PIP exhaustion
Not the same as being tired of dealing with your insurer, and not a denial of coverage by itself. PIP exhaustion means the benefits available under a Personal Injury Protection (PIP) policy have been used up to the policy limit. Once that limit is reached, the insurer has no further duty to pay covered PIP expenses, even if medical treatment or wage loss continues. PIP is part of no-fault insurance in many states and usually pays certain medical bills, lost income, and related costs after a crash, regardless of who caused it.
This matters because PIP is often the first pool of money used after an injury. When those benefits are exhausted, unpaid bills may shift to health insurance, MedPay, or the injured person. In some states, exhaustion of PIP benefits can also affect when an injured person can step outside the no-fault system and pursue a liability claim against the at-fault driver. The exact rule depends on state law and the policy language.
For an injury claim, PIP exhaustion can become a key fact in settlement talks. It may show that the injury was serious enough to outlast the available no-fault coverage, and it can help document out-of-pocket losses. Insurers often track the exhaustion date closely because it can change who pays next and what damages are still recoverable under a bodily injury claim or lawsuit.
This summary is educational and does not create an attorney-client relationship. Laws are complex and fact-specific. If you're dealing with this issue, get a professional opinion.