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Spokane Auto Injury & Wellness Blog

Paying for Chiropractic Care After a Car Accident in Washington

The Short Answer: There Are Several Possible Sources of Payment

After a car accident in Washington, people commonly pay for chiropractic care and massage therapy through one or more of a few sources, and which ones apply depends on your policy and how the crash happened. This article is general information only. It is not legal or insurance advice, and you should confirm the details with your insurer or a licensed attorney.

The sources people most often look at are:

  • Personal injury protection (PIP) on your own auto policy
  • Medical payments coverage (MedPay) on your own auto policy
  • Your health insurance plan
  • The at-fault driver's insurance, often through a claim and sometimes with an attorney's help

PIP and MedPay: Coverage Through Your Own Auto Policy

PIP and MedPay are coverages on your own auto policy that may help pay reasonable medical expenses after a crash, often without waiting to sort out who was at fault. Not every driver has them. In Washington, insurers are generally required to offer PIP, but drivers can decline it in writing, so whether you have it depends on how your policy was set up. MedPay is often an add-on.

Coverage limits, what counts as covered care, whether chiropractic care and massage therapy are treated differently, whether a referral or documentation of medical need is required, and how bills are submitted all vary. Your policy documents or your insurer can tell you what applies to you.

Health Insurance: Where It May Fit

Your health insurance may cover chiropractic care, and sometimes massage therapy, but plan rules vary widely. Things that often matter include visit limits, referral or prior-authorization requirements, whether the provider is in your plan's network, and deductibles or copays.

Health plans may also coordinate with auto coverage, and some plans may seek reimbursement later from other coverage or from a claim. If you plan to use your health insurance for accident-related care, ask your plan how it handles that situation before you begin.

The At-Fault Driver's Insurer and Care Arranged With an Attorney

If another driver caused the crash, their insurer may ultimately be responsible for reasonable medical costs, but that is usually worked out through a claim, and claims often take time. Washington is generally considered an at-fault state, which is one reason fault matters to how these claims proceed.

Because treatment often happens before a claim is resolved, people commonly bridge the gap with PIP, MedPay, or health insurance. Some providers also work with attorneys on how billing is handled while a claim is pending. Whether any particular provider does this varies, so ask directly. Our guide to working with a personal injury attorney during recovery explains how care and records can be kept organized. Questions about claims, fault, and deadlines belong with a licensed attorney.

What to Ask Your Insurer or Adjuster

Asking specific questions early can prevent surprises later. Consider asking:

  • Do I have PIP, MedPay, or both, and what are the limits?
  • Is chiropractic care covered? Is massage therapy? Under what conditions?
  • Do I need approval, a referral, or a doctor's note before starting care?
  • How do bills get submitted, and who submits them?
  • What records do you want from my providers, and in what form?
  • How does this coverage work alongside my health insurance?

Write down the date, the person's name, and what was said, and keep your claim number handy. If something is confusing, ask for it in writing.

Keep Good Records From Day One

Organized records make every kind of coverage conversation easier, whether you are talking with an insurer, a provider, or an attorney. A simple folder, paper or digital, is enough. Worth keeping:

  • Visit notes or summaries from every provider you see
  • Receipts, statements, and any explanation-of-benefits forms
  • A symptom diary noting pain, stiffness, sleep, and activities that are harder than before
  • A list of missed work or daily tasks you could not do
  • Insurer correspondence, claim numbers, and adjuster contact details

Our guide to what to do after a car accident in Spokane covers other early steps worth taking.

Questions to Ask Any Provider About Billing

Before starting care with any provider, ask how billing works in plain terms, and ask for the answers in writing if you can. Useful questions include:

  • Which payment sources do you work with, such as PIP, MedPay, or health insurance?
  • What, if anything, will I be asked to pay at the visit?
  • How will my visits be documented for insurers or an attorney?
  • What happens if coverage is delayed or denied?
  • Can I get itemized statements, and who do I contact with billing questions?

Car Injury Centre offers chiropractic care and massage therapy to people recovering from car accidents in Spokane, WA. We are not a law firm, a medical clinic, or an insurance advisor, and services are provided by independent licensed professionals. For billing questions specific to your situation, call (509) 724-6919 or visit our contact page, and see our services for what care can include.

Common Questions

Frequently Asked Questions

It may. Many policies cover reasonable medical expenses, which can include some chiropractic care, but limits and conditions vary by policy. Ask your insurer what applies to you.

Not necessarily. It depends on which coverages you have and how your auto insurer and health plan coordinate. Ask both before you start care.

Often not right away. Payment from an at-fault driver's insurer typically comes through the claim process, which can take time. Many people use their own coverage in the meantime, and a licensed attorney can explain how this works in your situation.

Your health comes first. Billing questions should not be the only reason to delay an evaluation, and you can ask your insurer and your provider about coverage at the same time.

No. We are not a law firm or an insurance advisor and cannot interpret your policy, so please confirm coverage with your insurer or an attorney. For billing questions specific to your case, contact our office at (509) 724-6919.

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