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What Out-of-Pocket Expenses You Can Claim After an Accident
Learn which accident-related expenses you can get reimbursed for medical costs —and how good documentation boosts your claim.
00:11 21 November 2025
Accidents can flip your world upside down in a matter of seconds. One minute you’re going about your day, and the next you’re dealing with injuries, repairs, phone calls, and paperwork. Even minor crashes can create big headaches.
And then the bills start showing up. Maybe you had to pay for a tow truck. Maybe you bought crutches or had to take an Uber to a doctor’s appointment. These are called out-of-pocket expenses, and they can add up fast, especially while you’re still trying to recover.
Most people don’t realize they can ask for reimbursement for many of these costs. Insurance companies might not volunteer that information, but you have a right to get back money you spent because of someone else’s mistake. Knowing what’s covered (and keeping good records) can make a huge difference in how much you’re able to recover.
What Counts as Out-of-Pocket Expenses After an Accident?
After a crash, every task seems to cost money. You may need a rental car, medication, or assistance around the house. When these costs come from the accident, they fall into the category of out-of-pocket expenses. These are costs you incur while waiting for insurance or a settlement.
You can claim these expenses if they are:
- Reasonable
- Necessary
- Connected to the accident
Most states let you recover these costs under fundamental negligence law. For example, California Civil Code §3333 says an injured person can receive “the amount which will compensate for all the detriment whether it could have been anticipated or not.” Many states use similar language. In plain terms, if the expense wouldn’t exist without the accident, you can claim it.
Common Out-of-Pocket Costs You Can Claim
These expenses vary, but most fall into clear groups.
Medical and health costs
- Co-pays
- Prescriptions
- Medical devices (crutches, braces, boots)
- Over-the-counter pain medication
- Physical therapy fees
Travel for medical care
- Mileage to and from appointments
- Bus, rideshare, or parking fees
In the U.S., you can use the IRS medical mileage rate for tracking miles to medical visits. This creates a clear, documented number.
Vehicle and property costs
- Towing
- Storage fees at the tow yard
- Rental car or temporary transportation
- Replacing car seats (recommended after any crash)
Household or personal care
- Childcare
- A house cleaner if you can’t move safely
- Help with yard work or pet care
Insurance companies often push back on these costs, so keeping receipts is crucial.
How to Document Each Expense
Keep proof of every dollar. It doesn’t need to be complicated.
- Start a single folder (paper or digital).
- Save receipts, invoices, and printouts.
- Write short notes: date, what you paid, and why.
- Track mileage in a notebook or your phone.
You don’t need legal language. Just connect the cost to the accident. For example:
“2/14 — Uber to physical therapy. Could not drive due to shoulder injury.”
Quick Recap
- Out-of-pocket expenses refer to any reasonable and necessary costs incurred as a result of an accident.
- Keep receipts, notes, and mileage records for all expenses paid to yourself.
- You can claim medical costs, travel for treatment, rental cars, childcare, and other related needs.
- Laws like California Civil Code §3333 and state unfair claims practices acts support your right to reimbursement.
- Don’t forget small items—parking, bandages, phone fees—they count too.
- If the other driver was at fault, their insurance should cover your expenses.
- Stay organized and consistent. Proof turns small receipts into real compensation.
