Difference Between PIP and MedPay in Florida
PIP is required in Florida and pays 80% of your medical bills. MedPay is the optional add-on that covers what PIP leaves behind. Here's how they differ, how they work together, and when MedPay is worth it.
Eddie Ezekiel
Published Dec 9, 2025 · 4 min read
Updated Jun 17, 2026

Image credit: Photo by Mehdi Mirzaie on Unsplash
Your $10,000 of Florida PIP sounds like a lot, right up until one ER visit eats through it in an afternoon. That gap is exactly what MedPay is built to fill. Both coverages pay your medical bills after a crash no matter who caused it, but they aren't the same thing, only one is required, and they're designed to work as a team. Here's how PIP and MedPay differ, how they stack together, and when paying for MedPay is actually worth it.
The quick version
| PIP (required) | MedPay (optional) | |
|---|---|---|
| Required in Florida? | Yes, $10,000 minimum | No, you choose to add it |
| What it pays | 80% medical, 60% lost wages, $5,000 death benefit | Medical bills only |
| Deductible | Often applies | Usually none |
| Who's covered | You, household relatives, some passengers and pedestrians | You and passengers in your car |
| Pays regardless of fault? | Yes | Yes |
PIP: the coverage you can't skip
PIP is the backbone of Florida's no-fault system. Every driver who registers a car has to carry at least $10,000 of it, and it pays out fast after a crash without waiting to sort out blame. Within that $10,000, it covers 80% of reasonable medical bills, 60% of lost wages if you can't work, and a $5,000 death benefit. You can confirm the requirement at FLHSMV.
MedPay: the optional backstop
Medical Payments coverage, or MedPay, is optional in Florida. It pays medical bills only (no lost wages or death benefit), but it usually comes with no deductible and pays quickly. Its real job is to step in exactly where PIP runs out, and it covers you and your passengers.
How PIP and MedPay work together
This is the part worth understanding, because the two are built to layer. PIP pays first; MedPay cleans up what PIP leaves behind.
What MedPay costs and what limit to pick
MedPay limits commonly run from $1,000 to $10,000, and because it's secondary, narrow coverage, it's usually inexpensive to add. A higher limit makes sense if you have a high-deductible health plan, frequently carry passengers, or want a real cushion against PIP's $10,000 ceiling. A smaller limit can still be worth it just to cover the 20% coinsurance and your PIP deductible.
So do you actually need MedPay?
It's usually cheap, so it comes down to your situation. It's worth a serious look if:
- You have a high-deductible health plan or no health insurance.
- You often drive passengers who may not have their own coverage.
- You want a cushion for the 20% and the $10,000 ceiling that PIP leaves exposed.
If you already have strong, low-deductible health insurance, MedPay matters a little less, though it still covers copays, deductibles, and passengers that health plans can be slow or unwilling to pay. The point where it stops being worth it is rare, because the premium is so low relative to what it covers.
Frequently asked questions
Can I have both PIP and MedPay?
Does MedPay cover lost wages?
Does MedPay cover my passengers?
Is MedPay worth it if I already have health insurance?
Will I have to pay MedPay back from a settlement?
Can I add MedPay in the middle of my policy?
The bottom line
PIP is mandatory, broad, and fast, but it's capped at $10,000 and only pays 80% of your medical bills. MedPay is a cheap optional layer that plugs those exact gaps and extends to your passengers. If your PIP deductible or that 20% coinsurance worries you, MedPay is usually worth the small premium. Confirm Florida's requirements at FLHSMV, and ask a licensed agent what a MedPay limit would actually cost you.
Last updated: Jun 17, 2026
Sources & references
We cite Florida statutes, the FLHSMV, and industry bodies like the Insurance Information Institute. How we research and maintain these guides. Spotted an error? Tell us.
About the author

Eddie Ezekiel
Tech enthusiast who has been helping digitize insurance information. From insurance websites to information drives and sales pitch engineering, I've been around the insurance space for the last 7 years in some capacity.
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