Who Pays Medical Bills After a Car Accident in California?

Article from Feb 1, 2026
A California personal injury attorney is often asked the same urgent question after a crash:
who pays medical bills after a car accident in california?
In California, the answer depends on fault, insurance coverage, and how your claim is handled.

This guide explains how medical expenses are paid after a car accident,
what insurance applies first, and how injured victims recover costs through a personal injury claim.

Quick Answer: Who Pays Medical Bills After a Car Accident?

In California, injured drivers usually pay medical bills initially through their own health insurance
or medical payment coverage. If another driver was at fault, you may later recover those costs through an
insurance claim or lawsuit.

California Is a Fault-Based State

California follows a fault-based (tort) system for car accidents.
This means the driver who caused the accident is financially responsible for damages—including medical expenses.

California’s comparative fault rules allow injured parties to recover compensation
even if they were partially at fault, though the amount may be reduced.
You can review the state’s civil liability framework through the

California Legislature
.

Medical Payment Options After a Car Accident

After a crash, multiple sources may be used to cover medical expenses car accident victims face.
Understanding the order of payment helps avoid missed treatment or unnecessary debt.

1. Health Insurance

For most people, health insurance is the first line of payment.
Your provider pays bills according to your policy terms, including deductibles and copays.

Later, the insurer may seek reimbursement (subrogation) from the at-fault party’s insurer.

2. Medical Payments Coverage (MedPay)

MedPay is optional auto insurance coverage that pays medical bills regardless of fault.
It can cover expenses such as ER visits, imaging, and physical therapy.

MedPay often helps bridge gaps while liability claims are pending.

3. The At-Fault Driver’s Liability Insurance

If another driver caused the accident, their insurance should ultimately cover your medical bills.
However, insurers rarely pay immediately—payment usually comes through settlement or judgment.

What If You Don’t Have Health Insurance?

Uninsured accident victims still have options.
Some providers treat patients under a lien, meaning they agree to be paid later
from any settlement or verdict.

A California personal injury attorney can help coordinate care
while the insurance claim is pending.

What Medical Expenses Can Be Recovered?

Through personal injury compensation, accident victims may recover:

  • Emergency room treatment
  • Hospital stays
  • Doctor visits and specialist care
  • Physical therapy and rehabilitation
  • Prescription medications
  • Future medical treatment

Proper documentation is critical to recovering the full value of your medical claim.

What If Both Drivers Share Fault?

California uses pure comparative negligence.
This means you can still recover compensation even if you were partially responsible for the accident.

For example, if you are found 20% at fault and your medical damages total $50,000,
you may still recover $40,000.

Why Medical Bills Often Go Unpaid for Months

Insurance companies typically wait until liability is resolved before paying medical damages.
This delay leads many accident victims to believe they must personally absorb costs.

In reality, bills may be paid later through settlement—if handled correctly.

When to Contact a California Personal Injury Attorney

You should consider legal guidance if:

  • Your injuries required medical treatment
  • You are receiving collection notices
  • The insurer disputes liability
  • You’re unsure how to pay for ongoing care

Early involvement can help protect access to care and prevent financial strain.

Why ANTN Law

ANTN Law helps California accident victims navigate medical bills, insurance claims,
and recovery strategies from day one.
Each case is reviewed individually to protect both health and financial stability.

Free Consultation:

Contact Us


FAQ

Do I have to pay medical bills out of pocket after a car accident?

Often yes initially, through health insurance or MedPay, but you may later recover costs from the at-fault driver.

Will the other driver’s insurance pay my hospital bills?

Usually not immediately. Payment typically occurs after settlement or court resolution.

What if I can’t afford treatment?

Treatment may be available through medical liens or coordinated care arrangements.

Can I recover future medical expenses?

Yes. Future care costs are recoverable when properly documented and supported.