How much does PIP actually pay?
The $10,000 figure is a limit, not an amount, and several things reduce what's actually paid.
The 80/60 structure. PIP pays 80 percent of reasonable and medically necessary medical expenses and 60 percent of lost gross income. The remainder is yours unless another source covers it.
The $2,500 cap. Without an emergency medical condition determination from a qualifying provider, medical benefits cap at $2,500 rather than $10,000. That's the single largest reduction and the one people don't anticipate.
The combined limit. Medical and wage benefits share the same $10,000, so wage loss consumes what would otherwise go to treatment.
Deductibles apply where elected, and many people elect one without realizing it applies here.
What this means in practice. A moderately injured person with an EMC determination exhausts $10,000 quickly — imaging alone can consume a substantial portion. That's why what happens after PIP runs out matters so much.
Ask about the emergency medical condition determination. It's the difference between $2,500 and $10,000. ---
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