What Is Personal Injury Protection (PIP) and Do You Need It in Texas?

PIP Is Optional in Texas — But Automatically Included

Here's something many Texas drivers don't know: PIP coverage is automatically included in your Texas auto policy unless you specifically reject it in writing. It's a valuable coverage that most people should keep.

What PIP Covers

Personal Injury Protection covers you and your passengers regardless of who caused the accident:

Medical Expenses (80% of reasonable charges)

• Hospital bills
• Surgery
• Doctor visits
• X-rays and imaging
• Physical therapy
• Dental treatment for injuries
• Prosthetic devices

Lost Income (80% of lost earnings)

• Wages you can't earn due to accident injuries
• Available after a 7-day waiting period
• Covers the period you're unable to work

Essential Services Replacement

• If injuries prevent you from performing household duties
• Covers hiring help for tasks you normally do (cleaning, childcare, yard work)
• Up to $25 per day

Funeral Expenses

• Covers funeral and burial costs
• Up to the policy limit

How PIP Differs from MedPay

Texas offers two medical coverage options — PIP and Medical Payments (MedPay). They're similar but not identical:

Key difference: PIP covers lost wages and essential services. MedPay only covers medical bills but at 100% (no 80% limitation).

Can you have both? Yes. Some Texas drivers carry both PIP and MedPay for maximum no-fault medical protection.

Why You Should Keep PIP

1. It Pays Regardless of Fault

You don't have to wait for fault to be determined. PIP pays your medical bills immediately, even if the accident was your fault.

2. It Covers Lost Wages

Health insurance doesn't cover lost income. If you miss two weeks of work after an accident, PIP replaces 80% of those wages.

3. It's Cheap

PIP coverage in Texas typically costs $20-$60 per year for $2,500-$10,000 in coverage. That's remarkably affordable for the protection it provides.

4. It Fills Health Insurance Gaps

Even with health insurance, you have copays, deductibles, and coinsurance. PIP helps cover those out-of-pocket costs.

5. It Covers Passengers

PIP covers all occupants of your vehicle, not just you. If your passenger doesn't have health insurance, PIP provides critical coverage.

Common PIP Limits in Texas

When to Reject PIP

The only scenarios where rejecting PIP might make sense:

• You have excellent health insurance with very low out-of-pocket costs
• You have strong disability insurance covering lost income
• You have substantial savings to cover medical expenses and lost wages
• You carry high MedPay limits instead

Even then, at $20-$60/year, most financial advisors recommend keeping it.

How to Reject PIP (If You Choose To)

Texas law requires a signed, written rejection. Your insurer will provide a PIP rejection form. Once signed:

• PIP is removed from your policy
• The rejection carries over at renewal (you don't re-sign each time)
• You can add PIP back at any time by contacting your insurer

Important: If you never signed a rejection form, PIP should be on your policy. Check your declarations page.

How PIP Works With Other Coverage

PIP + Health Insurance

PIP can be primary or secondary depending on your policy. Some PIP policies pay first, then your health insurance picks up the remainder. Others coordinate benefits.

PIP + Liability (At-Fault Driver's Insurance)

PIP pays your immediate expenses. You can still pursue the at-fault driver's liability coverage for expenses exceeding your PIP limit and for pain and suffering.

PIP + UM/UIM

If an uninsured driver hits you, PIP covers immediate medical costs while your UM/UIM claim is processed (which can take months).

The Bottom Line

PIP is one of the best values in Texas auto insurance. For $20-$60/year, you get immediate no-fault medical coverage, lost wage replacement, and essential services coverage for you and all passengers. Unless you have a specific reason to reject it and have signed a written rejection, make sure it's on your policy. Check your dec page today.