ยง431:10C-103.5 - Personal injury protection benefits; defined; limits.
ยง431:10C-103.5ย Personal injury protection
benefits; defined; limits.ย (a)ย Personal injury protection benefits, with
respect to any accidental harm, means all appropriate and reasonable treatment
and expenses necessarily incurred as a result of the accidental harm and which
are substantially comparable to the requirements for prepaid health care plans,
including medical, hospital, surgical, professional, nursing, advanced practice
nursing recognized pursuant to chapter 457, dental, optometric, naturopathic
medicine, chiropractic, ambulance, prosthetic services, medical equipment and
supplies, products and accommodations furnished, x-ray, psychiatric, physical
therapy pursuant to prescription by a medical doctor, occupational therapy,
rehabilitation, and therapeutic massage by a licensed massage therapist when
prescribed by a medical doctor.
(b)ย Personal injury protection benefits, when
applied to a motor vehicle insurance policy issued at no cost under section
431:10C-410(3)(A), shall not include benefits under subsection (a) for any
person receiving public assistance benefits.
(c)ย Personal injury protection benefits shall
be subject to an aggregate limit of $10,000 per person for services provided
under this section.ย An insurer may offer additional coverage in excess of the
$10,000 aggregate limit for services provided under this section, or as
provided by rule of the commissioner. [L 1997, c 251, pt of ยง2; am L 1998, c
275, ยง5; am L 1999, c 222, ยง4; am L 2000, c 65, ยง1; am L 2004, c 56, ยง1; am L
Sp 2009, c 22, ยง11(2)]
Case Notes
ย Fee schedule was intended to apply to medical services
rendered as a result of motor vehicle accidents and paid by a no-fault
insurer.ย 73 F. Supp. 2d 1189.