Florida's PIP, No-Fault Sunset Concerns Council Members
Southeast News • January 3, 2006
There is no support among Florida Insurance Council members for the outright reenactment of the no-fault/PIP statute, Sam Miller, FIC executive vice president told Insurance Journal.
Florida's ...
Insurance Journal is not responsible for the content of the message below.
Subject: RE: RE: RE: for Diana and FP Davis
Posted On: October 4, 2007, 10:49 am CDT
Posted By: Diana
Comment:
Liz: I am not looking for sympathy. My atty has my policy so I can't pull it out again. I had written some notes which I can refer to. Under the policy section of what they will pay, it only talks only about TWO things. They will pay:
1. the named insured or any relative while OCCUPYING a motor vehicle; or
2. while a pedestrian, through being struck by a motor vehicle.
This is the only thing stated under the section "what we WILL PAY.
My complaint as far as PIP is concerned is that other than the paragraph above which was stated in my policy, the rest of the info in the policy was very MISLEADING in the way it was worded IN THE POLICY. Technically, you are right about the law. I looked it up in the Fl Statutes and it was very clear. The fact that some info was omitted from the policy made it so that it could be interpreted more than one way. If it was very clear in the statutes, why couldn't it have been that clear the policy. I talked to several Fl attorneys and they agreed that the wording in the policy is misleading.
Referring to your 2nd question, I have a stack of EOB's which are denied, accident related or not. They state "denied due to the fact that I have other insurance that is primary." I talked to them about this. They are referring to the 3rd party insurance, (the ins co of the party who hit me).
My main problem is I need to finish getting treated for my injuries and PIP won't pay, 3rd party won't pay & Medicare won't pay for even non related medical bills. I shouldn't have to go without medical insurance and I shouldn't have to reimburse Medicare for a year and a half worth of medical claims. I can't even go to a doctor for anything not related to the accident because of Medicare denying coverage or I have to pay the bills.
As for Fl doctors not being able to treat auto accident victims, this is ridiculous. I don't have time to keep arguing with someone who does not believe me. It is not a story. Do you think I'd subject myself to all of these problems? I'm not a mental case, just an accident victim. I just talked to a SHINE volunteer. He believed everything I said and told me I had to appeal all claims and to write to Senator Bill Nelson, which I will do. Thank you for your understanding. I do not want anyone's sympathy. I've only stated facts. If you don't believe my Medicare STORY, call them yourself and ask them if they will pay claims related to an auto accident if there is other ins involved.
Subject: RE: RE: RE: for Diana and FP Davis
1. the named insured or any relative while OCCUPYING a motor vehicle; or
2. while a pedestrian, through being struck by a motor vehicle.
This is the only thing stated under the section "what we WILL PAY.
My complaint as far as PIP is concerned is that other than the paragraph above which was stated in my policy, the rest of the info in the policy was very MISLEADING in the way it was worded IN THE POLICY. Technically, you are right about the law. I looked it up in the Fl Statutes and it was very clear. The fact that some info was omitted from the policy made it so that it could be interpreted more than one way. If it was very clear in the statutes, why couldn't it have been that clear the policy. I talked to several Fl attorneys and they agreed that the wording in the policy is misleading.
Referring to your 2nd question, I have a stack of EOB's which are denied, accident related or not. They state "denied due to the fact that I have other insurance that is primary." I talked to them about this. They are referring to the 3rd party insurance, (the ins co of the party who hit me).
My main problem is I need to finish getting treated for my injuries and PIP won't pay, 3rd party won't pay & Medicare won't pay for even non related medical bills. I shouldn't have to go without medical insurance and I shouldn't have to reimburse Medicare for a year and a half worth of medical claims. I can't even go to a doctor for anything not related to the accident because of Medicare denying coverage or I have to pay the bills.
As for Fl doctors not being able to treat auto accident victims, this is ridiculous. I don't have time to keep arguing with someone who does not believe me. It is not a story. Do you think I'd subject myself to all of these problems? I'm not a mental case, just an accident victim. I just talked to a SHINE volunteer. He believed everything I said and told me I had to appeal all claims and to write to Senator Bill Nelson, which I will do. Thank you for your understanding. I do not want anyone's sympathy. I've only stated facts. If you don't believe my Medicare STORY, call them yourself and ask them if they will pay claims related to an auto accident if there is other ins involved.