a report from your chiropractor explaining the treatment's necessity. Keep in mind that the reimbursement process may take time, especially if there are disputes about liability or the nature of your injuries. As long as you show the insurance company proof of getting chiropractic treatment for your whiplash injuries and paying for it; the claim should go smoothly.
Source Links
- https://chiropractorinoviedo.com/blog/who-pays-for-chiropractor-after-an-accident/
- https://www.eastsideidealhealth.com/who-pays-for-chiropractor-after-accident/
- https://bonnicilawgroup.com/do-car-accident-settlements-cover-chiropractic-treatment/
- https://www.reinhardtchiropractic.com/blog/who-pays-for-chiropractor-after-an-accident-car-wreck-treatment/
- https://www.mauslawfirm.com/who-pays-for-a-chiropractor-after-a-car-accident/
- https://accidentcarechiropractic.com/faqs/who-pays-for-treatment-after-a-car-accident/
- https://denver-chiropractic.com/car-accident-chiropractor/
- https://www.arrowheadclinic.com/mcdonough/car-accident-chiropractor-after-an-accident
- https://cpollardlaw.com/car-accident-lawyer-in-virginia/pays-chiropractor/
- https://metrowestspineclinic.com/9-benefits-of-chiropractic-care-after-an-auto-accident/
- https://www.arrowheadclinic.com/category/blog/benefits-of-chiropractic-care-after-an-accident
- https://accidentcarechiropractic.com/benefits-of-chiropractic-care-after-a-car-accident/
- https://comprehensiveaccidentandinjury.com/who-pays-for-chiropractor-after-accident/
- https://dallasaccidentandinjuryrehab.com/navigating-insurance-claims-for-chiropractic-care-after-a-car-accident/
- https://www.mccoyandsparks.com/blog/how-will-chiropractic-treatments-affect-my-car-accident-settlement/
- https://accidentcarechiropractic.com/chiropractic-care-after-an-accident-with-no-out-of-pocket-cost/
- https://www.arrowheadclinic.com/category/blog/will-your-personal-injury-claim-cover-chiropractic-care
