
Is It Good to Reject Uninsured Motorist Coverage
For most older drivers, keeping the coverage protects more than it costs, but a few situations make rejecting it reasonable.
Usually not, but it depends on what else protects you
For most drivers, rejecting uninsured motorist coverage is not a good idea. It pays for your injuries and your passengers' injuries when the other driver has no insurance or not enough of it, and that happens more often than people expect. Without it, you'd have to cover your own medical bills and lost income, or sue the other driver directly and hope they have money to collect.
Whether rejecting it makes sense for you depends mostly on what other coverage you have standing behind you. If you have strong health insurance, disability coverage, and enough savings to absorb a loss, the risk of going without it is smaller. If you rely on Medicare alone and have limited savings, this coverage often fills a gap that nothing else will.

What other coverage you already have
Medicare covers medical treatment after a crash, but it doesn't replace lost income, pay for pain and suffering, or cover a spouse or passenger who isn't on Medicare. Uninsured motorist coverage can pay for all of that. If you're relying on Medicare as your main backup, you're more exposed than it might feel.
If you carry a long term care policy, a disability policy, or your household has significant savings, you have more cushion to absorb a loss without uninsured motorist coverage. That cushion is worth being honest about before you sign a rejection form, since once you reject the coverage, your insurer may require you to actively request it again rather than simply adding it back at renewal.
Some states also let you reject the bodily injury portion but keep the property damage portion, or the reverse. Ask your agent what your state allows before deciding to reject it outright, rather than assuming it's all or nothing.

What your state requires and what the rejection form actually does
Some states require insurers to include uninsured motorist coverage automatically unless you sign a form rejecting it. Others make it optional from the start. Because the rule is set by the state, ask your agent whether you're being asked to opt out of something you'd otherwise have, or opt into something extra.
A common mistake is rejecting the coverage to lower the premium without realizing how much it actually adds to the cost. Ask your insurer for the price with and without it before you decide. In many cases the difference is smaller than people assume, especially compared to what an uninsured driver accident could cost you directly.
If you do reject it, read the form itself rather than relying on what you remember from the conversation. Some states require you to reject it in writing for each policy term, not just once, so a change in insurer or a new policy could reset your coverage without you realizing it.
Questions people ask about this
Does uninsured motorist coverage cover my passengers too?
Yes, in most states it covers you, your passengers, and resident family members, not just the driver. That's one reason the coverage matters more than it might seem if you mostly drive alone, since a passenger with no insurance of their own would otherwise have no source of recovery.
What happens if I'm in an accident with an uninsured driver and I rejected the coverage?
You'd need to pay your own medical bills and repair costs, then try to recover money directly from the other driver through a lawsuit. If that driver has no insurance, they often have limited assets too, which makes collecting difficult even if you win in court.
Is underinsured motorist coverage the same thing as uninsured motorist coverage?
They're related but not identical. Underinsured motorist coverage applies when the other driver has insurance but not enough to cover your losses, while uninsured motorist coverage applies when they have none at all. Many policies bundle both together, so ask your insurer how your policy splits them.
Can I add uninsured motorist coverage back later if I reject it now?
Often yes, but your insurer may require you to request it in writing rather than adding it automatically at renewal. Ask your agent what the process looks like before you reject it, so you know what it takes to reverse the decision.
Does my credit or driving record affect the cost of uninsured motorist coverage?
It can factor into your overall premium depending on your state and insurer, since this coverage is usually priced as part of your total policy rather than billed separately. Ask your insurer for an itemized breakdown if you want to see what this specific coverage costs you.
See what a policy with and without this coverage would actually cost you.

Pull out your current policy and find the line for uninsured and underinsured motorist coverage. Call your agent and ask two things: what you pay for it now, and what your premium would be without it. Ask whether your state requires insurers to offer it by default or whether you're opting into it. If you're relying mainly on Medicare with limited savings, ask specifically how a serious injury from an uninsured driver would be covered without this policy. Get the real numbers before you sign anything that rejects or reduces it.


