Florida PIP & No-Fault

What is an independent medical exam and do I have to go?

Attorney-Reviewed Answer
Reviewed by Jeff T. Gorman, Criminal Defense Attorney & Former 19th Circuit Prosecutor (Fla. Bar #538183). Last reviewed: September 2026
Short Answer
An examination by a doctor the insurer selects and pays. Attendance is generally required, and unreasonable refusal can end your benefits.

Despite the name, it's an examination arranged and paid for by the insurance company, with a physician the insurer chooses.

Why insurers order them. To obtain an opinion that further treatment isn't reasonable, related, or necessary — which supports terminating benefits. That's the ordinary purpose.

Attendance is generally required. Florida's PIP statute conditions benefits on cooperating with reasonable requests, and unreasonable failure to attend can result in benefits being cut off.

What to know going in. The examination is often brief. The report is frequently far more detailed than the encounter suggests. Everything you say and do is observed, including in the parking lot — surveillance around these appointments is not unusual.

Practical guidance: be accurate and consistent, describe your symptoms without exaggerating or minimizing, don't guess at answers, and tell counsel about the notice before you go.

Report cutoffs based on these examinations are common and they're challengeable.

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This page answers a common question for general informational purposes and is not legal advice, and no attorney-client relationship is formed by reading it. Florida law changes; while this answer is reviewed by a licensed Florida attorney, the right answer depends on the specific facts of your situation — consult an attorney. Serving Martin, St. Lucie, Palm Beach, Indian River, and Okeechobee Counties.