Who Pays Medical Bills After a Bicycle Crash?

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Bicycle crashes in South Carolina can leave riders with painful injuries and sudden medical bills. Many victims are unsure who pays medical bills after a bicycle crash, and how insurance applies to their situation. Confusion often grows when different coverages overlap or when fault is still being investigated.

Under S.C. Code Ann. § 38-77-144, optional Medical Payments (MedPay) coverage can provide quick help by covering initial treatment costs. This coverage applies regardless of who caused the accident and can ease financial stress while recovery begins. Once responsibility is proven, the at-fault driver’s insurance may later repay those medical expenses.

Understanding how MedPay and liability claims work together is key to avoiding financial loss. Skilled personal injury lawyers in Aiken can review your coverage, explain your rights, and help you recover full compensation after a bicycle accident.

Bicycle and helmet on the road after collision showing medical bills after a bicycle crash concerns.

What Is the Typical Order of Payment After a Bicycle Crash? 

Medical bills after a bicycle crash are often covered in stages, depending on available insurance and fault determination.

Primary Payment Sources

Immediate medical bills are typically handled through existing coverage before liability is resolved.

  • Health insurance pays for emergency care, imaging, and follow-up treatment.
  • MedPay (Medical Payments coverage) helps cover expenses right away, up to your policy limits.
  • If neither applies, providers may bill you directly or arrange payment plans until insurance reimbursement is received.

Secondary Reimbursement

Once fault is established, the at-fault driver’s insurance becomes responsible for repayment.

  • Keep copies of medical bills, Explanation of Benefits (EOBs), and proof of payments for your claim file.
  • Reimbursement typically occurs after settlement negotiations or a court judgment, ensuring all verified medical costs are repaid.

When the At-Fault Driver Must Pay

Liability Coverage Responsibilities

When another driver causes a bicycle accident, their insurance policy is generally responsible for covering medical costs. This liability coverage includes emergency care, hospital bills, medications, and rehabilitation linked to the crash. In South Carolina, drivers must carry a minimum of $25,000 in bodily injury coverage per person, which serves as the first source of compensation for injured cyclists.

Proving Negligence

Establishing fault requires clear evidence connecting the driver’s behavior to the cyclist’s injuries. Police reports, eyewitness statements, and traffic-camera footage often provide crucial proof. An Aiken bike accident lawyer can gather records, consult experts, and organize medical documentation to demonstrate how the driver’s negligence directly caused harm, ensuring accountability and fair recovery.

Cyclist inspecting damaged bicycle after a bike accident in Aiken.

How Fault Affects Medical Bill Recovery 

Under S.C. Code Ann. § 15-38-15, South Carolina applies a modified comparative negligence rule. This means an injured cyclist can recover damages only if they are 50% or less at fault, with the total compensation reduced by their percentage of responsibility.

Examples of Shared Fault

In bicycle accident cases, fault is rarely one-sided. Common shared-fault scenarios include:

  • Cyclist errors, such as failing to use reflectors, riding at night without lights, or disobeying traffic signals.
  • Driver negligence, including following too closely or drifting into a bike lane.
  • Final fault determinations depend on police reports, witness statements, and insurance or court review.

Legal and Financial Impact

  • A 20% fault finding reduces total compensation by 20%.
  • At 51% or greater fault, recovery is completely barred under state law.
  • Accurate documentation and prompt reporting help minimize fault disputes and protect your right to full recovery.

Managing Medical Bills After a Bicycle Crash While the Case Is Pending

Keeping Accounts Current

Covering medical expenses after a bicycle crash can be difficult while your claim is still in progress. Continue using your health insurance or MedPay benefits to prevent overdue balances and protect your credit. When coverage is limited, ask providers about hardship programs or payment arrangements to reduce immediate financial strain until your case settles.

Handling Liens and Reimbursements

Health insurers often request repayment once a settlement is finalized, a process called subrogation. Since South Carolina lacks a broad hospital-lien statute, most claims arise through insurance policies or signed medical agreements. Working with lawyers in Aiken helps ensure these liens are reviewed, negotiated, and resolved correctly so that your final recovery remains fair and undisputed.

Lady Justice statue and gavel representing legal action after an accident.

Special Cases That Change Who Pays

Hit-and-Run or Uninsured Driver

If a driver leaves the scene or has no insurance, compensation may still be available through Uninsured Motorist (UM) coverage. This protection helps pay for medical treatment, rehabilitation, and related costs when the responsible party cannot be located or insured. Filing a police report quickly and notifying your insurer within the required timeframe is essential to activate this coverage.

Other Unique Scenarios

Certain bicycle accidents involve special circumstances that alter financial responsibility. Claims involving government negligence or unsafe road conditions require early notice to meet strict legal deadlines. When injuries occur on the job, workers’ compensation benefits may apply, and crashes caused by faulty bike components can lead to product liability claims managed by lawyers in Aiken.

Time Limits for Medical Bill Claims

Statute of Limitations

In South Carolina, injured cyclists have three years to file a personal injury claim under S.C. Code Ann. § 15-3-530. Missing this legal deadline can permanently prevent recovery, even if the driver’s fault is clear. Taking swift action helps preserve evidence, secure witness statements, and ensure all medical bills are properly included in the claim.

Insurance Notice Deadlines

Certain policies — such as UM, UIM, and MedPay — require earlier notification than the standard court filing period. Inform every insurance company involved immediately after the crash to avoid coverage disputes. Timely communication keeps your right to compensation intact and prevents unnecessary delays in processing medical expenses.

Government and Employer Claims

Claims involving government agencies or public employers follow shorter, mandatory timelines. Workers’ compensation claims must be reported right after the incident to maintain eligibility for treatment and wage benefits. Filing promptly ensures full protection of your rights and continued access to medical care.

Conclusion

In South Carolina, medical bills after a bicycle crash are often covered first by your health insurance or MedPay benefits. Once liability is proven, the at-fault driver’s insurer may reimburse those expenses through a settlement or judgment. This layered process helps injured cyclists manage treatment costs while pursuing fair compensation.

Understanding coverage priorities, fault determinations, and legal timelines ensures full recovery of your expenses. Keeping accurate records and consulting a South Carolina bike accident lawyer can help protect your rights and secure fair results.

At Aiken Attorneys, we understand how overwhelming a bicycle crash can be for injured riders and their families. Our dedicated team of personal injury lawyers in Aiken stands ready to guide you through the claims process and ensure your medical expenses are fully covered. Contact us today at (803) 649-5338 to speak with an experienced Aiken bike accident lawyer. Take the first step toward recovery and let our firm protect your rights and your future.

Picture of Brett H. Lancer

Brett H. Lancer

Attorney Brett H. Lancer is an Aiken, South Carolina attorney who represents clients throughout Aiken County with a primary focus on criminal defense, including strong advocacy in DUI cases where your license, record, and future are on the line. He also helps injured people pursue fair compensation through personal injury claims, including car accidents and other serious injury matters caused by negligence.