If you've been injured in a car crash, slip and fall, or another accident in Boston, you're likely dealing with medical bills, missed work, and a lot of questions about what happens next. Understanding how personal injury cases work in Massachusetts — and what an attorney typically does in that process — helps you make sense of what's ahead, even before you decide on your next step.
Massachusetts is a no-fault state for car accidents. That means after a crash, your own auto insurance pays your initial medical expenses and a portion of lost wages through Personal Injury Protection (PIP) coverage — regardless of who caused the accident. Every Massachusetts driver is required to carry at least $8,000 in PIP coverage.
However, no-fault doesn't mean you can never pursue the at-fault driver. Massachusetts uses a tort threshold system. Once your medical expenses exceed $2,000, or your injuries meet certain severity criteria (such as fractures, permanent disfigurement, or significant loss of sight or hearing), you can step outside the no-fault system and file a third-party liability claim against the at-fault driver. Most personal injury lawsuits in Boston arise from this threshold being crossed.
A personal injury attorney handles the legal and procedural work involved in pursuing compensation. That typically includes:
Most personal injury attorneys in Boston work on a contingency fee basis, meaning they don't charge upfront. If the case settles or wins at trial, the attorney takes a percentage — commonly around 33% before a lawsuit is filed, and higher if the case goes to litigation. Fees and terms vary by firm and case complexity.
In a Massachusetts personal injury case, compensable damages generally fall into two categories:
| Damage Type | Examples |
|---|---|
| Economic damages | Medical bills, future medical costs, lost wages, reduced earning capacity, property damage |
| Non-economic damages | Pain and suffering, emotional distress, loss of enjoyment of life |
Massachusetts does not cap non-economic damages in most personal injury cases, though certain cases (like medical malpractice) have different rules. The severity of your injuries, the length of treatment, and how clearly liability can be established all affect what damages may be in play.
Massachusetts follows a modified comparative negligence rule. If you're found partially at fault for your own accident, your compensation is reduced by your percentage of fault — but only if you're 50% or less at fault. If you're found more than 50% responsible, you cannot recover damages at all.
This makes fault determination central to any claim. Insurers and attorneys rely on police reports, traffic camera footage, witness accounts, and sometimes accident reconstruction specialists to establish what happened. How fault is apportioned — even by a few percentage points — can significantly change the outcome of a claim.
Massachusetts has a three-year statute of limitations for most personal injury claims. Missing that deadline generally bars recovery entirely, though exceptions exist for minors and certain discovery-of-injury situations.
Within that window, actual claim timelines vary widely:
Delays are common. Insurers often wait until a claimant reaches maximum medical improvement (MMI) before making a final settlement offer, since the full extent of injuries isn't clear until treatment is complete.
Insurance coverage matters enormously. Even a strong liability claim is limited by the at-fault driver's policy limits. Massachusetts requires minimum liability coverage of $20,000 per person / $40,000 per accident — amounts that can be exhausted quickly in serious injury cases. Underinsured motorist (UIM) coverage on your own policy can fill gaps when the at-fault driver's coverage falls short.
Liens are also common. If health insurance or MassHealth paid for your medical care, they may have a right to reimbursement from your settlement — a process called subrogation. How liens are negotiated affects how much of a settlement you ultimately keep.
The nature of the accident matters too. A rear-end collision on the Mass Pike, a pedestrian knockdown in downtown Boston, a rideshare accident, or a construction site injury each triggers different coverage rules, liability theories, and documentation requirements.
The right outcome in any Boston personal injury case depends on the specific facts — how the accident happened, what injuries resulted, what insurance is in play, and how liability is contested. Those details are what any meaningful evaluation of a claim actually turns on.
