Does a Pre-Existing Condition Affect My Accident Claim?

Being involved in a car accident with a pre-existing condition can complicate the process of seeking compensation. While accidents often lead to new injuries, they can also aggravate existing medical conditions, resulting in more severe symptoms or long-term complications.

Insurance companies may argue that your current health issues are unrelated to the accident, which can make proving your claim more challenging. However, with the right evidence and support, you can still secure fair compensation for your aggravated injuries.

Does a pre-existing condition affect my accident claim? Yes, pre-existing conditions can impact your claim, but they do not disqualify you from receiving compensation. The key lies in demonstrating how the accident worsened your condition or created new symptoms. This often requires medical documentation and credible testimony from your healthcare providers.

Understanding the impact of pre-existing conditions on insurance claims is essential to navigating this process effectively. By working with experienced legal professionals and gathering comprehensive evidence, you can build a strong case to hold the at-fault party accountable for the harm caused by the accident.

Common Pre-Existing Conditions and Their Challenges in Accident Claims

A pre-existing condition presents a challenge when you’ve been in a car accident. Sometimes the pre-existing condition is unaffected, but more of the time the condition is either aggravated or worsened.

The insurance company’s standard response when you have a preexisting condition is that your injuries were not caused by the crash. The insurance company might deny your claim completely or significantly discount how much it is willing to pay for your claim. While they know the cause of an injury is not clear-cut, and aggravation of a preexisting condition can be painful or disabling, they try to take advantage of this to save money.

Pre-existing conditions come in various forms. They might be a prior injury, from another accident, or some disease or disorder of the body. In either case, regardless of how well you were doing immediately before the car accident, the insurance company will claim that your current injury is just a manifestation of the old injury or condition. We often see this when people have arthritis, degenerative disk disease (DDD), or musculoskeletal pains.

Your doctors, or hired experts, will determine the extent a car accident aggravated your pre-existing condition, or if the accident created a new injury. They review all past medical records and physical examinations.

Interestingly, you might not have known you had a pre-existing condition until it was discovered after the car accident. This is not uncommon with DDD. DDD is a disease that develops slowly over time; the accident did not cause it. What changes is that it now becomes symptomatic. The person who caused the car accident should be responsible for your pain and new symptoms. They should be responsible for any aggravation of a pre-existing condition.

Accidents Sometimes Worsen a Pre-existing Condition

If you have a previous injury, a car, truck or motorcycle accident may worsen that injury and increase risks to your health. The following are a few examples of the many ways an accident can make pre-existing injuries worse.

• Brain injuries – A traumatic brain injury (TBI) can be exacerbated or reinjured in a vehicle accident. Each additional brain injury may worsen the previous one or create a new overall brain condition needing separate or revised medical diagnosis and treatment. For example, a person still healing from a simple concussion can be elevated into a new category of brain dysfunction or disease from an accident, such as more intensified headaches, memory loss, dizzy spells, and motor function impairment.
• Neck injuries – Whiplash and other injuries to the upper vertebrae like a slipped disk could result from a car accident. Previous such injuries can become worsened by a lesser accident if the previous accident was the original cause.
• Broken bones – Sometimes, previously healthy bones may be fractured, but sometimes previously broken bones still healing may suffer complications such as dramatically retraumatized fracture line resulting in a refracture of the bone. Sometimes the new fracture and the refracture may be close to each other.
• Back problems – Those who endure frequent back pain from chronic conditions such as degenerative disk disease or arthritis can sometimes see their pre-existing conditions traumatized and worsened by an automobile crash. Such a new injury may create a more debilitating level of pain for the victim that had previously been manageable, but now is not as a result of the new resulting state of back health.

Situations of aggravated pre-existing conditions such as the above could easily warrant that the legally cited driver compensate the victim via their car insurance under state law. If you suspect that your own accident injuries may be worsening one or more pre-existing conditions, Gage Mathers can help you determine whether additional injury-based compensation is legally viable in your case.

How Do I Prove The Car Accident Caused My Pre-Existing Condition to Get Worse?

Many types of pre-existing conditions don’t allow an easy way of showing how it was before versus after a crash. This is especially true when you have multiple car crashes in a short period of time. Most of the time, the only differentiator is your report of symptoms, which is difficult to verify or compare to prior symptom reports. Some injuries, like a slipped disk or bone fracture, can be seen in imaging studies and compared to prior imaging studies; however, not many people have prior imaging to compare. In those cases, we rely on your symptom reporting, your doctors’ documentation of your care and treatment before and after the crash, and anything else that objectively shows a change in your condition.

Your credibility and the credibility of your treating doctors are important. This means you must be honest when asked about pre-existing conditions, any prior complaints or problems, and their severity. You should not exaggerate or downplay symptoms. Whether talking to your doctor, your lawyer, family, friends, co-workers, insurance adjusters, defense-paid experts, or insurance defense lawyers, honesty is the best policy. Ultimately, a jury will determine based on all the evidence if your pre-existing condition was aggravated or worsened; if so, to what degree; and how much you should be compensated. Credibility and likability go a long way.

For help with filing a personal injury claim, contact Gage Mathers today.

Gage Mathers Law Group is routinely called one of the best personal injury law firms.

About the Author

Joseph D'Aguanno

Guided by the belief that being a highly skilled specialist in a narrow field is better than being ordinary in everything, Joseph “JD” D’Aguanno leads Arizona’s best personal injury law firm in Phoenix, AZ. Having extensive cross-training in pre-litigation negotiations and trial lawyer skills, with decades of experience, JD strives to provide clients with the most valuable legal services a personal injury lawyer can provide. Under his direction, Gage Mathers Law Group is an award-winning personal injury law firm providing aggressive representation to victims of a car accident, medical malpractice, dog bite, motorcycle accident, and other injurious events. Gage Mathers is trusted by thousands of lawyers and clients throughout the country because of their reputation for getting clients the maximum compensation they deserve.

Years of experience: Over 23 years
Bar number: 020421
Location: Phoenix, AZ
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