Coverage Explained

PIP vs Medical Payments Coverage: What's the Difference?

Both pay medical bills after a crash regardless of fault – but they aren't the same. Here's how to choose.

6 min read Written by El Paso Auto Insurance Authority

Personal Injury Protection (PIP) and Medical Payments Coverage (MedPay) are both no-fault coverages on a Texas auto policy. Both pay for medical care after a crash regardless of who caused it. But the scope and structure are different.

What PIP covers

  • Medical bills for you and your passengers
  • Lost wages (typically 80%) if injuries keep you from working
  • Replacement services like childcare or housework
  • Funeral expenses

What MedPay covers

  • Medical bills for you and your passengers
  • Funeral expenses

Which should you carry?

Most drivers should carry PIP – it's broader, includes lost wages, and is required to be offered (you have to reject it in writing). MedPay can layer on top of PIP to extend total medical coverage, and is especially useful if you have a high-deductible health plan.

More in Coverage Explained

This guide is part of our Coverage Explained hub – see every related guide, or start from the El Paso auto insurance overview.

This article is for general information only and is not legal or tax advice. For guidance specific to your situation, talk to a licensed Texas insurance agent. Ready to put it into practice? Get a free quote or request a policy review.

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