
When you get into a car accident, the last thing you want to worry about is how to pay for medical bills or who will cover the damages. This is where car insurance steps in. However, understanding the different types of coverage, like medical payments and liability coverage, can be confusing. What’s the difference between medical payment coverage and liability coverage on car insurance? And why do you need them both?
Let’s dive into the world of car insurance to understand the key differences, benefits, and why having the right coverage is essential for protecting your finances and well-being.
Understanding Medical Payment Coverage on Car Insurance
Medical payment coverage, often called “MedPay,” is an optional type of auto insurance coverage that pays for medical expenses incurred by you or your passengers after a car accident, regardless of who is at fault. This means that whether you caused the accident or not, your medical bills, as well as those of your passengers, are covered.
What Does Medical Payment Coverage Include?
Medical payment coverage is designed to cover a variety of expenses related to injuries caused by car accidents. Here are some common costs that MedPay covers:
- Hospital visits and stays
- Doctor visits and specialist consultations
- Surgery and anesthesia costs
- X-rays and diagnostic tests
- Ambulance fees and emergency services
- Nursing care and rehabilitation services
- Dental treatment resulting from the accident
- Funeral expenses, if necessary

Who Is Covered Under Medical Payment Coverage?
One of the advantages of medical payment coverage is that it extends beyond just the policyholder. It typically covers:
- You as the driver – Even if you were at fault for the accident.
- Your passengers – Regardless of who caused the accident.
- You as a pedestrian or cyclist – If you’re hit by a car while walking or biking.
- You in someone else’s car – If you’re a passenger in another person’s vehicle.
Is Medical Payment Coverage Required?
Medical payment coverage is generally optional and not required by state law in most U.S. states. However, some states, such as Maine and New Hampshire, do require drivers to carry MedPay. Even in states where it’s not mandatory, having this coverage can provide valuable financial protection and peace of mind.
What Is Liability Coverage on Car Insurance?
Liability coverage is a mandatory type of auto insurance required by law in almost every state. It is designed to protect you financially if you are found at fault in an accident that causes bodily injury or property damage to others. In essence, it covers the costs of damages or injuries you cause to other people or their property.
Types of Liability Coverage
Liability coverage on car insurance is typically divided into two main categories:
1. Bodily Injury Liability (BIL)
This covers medical expenses, lost wages, and pain and suffering of the other party if you are found at fault in an accident. It may also cover legal fees if the injured party decides to sue you.
- Examples of covered expenses:
- Hospital bills and medical treatment
- Rehabilitation and therapy costs
- Lost wages due to injury
- Pain and suffering compensation
2. Property Damage Liability (PDL)
This covers the cost of repairing or replacing the other party’s property damaged in the accident, such as their vehicle, fence, or any other personal property.
- Examples of covered expenses:
- Vehicle repairs or replacement
- Damaged structures like fences, buildings, or mailboxes
- Legal fees if the property owner sues you for damages
Who Is Covered Under Liability Coverage?
Liability coverage applies to:
- You as the policyholder – If you cause an accident.
- Family members listed on your policy – Such as your spouse or children.
- Other drivers using your car with permission – If they cause an accident while driving your vehicle.
Is Liability Coverage Required?
Yes, liability coverage is required by law in almost every state in the U.S., with minimum coverage limits set by each state. However, it’s advisable to carry more than the minimum required amount to provide adequate protection in case of a serious accident.

Medical Payment vs Liability Coverage: Key Differences
Although both medical payment and liability coverage provide financial protection in the event of an accident, they serve different purposes and cover different expenses. Let’s look at the key differences:
Aspect | Medical Payment Coverage | Liability Coverage |
Who Is Covered? | You and your passengers, regardless of fault | The other party if you are at fault |
What Is Covered? | Medical expenses, funeral costs | Bodily injury and property damage to others |
Fault Requirement | No fault required | Only if you are at fault |
Required by Law? | Usually optional, required in some states | Mandatory in almost every state |
Coverage Limits | Usually lower limits (e.g., $1,000 – $10,000) | Higher limits required by state law |
Scope of Coverage | Medical bills, hospital visits, ambulance fees | Legal fees, repair costs, compensation claims |
Do You Need Both Medical Payment and Liability Coverage?
While medical payment coverage is optional and liability coverage is mandatory, having both types of coverage can provide comprehensive financial protection. Here’s why:
- Liability coverage protects you financially if you’re responsible for causing injury or property damage to others. Without it, you would have to pay out of pocket for the other party’s medical bills and repairs.
- Medical payment coverage ensures that you and your passengers receive immediate medical attention without worrying about who is at fault, covering out-of-pocket expenses like co-pays or deductibles.
When Should You Consider Medical Payment Coverage?
Medical payment coverage can be particularly useful if:
- You don’t have health insurance or have a high deductible health plan.
- You frequently have passengers in your vehicle.
- You live in a state without Personal Injury Protection (PIP).
- You want additional coverage for medical expenses not covered by your health insurance.
How Much Medical Payment and Liability Coverage Do You Need?
Medical Payment Coverage
The amount of medical payment coverage you need depends on several factors, including:
- Your health insurance coverage – If you have comprehensive health insurance, you may need a lower limit.
- Your financial situation – Higher limits can provide more protection but come at a higher cost.
- Your risk exposure – If you frequently drive with passengers, consider higher limits for added protection.
Liability Coverage
Experts recommend carrying liability coverage that is higher than the state minimum requirements to protect your assets in case of a serious accident. A common guideline is:
- Bodily Injury Liability – At least $100,000 per person and $300,000 per accident.
- Property Damage Liability – At least $50,000 per accident.
Common Misconceptions About Medical Payment and Liability Coverage
“I Have Health Insurance, So I Don’t Need MedPay”
Health insurance may not cover all expenses, such as co-pays, deductibles, or specialized treatments. MedPay covers these gaps, ensuring you receive the necessary care without out-of-pocket expenses.
“Liability Coverage Pays for My Injuries”
Liability coverage only pays for injuries or damages you cause to others. To cover your own medical bills, you need medical payment coverage or personal injury protection.
Conclusion
Understanding the differences between medical payment and liability coverage on car insurance can save you from financial stress after an accident. Medical payment coverage ensures you and your passengers receive medical care regardless of fault, while liability coverage protects you from legal and financial liabilities if you cause an accident.
For comprehensive protection, consider carrying both types of coverage. Evaluate your health insurance, financial situation, and driving habits to determine the right coverage limits.
FAQs
- Is medical payment coverage mandatory?
Medical payment coverage is usually optional and not required by law in most states. However, some states like Maine and New Hampshire require drivers to carry MedPay. It’s advisable to check your state’s insurance requirements before making a decision. - Can I have both medical payment and personal injury protection?
Yes, you can have both. However, they serve similar purposes, so you may not need both depending on your state’s requirements. PIP generally offers broader coverage, including lost wages and essential services, while MedPay focuses solely on medical expenses. - Will liability coverage pay for my medical bills?
No, liability coverage only pays for injuries or property damage you cause to others. To cover your own medical expenses, you need medical payment coverage, personal injury protection, or health insurance. - Does medical payment coverage have a deductible?
Typically, medical payment coverage does not have a deductible. It pays for medical expenses up to the coverage limit without requiring you to pay anything out of pocket first. - Is medical payment coverage worth it if I have health insurance?
Yes, MedPay can still be valuable even if you have health insurance, as it covers out-of-pocket expenses like co-pays, deductibles, and specialized medical care that your health insurance may not cover. - Can medical payment coverage be used for funeral expenses?
Yes, MedPay can cover funeral expenses if someone in your vehicle is fatally injured in an accident. The coverage amount depends on your policy limits. - Will medical payment coverage pay for injuries if I’m a pedestrian?
Yes, medical payment coverage typically covers you as a pedestrian or cyclist if you’re hit by a car. This applies regardless of who was at fault in the accident. - Does liability coverage have coverage limits?
Yes, liability coverage has limits, which are set as per-person and per-accident maximums. It’s essential to carry enough coverage to protect your assets in case of a serious accident. - Can I choose different coverage limits for medical payment and liability coverage?
Yes, you can customize the coverage limits for both medical payment and liability coverage according to your needs and financial situation. - Does medical payment coverage follow the driver or the car?
- Medical payment coverage typically follows the driver, meaning you’re covered even if you’re in someone else’s vehicle or are hit as a pedestrian or cyclist.
How Ontario Insurance Can Help With Medical Payment and Liability Coverage?
Don’t navigate car insurance alone. Our team at Ontario Insurance is here to help you understand the differences between medical payment and liability coverage. We’ll guide you through choosing the right coverage that fits your needs and budget, ensuring you’re protected no matter what happens on the road. Secure your peace of mind—get personalized advice from our experts today!