Should I Use My Health Insurance After a Car Accident?
Short answer: usually no — not at first. If you were injured in a car accident, your auto insurance is typically supposed to pay before your health insurance does.
Here’s how it works in Delaware and Pennsylvania.
PIP Comes First
Both Delaware and Pennsylvania use Personal Injury Protection (PIP) . PIP is no-fault coverage that pays for medical bills (and sometimes lost wages) regardless of who caused the crash.
The proper order is:
- Use PIP first
- Use health insurance after PIP is exhausted
That’s the system you’re paying for through your car insurance.
Why Using Health Insurance First Can Create Problems
You can use your health insurance, but doing so can complicate things.
If health insurance pays first:
- PIP may still have to reimburse it later
- Bills can get delayed or disputed
- You may lose the benefit of coverage you already paid for
Insurance companies expect PIP to be used first. When it’s not, it can create unnecessary headaches.
Why PIP Exists
PIP is there so you can:
- Get treatment right away
- Avoid waiting on fault decisions
- Avoid arguments with the other driver’s insurer
Since you’re already paying for it, you should generally use it .
What Happens When PIP Runs Out
Once PIP limits are used up:
- Your health insurance typically takes over
- Treatment continues
- The injury claim still moves forward separately
This is normal and expected in more serious cases.
Final Word
After a car accident, the default rule is simple: PIP first, health insurance second . Using the correct order helps keep treatment moving and avoids problems later.
If you’re unsure which coverage should be paying — or you’re being told conflicting things — it’s worth getting clarity early.
Need Help?
If you’re injured and don’t know which insurance should be paying your medical bills, a quick review can help make sure things are handled in the right order from the start.



