Letter of Protection

Written By Michael Porter
Personal Injury Attorney
Last Updated on October 16, 2025

A letter of protection is a document that a personal injury attorney sends to medical providers, promising that the doctor or hospital will be paid from any settlement or judgment the client receives from their injury case. This letter essentially guarantees payment for medical treatment even when the patient cannot afford to pay upfront or their insurance doesn't cover all the necessary care. The medical provider agrees to treat the injured person now and wait to be paid until the legal case is resolved, with the understanding that the attorney will ensure payment comes from the eventual settlement or court award.

Letters of protection are particularly valuable in personal injury cases because they allow injured people to receive necessary medical treatment immediately, even if they don't have health insurance or their insurance has limitations. For example, if someone is hurt in a car accident and needs expensive physical therapy or specialist care that their insurance won't cover, a letter of protection enables them to get this treatment without paying out of pocket. However, medical providers who accept these letters typically expect to be paid in full from the settlement proceeds, and this debt must be satisfied before the client receives their remaining compensation, which is why it's important to understand these arrangements when agreeing to treatment under a letter of protection.

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