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Your Rights After an At-Fault Accident

Dr. Ken Allan, MDreviewed by Dr. Ken Allan

You caused the accident. You feel terrible about it. And now you're hurt, and you have no idea whether anyone will help you, because every resource you find seems designed for the other person in the collision.

Here's what's true: being at fault for a car accident doesn't change your right to medical care. It doesn't change the fact that your injuries need treatment. And it doesn't change the clinical reality that early intervention produces better outcomes than waiting (Imam 2021; Wand 2004).

You still deserve care. You can still get it.

What Doesn't Change When You're At Fault

  • Your right to medical treatment. You were injured in a collision. The forces that damaged your body don't care who was driving. Whiplash, soft tissue injuries, disc herniations, concussions: these injuries happen to every person in the vehicle, regardless of fault. They need the same treatment.
  • Your MedPay coverage. If you have auto insurance in Colorado, you almost certainly have MedPay. Colorado requires insurers to include it by default. MedPay pays for your accident-related medical treatment regardless of fault, with no deductible and no waiting for a liability determination. You've been paying premiums for this coverage. It's yours to use.
  • Your PIP coverage. If your policy includes Personal Injury Protection, those benefits (medical expenses, lost wages, essential services) apply to you regardless of who caused the accident. PIP exists to cover your financial losses after a collision, not to assign blame.
  • Your health insurance. Your health plan covers your medical care the same as it would for any other injury. Copays and deductibles may apply, but coverage isn't denied because you were at fault.
  • The quality of your care. At CCC, your treatment plan is based on your injuries, not on fault determination. Your managing physician evaluates you with the same thoroughness, coordinates the same multi-modal treatment approach, and documents your care with the same detail as every other patient. The clinical evidence supporting integrated, multidisciplinary care after motor vehicle trauma applies equally regardless of which driver was responsible (ASA Task Force 2010; Bunketorp 2006; Imam 2021; Koes 2006).

What Changes When You're At Fault

The differences are financial and procedural, not medical:

  • You generally can't claim against the other driver's insurance. In Colorado's fault-based system, the at-fault driver's liability insurance pays the other party's damages. If you're the at-fault driver, the other party claims against your liability coverage, not the other way around.
  • Your recovery funding comes from your own coverages. MedPay, PIP, and health insurance fund your medical care. You're not accessing the other driver's liability policy for your own treatment.
  • The lien model may work differently. CCC's lien model is typically satisfied from settlement proceeds: the at-fault driver's liability payout. If you're at fault, there may not be a third-party settlement from which to satisfy a lien. Your case manager discusses the specific payment structure for your situation, which may rely more heavily on MedPay, PIP, and health insurance.

These are insurance process differences. They don't affect the medical care available to you or the quality of treatment you receive.

Colorado's Comparative Fault System

Colorado uses a modified comparative fault system. This is important because "at fault" isn't always binary:

If you're less than 50% at fault, you can recover damages from the other driver, reduced by your percentage of responsibility. If the other driver was 60% at fault and you were 40%, you can recover 60% of your damages from their insurance.

If you're 50% or more at fault, you cannot recover damages from the other driver under Colorado law. Your own coverages (MedPay, PIP, health insurance) fund your treatment.

Regardless of your fault percentage, your MedPay and PIP benefits apply in full. These are first-party coverages that pay based on the fact that you were in an accident, not based on who caused it.

Many accidents involve shared fault. Intersection collisions, lane-change accidents, chain-reaction crashes: these often have multiple contributing factors and shared responsibility. Even if you bear primary responsibility, you may not be 100% at fault. The police report's determination isn't final. Liability percentages are negotiated during the claims process.

The Medical Case for Getting Treated

Guilt has a way of convincing people they don't deserve care. But the clinical evidence doesn't care about fault:

  • Early intervention matters. The "Assess and Treat" model produces better outcomes than "Wait and See" for motor vehicle injuries. Patients who begin treatment sooner experience quicker return of function, improved mood and quality of life, and better general health (Imam 2021; Wand 2004; Swedish Whiplash Task Force 2008).
  • Delayed treatment leads to worse outcomes. Soft tissue injuries that respond well to early care can become chronic when left untreated. Inflammation compounds. Compensatory movement patterns develop. You start favoring one side, tightening other muscles to protect the injured area, creating secondary problems on top of the original injury.
  • Multi-modal treatment is the standard of care. An individualized, integrated, multidisciplinary approach — physical therapy, massage therapy, specialist referrals as needed — is the best and most cost-effective approach for motor vehicle injury recovery (ASA Task Force 2010; Bunketorp 2006; NASS 2020; Australian Government 2008).

None of these clinical facts change based on who caused the accident. Your body's healing process is the same. The treatment it needs is the same. The consequences of delaying that treatment are the same.

What You Should Do

  • Get evaluated. Your injuries are real regardless of who caused them. A comprehensive evaluation by a physician who specializes in post-accident injuries identifies the full extent of the damage, not just the obvious pain but the soft tissue injuries, nerve involvement, and range-of-motion deficits that are easy to miss in the first few days.
  • Use your coverage. You've been paying for MedPay and health insurance premiums. Using them after an accident is exactly what they're for. There's no penalty for accessing benefits you paid for, and MedPay claims generally don't affect your rates the way a liability claim might.
  • Document everything. Even as an at-fault driver, thorough medical documentation protects your interests. If fault is shared, your records support your partial recovery claim. If you're pursuing lost wages through PIP, your treatment records substantiate the medical necessity. And comprehensive documentation ensures you receive appropriate care throughout your recovery.
  • Don't let guilt prevent care. Feeling responsible for the accident is natural. But neglecting your own injuries doesn't help the other person. It doesn't reduce anyone's insurance premiums. It just means there are now two people suffering from this accident instead of one getting treated while the other isn't.

You pay for car insurance for exactly this reason

Auto insurance exists to protect everyone involved in an accident, including the person who caused it. MedPay, PIP, liability coverage: these are financial safety nets you've been paying for. Using them after an accident you caused isn't taking advantage of anything. It's the system working as designed.

Frequently Asked Questions

Frequently Asked Questions

Can I get treatment if I was at fault for the accident?
Yes. Your right to medical treatment is not affected by fault. CCC provides the same coordinated, physician-directed care to all auto accident patients regardless of who caused the collision. Your treatment plan is based on your injuries, not your fault status.
Does the at-fault driver's insurance pay my medical bills?
If you're the at-fault driver, the other party claims against your liability insurance, not the other way around. Your medical bills are covered by your MedPay (regardless of fault), PIP if you have it, and your health insurance. If fault is shared and you're less than 50% responsible under Colorado law, you may also recover a portion from the other driver's insurance.
Will my insurance rates go up if I use MedPay after an at-fault accident?
The accident itself may affect your rates depending on fault and your insurer's policies. But using MedPay to cover medical treatment is simply accessing benefits you paid for. MedPay claims generally don't increase rates the same way a liability claim does.
What if I don't have MedPay or PIP?
Health insurance covers your treatment with standard copays and deductibles. If you have limited or no insurance, talk to our case manager about your specific options. Being at fault doesn't mean being without options. Your case manager helps identify every available pathway to care.
What is Colorado's comparative fault rule?
Colorado uses a modified comparative fault system. If you're less than 50% at fault, you can recover damages from the other driver, reduced by your fault percentage. If you're 50% or more at fault, you cannot recover from the other driver, but your own MedPay, PIP, and health insurance still apply regardless.

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