Traumatic Brain Injury
Spinal Cord Injury and Paralysis
Amputation, Severe Burns and Vision Loss
Finding Every Policy That Applies
Damages in a Catastrophic Case
What To Do Now
Why $10,000 of PIP Never Covers a Catastrophic Injury
Florida's no-fault system was built for fender-bender injuries, not for a brain or spinal cord. Personal Injury Protection pays 80% of reasonable medical expenses up to $10,000, and only if a physician determines you had an emergency medical condition. Without that finding, the cap drops to $2,500 (Fla. Stat. § 627.736(1)(a)3-4). Either number is spent in the first days of a serious head or spine injury.
How much of your medical bills your own PIP pays
Florida no-fault benefits, per person, for one crash. A brain or spinal injury passes either amount in days.
PIP pays 80% of covered medical expenses up to these caps, and only for care that begins within 14 days of the crash (Fla. Stat. § 627.736). Everything past the cap has to come from a liable party, an employer, or your own uninsured motorist coverage.
The threshold usually is not the problem here. In a Florida auto case you can only recover pain and suffering if the injury involves a permanent injury, a significant and permanent loss of an important bodily function, significant and permanent scarring, or death (Fla. Stat. § 627.737(2)). Catastrophic injuries clear that bar by definition. The real fight is over how much: future care, lost earning capacity, and the life care plan. That is where cases are won or lost, and it is why we bring in treating physicians, life care planners and economists early rather than at mediation.
Where We Handle Florida Catastrophic Injury Lawyers Cases
We handle catastrophic injury claims from our Aventura office and across Florida, including:
The Attorneys Who Handle These Cases
David L. Templer and Mark Hirsch have practiced from the same Aventura office for more than 35 years and have recovered over $100 million for injured people. You speak with an attorney, not a case manager, and the attorney you speak with is the attorney who handles your file.
Consultations are free and there is no fee unless we recover money for you. Call 305-937-2700 or send us the details.
Frequently Asked Questions
What counts as a catastrophic injury?
There is no single definition in Florida negligence law. In practice a catastrophic injury is one that permanently changes what you can do: a traumatic brain injury, a spinal cord injury with paralysis, an amputation, severe burns, blindness, or an injury that ends your ability to work. The legal significance is that the damages are dominated by future costs rather than by the bills you have already received.
How is a brain injury case different from an ordinary injury case?
The evidence is different. A mild traumatic brain injury often does not show on a standard CT scan, so the proof comes from neuropsychological testing, treating physicians, and people who knew you before the injury and can describe the change. Insurers routinely argue that a normal scan means no injury, which is why documentation from the first days matters so much.
How much PIP covers my medical bills after a serious crash?
At most $10,000, and only 80% of covered expenses, and only if a physician determines you had an emergency medical condition. Without that determination it drops to $2,500 under Fla. Stat. § 627.736(1)(a)4. Care must begin within 14 days of the crash. Anything beyond the cap has to come from the at-fault party's liability coverage, your uninsured motorist coverage, or another responsible party.
Can I still recover if I was partly to blame?
Yes, unless you were more than 50% at fault. Florida uses modified comparative negligence under Fla. Stat. § 768.81, so your damages are reduced by your share of fault, and at more than 50% you recover nothing. In catastrophic cases insurers push hard on comparative fault precisely because the numbers are large.
What is a life care plan and why does my case need one?
It is a costed, year-by-year projection of the medical care, equipment, therapy, medication, home modifications and attendant care you will need for the rest of your life, prepared by a qualified life care planner and supported by your treating doctors. It is what converts a lifetime of need into a number a jury or an insurer can evaluate.
How long do I have to file a catastrophic injury claim in Florida?
Most negligence claims must be filed within two years of the injury under Fla. Stat. § 95.11, cut from four years by the 2023 HB 837 reforms. Medical malpractice and wrongful death claims run on their own clocks. Evidence in catastrophic cases degrades fast, so waiting costs more than the deadline alone suggests.
Sources & further reading (verify before relying on them)
- Fla. Stat. § 627.736. Personal injury protection benefits (PIP caps and the 14-day rule)
- Fla. Stat. § 627.737. Tort exemption; limitation on damages (permanent injury threshold)
- Fla. Stat. § 768.81. Comparative fault
- Fla. Stat. § 95.11. Limitations of actions
- CDC: Traumatic Brain Injury and Concussion
This page is general information, not legal advice. Laws change; confirm the current statute and speak with an attorney about your situation.