Author
Ben Freeman
Date
October 21, 2026
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How PIP and MedPay differ, whether Arizona requires either, and what MedPay typically costs drivers.

Arizona drivers who shop for car insurance often hear two unfamiliar acronyms: PIP and MedPay. Both pay medical bills after a crash, and both can sound like something the state requires. Neither is, and knowing the difference helps you decide whether to add one to your policy.
At Riseson Insurance, we are an independent Arizona broker, so we explain these options without a carrier steering the answer. Here is how personal injury protection and medical payments coverage work for drivers across the Valley.
What personal injury protection means in Arizona
Personal injury protection, or PIP, is a no-fault coverage that pays your medical costs and often lost wages no matter who caused the accident. It is built for no-fault states, where each driver's own policy pays first. Arizona is an at-fault state, so Arizona insurance carriers do not offer PIP on personal auto policies.
Because Arizona carriers do not offer PIP, you will not see it on an Arizona auto quote. The closest coverage you can add here is medical payments coverage, which is a simpler cousin of PIP. If you moved from a no-fault state, MedPay is the option that replaces it.
How medical payments coverage works for Arizona drivers
Medical payments coverage, usually called MedPay, helps pay medical and funeral expenses after a car accident regardless of fault, according to NerdWallet. It also applies if you or a family member is hit while walking, biking, or riding as a passenger in someone else's car. Passengers in your own vehicle are typically covered too.
MedPay limits are set in dollar amounts such as $1,000, $2,500, or $5,000, and a higher limit raises the premium. Because it pays without waiting to sort out fault, it can start covering bills while the claim is still being sorted out.
PIP versus MedPay: the practical differences
MoneyGeek summarizes the main gaps well. PIP covers lost wages and rehabilitation in addition to medical bills, while MedPay does not cover lost wages and focuses on acute medical care. MedPay typically adds funeral expenses and dental injury treatment. PIP may also add death benefits and, in some states, household services.
For an Arizona driver, the takeaway is simple. PIP is a no-fault state feature that Arizona carriers do not offer, and MedPay is the optional medical add-on available to you. If your priority is replacing income after an injury, talk with us about disability coverage rather than expecting MedPay to do that job.
Is MedPay required in Arizona?
No. Arizona requires liability limits of 25/50/15 under the state's financial responsibility law, which covers injuries and property damage you cause to others, as described by the Arizona Department of Insurance and Financial Institutions. It does not require you to carry coverage for your own medical bills.
That gap matters. Liability insurance never pays for your injuries when you are the one at fault. MedPay is one of the few ways to have your own policy respond to your medical costs right away.
What MedPay costs and who it helps most
MoneyGeek, citing Insurance.com data, reports that MedPay typically adds about $5 to $30 per month to a premium. Your driving record, vehicle, and chosen limit all affect the price, and each carrier rates it differently.
It tends to help most when you have a high health insurance deductible, when you often carry passengers, or when you want a buffer before health insurance starts paying. MedPay can cover deductibles and copays, so a crash does not force you to dip into savings. Many Tempe, Mesa, and Phoenix drivers who commute on I-10 or the 101 add it for exactly that reason.
How MedPay fits with health insurance and your other coverages
MedPay and health insurance work together. Once your MedPay limit is used up, your health plan covers the rest. It also pairs with other parts of your policy: if the other driver has no insurance, uninsured motorist coverage can help with the larger injury costs. Our guide to uninsured and underinsured motorist coverage in Arizona explains that side of the protection.
It is also worth understanding what you owe others. Our article on bodily injury coverage in Arizona covers the liability limits that protect you when someone else is hurt. Adding MedPay and bundling your auto with a home or renters policy can also lower your overall cost, as we show in how much you save bundling home and auto insurance in Arizona.
Frequently asked questions
Does Arizona offer or require PIP or MedPay? No. Arizona is an at-fault state that requires 25/50/15 liability limits but does not require MedPay. Arizona carriers do not offer PIP, so MedPay is the optional medical add-on.
How much does MedPay cost in Arizona? MedPay typically adds about $5 to $30 per month, according to Insurance.com data cited by MoneyGeek. Your exact price depends on your driving record, vehicle, and the limit you choose.
Does MedPay pay if I cause the accident? Yes. MedPay pays regardless of fault, so it can cover your own medical bills even when you are the at-fault driver, up to your chosen limit.
Can I use MedPay and health insurance together? Yes. NerdWallet notes that MedPay can cover health insurance deductibles and copays, and your health plan picks up the remainder once your MedPay limit is exhausted.
Get your car insurance quote today
If you live in Arizona and have not compared car insurance quotes in the last year, you are likely overpaying or underinsured. Riseson Insurance is an independent Arizona broker, which means we work for you, not for one carrier. We will pull quotes from multiple top-rated companies, walk you through what is actually covered, and find the bundling angle that saves the most. Reach out for a free Arizona car insurance quote and see your options in one place.
Disclaimer: Coverage availability, pricing, and underwriting guidelines vary by carrier and location. This article is for informational purposes only and should not be considered legal or insurance advice. Speak with a licensed insurance agent to review your specific situation.










