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Auto Insurance

Is uninsured motorist coverage worth the cost?

Truscott Team
June 2, 2026
5 min read

Uninsured motorist coverage is one of those policy additions that many drivers skip to save a few dollars on their premium. But when the math is laid out clearly, the cost-benefit case for carrying it is hard to dismiss. About one in eight drivers on US roads is uninsured, and in some states the rate is closer to one in four. If one of them hits you, your options without this coverage are limited and often expensive.

What uninsured motorist coverage actually does

Uninsured motorist (UM) coverage pays for your medical bills, lost wages, and pain and suffering when an uninsured driver causes an accident. Underinsured motorist (UIM) coverage kicks in when the at-fault driver has insurance but not enough to cover your damages. Most states sell these together as a paired endorsement. They protect you and your passengers, not the other driver.

How much it costs versus how much it protects

This is where the math becomes compelling. UM/UIM coverage typically adds between $50 and $150 per year to a standard auto policy, depending on your state, driving history, and coverage limits. Compare that to what it protects against:

  • Emergency medical care: A single ER visit after a moderate collision can run $5,000 to $30,000 or more.
  • Lost wages: If an injury keeps you out of work for weeks or months, that gap in income adds up fast.
  • Long-term treatment: Physical therapy, follow-up care, and surgery can push total costs into six figures.
  • Pain and suffering: UM coverage can compensate for non-economic damages that your health insurance will not touch.

Paying $100 a year to protect against $50,000 or more in potential losses represents a strong expected-value case for most drivers.

When the case for UM/UIM is even stronger

Your personal circumstances affect how much this coverage matters. The argument for carrying it is strongest if you drive frequently, have dependents who ride with you, have a high income that would make lost wages especially painful, or live in a state with a high rate of uninsured drivers—Florida, Mississippi, Michigan, and Tennessee consistently rank near the top. Even in lower-risk states, the premium difference rarely justifies going without it.

What about your health insurance?

Some drivers assume their health insurance makes UM coverage redundant. It does not. Health insurance covers medical bills only—not lost wages, not pain and suffering, and not the deductibles and copays you pay out of pocket. UM fills in those gaps and is specifically designed for accident-related losses in a way health insurance is not.

What Truscott recommends

For most drivers, the premium cost of uninsured motorist coverage is small relative to the financial risk of going without it. A Truscott policy checkup can review your current auto coverage, identify whether your UM and UIM limits are adequate, and make sure you are not paying more than necessary elsewhere to offset the cost. Reach out and we will take a close look at what you have.

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