Kentucky pays the first medical bills through the vehicle's own reparation coverage, no matter who caused the wreck. That money arrives on a statutory schedule, stops at a fixed ceiling, and quietly reshapes what is left to claim from the driver who caused the crash.
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Six boxes, about thirty seconds. You pick when to be called back, and that is when the phone rings.
Or call (502) 268-4918The Motor Vehicle Reparations Act gives a person hurt in a Kentucky crash a right to basic reparation benefits without proving fault, and KRS 304.39-030(1) states that right for every person suffering loss from injury arising out of the use of a motor vehicle here, with one exception: someone who has rejected the tort limitation described in KRS 304.39-060(4). The Department of Insurance describes the same arrangement in plain terms on its own consumer page, calling personal injury protection one of the two halves of the 1975 statute and noting that the coverage is required on motor vehicles other than motorcycles. Fault comes later. Entitlement comes first.
The definition in KRS 304.39-020(5) is narrow on purpose. Loss means accrued economic loss and nothing else: medical expense, work loss, replacement services loss, and where the injury kills, survivor's economic loss and survivor's replacement services loss. The same subsection says noneconomic detriment is not loss, so pain never enters this ledger. Work loss is defined as the income the injured person probably would have earned, reduced by income from substitute work actually performed. Replacement services loss covers paying someone to do what the injured person did for the household rather than for wages. Medical expense reaches ambulance service, rehabilitation and rehabilitative occupational training, and it carries a funeral, cremation and burial component capped at $5,000 for one person. A hospital room charge above a reasonable semi-private rate falls outside the definition unless intensive care was medically required.
The ceiling in KRS 304.39-020(2) is $10,000 for all economic loss suffered by any one person as the result of one accident, and the statute makes the figure indifferent to how many people are entitled to benefits or how many providers of security owe them. KRS 304.39-050(3) closes the other escape route: no person recovers these benefits from more than one obligor for the same accident, and not beyond that same ten thousand. In a serious Louisville crash the ceiling is reached inside the first hospitalization, which is why the ledger matters long before anyone drafts a demand.
Priority is assigned by statute rather than by argument. Under KRS 304.39-050(1) the applicable coverage is the security on the vehicle the injured person occupied, and for someone on foot it is the security on the vehicle that struck them. That subsection defines a pedestrian for its own purposes as any person not making use of a motor vehicle when the injury occurs. If the obligor on that vehicle does not pay within thirty days of receiving reasonable proof of the fact and amount of loss, the injured person may look to a policy under which they are themselves an insured, and the paying insurer is then entitled to full reimbursement from the first one. Subsection (2) supplies the fallback where the vehicle carried no security at all.
KRS 304.39-210 makes these benefits payable monthly as loss accrues, and treats loss as accruing when a medical expense or a wage loss is incurred rather than on the date of the crash. A payment is overdue if it is not made within thirty days after the obligor receives reasonable proof, with a limited option to accumulate claims for periods of no more than thirty-one days and pay within fifteen days after that. Proof of part of a claim totaling $100 or more can make that part overdue by itself. Overdue amounts carry twelve percent interest a year, and eighteen percent where the delay had no reasonable foundation. Two provisions amended effective July 15, 2026 change the arithmetic further: a medical expense paid under this subtitle is measured against the fee schedule established under KRS 342.035, with the schedule in effect on that July date acting as a floor, and a provider may not chase the patient for the difference above the permitted maximum or let that balance damage the patient's credit. Charges must be submitted within one hundred eighty days of the service.
Added reparation benefits are the same coverage in larger units. KRS 304.39-140(1) requires each obligor, on a reparation insured's request, to offer economic loss coverage in units of $10,000 per person, subject to $40,000 of added benefits or the liability limit above the statutory minimum for one person, whichever is lower. Subsection (4) requires deductibles of $250, $500 and $1,000 to be made available. The trade-off sits in KRS 304.39-060(2)(a): tort liability for bodily injury is abolished to the extent basic reparation benefits are payable, including amounts that would be payable but for an authorized deductible. Benefits taken are not damages recoverable twice.
Practical consequences follow. The declarations page for every vehicle involved matters as much as the collision report. Bills and explanations of benefits belong in one dated file, because that ledger fixes both the ceiling and, separately, a filing deadline. Where an obligor rejects a claim for a reason other than non-entitlement, KRS 304.39-210(5) requires written notice naming the assigned claims bureau. This page is general information about Kentucky's reparation statutes rather than legal advice about any particular crash; the attorney who advertises on this site is the person to ask about a specific claim.
Kentucky No-Fault and PIP Benefits in Louisville. Call (502) 268-4918 and a Louisville lawyer reviews the claim and the deadline that applies. Nothing is signed on that call.
Call (502) 268-4918UofL Health describes its trauma program as the region's only trauma center verified as Level I for adults by the American College of Surgeons and one of only two Level I adult trauma centers in Kentucky, treating more than 4,200 trauma and burn patients a year, with over half arriving from counties outside Jefferson and its bordering counties.
Why it matters: Serious crash injuries from a wide area are documented in one Louisville record system, and a $10,000 reparation benefit ceiling is consumed inside that first admission.
Source: uoflhealth.org
The Kentucky Transportation Center's 2020-2024 crash analysis reports 1,069 pedestrian-related crashes in 2024 against a four-year average of 932, a 12.8 percent increase, and 439 bicycle-related crashes against an average of 342, a 22.2 percent increase, while total statewide traffic deaths fell to 707 from a 795 average.
Why it matters: Vulnerable-road-user crashes are the category moving against the statewide trend, and the reparation benefit for someone on foot follows the striking vehicle's policy rather than their own.
Source: transportation.ky.gov
Kentucky generally treats drivers as having accepted motor-vehicle-reparations tort limitations, but a person can reject those limits only by a written or electronic form filed with the Department of Insurance before the crash. Basic reparation benefits for one person's economic loss are capped at $10,000 per accident.
Why it matters: A Louisville crash claim must start by finding the declarations page and any rejection form. A driver who accepted the limits may still qualify for a noneconomic claim through the statute's medical-expense threshold or serious-injury categories; a driver with a timely rejection retains full tort rights but may affect basic-reparation-benefit eligibility.
Sources: apps.legislature.ky.gov · apps.legislature.ky.gov
No obligation · Written for Louisville · Jefferson County