What happens if an insurance adjuster offers a full and final settlement and I need more treatment?
Short answer: If you sign a true “full and final” release, the insurer will generally have no legal obligation to pay for future medical treatment related to that injury. Do not sign a full-and-final release until you know the full extent of your injuries and whether you will need future care.
Detailed answer — how full-and-final settlements work in Mississippi
This article explains what a full-and-final settlement (often called a “release”) means, why accepting one while you still need treatment can leave you responsible for future bills, and what steps you can take to protect yourself under Mississippi law. This is educational only and not legal advice.
What is a “full and final” settlement or release?
A full-and-final settlement is a written agreement you sign in which you accept a payment from the insurer or at-fault party in exchange for giving up (releasing) your right to seek any additional money for the same incident. The release usually says you will not pursue further claims for medical bills, lost wages, pain and suffering, or future treatment tied to that accident.
What happens if you sign and then need more treatment?
- If the release is truly “full and final,” the insurer can argue it has satisfied the claim and has no duty to pay additional bills.
- You may be personally responsible for any future medical costs related to the injury unless you can undo the release (rare and difficult).
- Undoing a signed release is possible only in limited situations (for example, fraud, duress, mistake, or if the release was fraudulently induced). Courts do not lightly set aside valid releases.
- If you accept a limited settlement (for example, a settlement that closes only certain types of claims or only for a past period), you may preserve the right to claim future medical expenses. That depends on the release language and negotiation.
Important Mississippi procedural deadlines
Mississippi imposes time limits (statutes of limitations) that affect your ability to file a lawsuit if negotiations fail. For many personal injury claims the relevant filing deadline is limited; you should confirm the exact period for your case as soon as possible so you do not lose the right to sue. The Mississippi Legislature maintains the codified laws at https://www.legislature.ms.gov/, where you can review time-limit provisions for different kinds of claims.
Other complications to consider
- Medicare, Medicaid and private health insurers may have lien or subrogation rights and can seek reimbursement from any settlement you receive. That can affect how much you actually keep.
- Workers’ compensation, if involved, follows different rules — settlements and releases in that context have special requirements under Mississippi law.
- If you rely on future diagnostic tests (MRIs, specialists) to determine whether you need further care, signing too early can leave important issues unresolved.
Hypothetical example
Suppose you are offered $20,000 as a “full and final” settlement for a car crash, but your doctor expects you may require spinal injections or further surgery after additional scans. If you accept and sign the release, the insurer will likely refuse to pay for those later procedures. You would then either pay out of pocket, seek payment from health insurance (which may have a lien), or attempt to reopen or challenge the release — which is often expensive and not guaranteed.
When might it be safe to accept a full-and-final offer?
Accepting a full-and-final settlement may be reasonable when:
- Your treating providers confirm you are fully recovered and no further treatment or care is reasonably expected;
- The settlement reasonably compensates you for all past and anticipated future losses; and
- You understand and accept the financial tradeoffs after accounting for subrogation or lien obligations.
When you still need treatment: practical alternatives and protections
Do not sign anything immediately. Consider these options instead:
- Ask for a written, itemized offer that explicitly states whether it is a full-and-final release.
- Request a limited or structured release that covers only past medicals or sets aside funds for future care (a “reopener” clause or future medical payment reserve).
- Negotiate to reserve the right to seek additional compensation for future medical treatment — for example, a written reservation of rights or settlement that excludes future medical claims.
- Ask the insurer to place money in escrow or agree to a structured settlement that pays for future care over time.
- Use health insurance, medical payment coverage (MedPay), or credit to obtain necessary care while you negotiate; understand subrogation implications.
- Consult an attorney before signing. An attorney can review the release language, evaluate future medical needs, and negotiate a better deal or protective language.
How an attorney can help
An attorney experienced in Mississippi personal injury and insurance settlements can:
- Analyze your medical records and likely future treatment needs;
- Advise whether the proposed amount fairly compensates you now and later;
- Negotiate language that preserves rights for future care or creates a settlement fund for future medical expenses;
- Handle subrogation and lien negotiations (health insurers, Medicare/Medicaid); and
- Help you avoid inadvertently waiving important rights by signing an overly broad release.
Helpful hints — what to do if you receive a full-and-final offer
- Do not sign any release the day you receive it. Take the offer home and review it carefully.
- Ask the insurer to put the offer in writing and to label clearly whether it is a full release or a partial settlement.
- Talk to all treating medical providers and get a written opinion about the need for further treatment.
- Ask whether the insurer will agree to a limited release or a reopener clause for future medicals.
- Ask about liens — will your health insurer, Medicare, or Medicaid seek repayment from the settlement?
- Keep copies of all medical bills, records, and prognosis reports — these help establish future needs and support negotiations.
- Contact a Mississippi personal injury attorney to review the release before you sign. Most attorneys offer a free consultation and can explain local practices and likely outcomes.
- If you’ve already signed and then discover you need more treatment, contact an attorney immediately to explore whether the release can be challenged (e.g., based on fraud, mistake, or lack of capacity).