my life got wrecked in Gresham and now the insurer says the treatment "wasn't necessary"
“i got rear-ended at a job site in gresham and shoved into oncoming traffic and now they say my treatment wasn't medically necessary can i still make them pay if i already have va benefits”
— Marcus T., Gresham
A commercial painter in Gresham was hit hard enough to get pushed into traffic, and now the insurer is trying the oldest move in the book: calling the treatment unnecessary and hoping he backs off.
Yes, you can still pursue the claim
VA benefits do not let the at-fault driver's insurer off the hook.
That's the first thing.
If you were working a commercial paint job in Gresham, unloading ladders or moving between a lot and the street, got rear-ended, and that impact shoved your vehicle or your body into oncoming traffic, the other carrier does not get to shrug and say, "Well, the VA can handle it."
No.
In Oregon, the person who caused the crash is still legally on the line for your damages. That includes medical care that was reasonably related to the wreck, lost income, pain, and the way this injury piles onto whatever health issues you were already carrying.
And for a veteran with a service-connected disability rating, this is where things get messy fast.
The "not medically necessary" line is usually a fight about money, not medicine
Insurance companies in Multnomah County use that phrase because it sounds clinical and final.
It isn't.
What they usually mean is one of three things: they think you had a preexisting condition, they think you treated too long, or they think the crash was not severe enough to justify the care.
That matters in a rear-end crash that pushes you into oncoming traffic near busy Gresham corridors like Powell, Burnside, or around job routes feeding I-84. A violent chain-impact can cause neck, back, shoulder, knee, and head injuries that don't show up neatly on day one. Pain can ramp up after the adrenaline burns off.
The insurer knows that.
They also know a veteran may already have VA records showing older back issues, joint problems, nerve symptoms, PTSD treatment, or prior ratings. Their favorite move is to point at that history and act like the crash changed nothing.
That's bullshit if the wreck aggravated an existing condition or caused a new one.
Oregon law does not require you to be perfectly healthy before somebody crashes into you.
VA care and a personal injury claim are separate tracks
If the VA treated you, that treatment can still be part of the damages picture.
The fact that you did not pay OHSU-style private hospital rates out of pocket doesn't erase the injury claim. Same goes if some treatment went through the VA and some through outside providers.
Here's what most people don't realize: using VA benefits does not mean you waived your right to recover from the driver who hit you. It just means there may be reimbursement or lien issues on the back end, depending on who paid for what.
That's an accounting problem.
It is not a reason to deny the whole case.
If this happened while you were working, there may be two claims
Because you were on a commercial job site, this may also be a workers' comp case.
In Oregon, workers' comp runs through the Workers' Compensation Division under DCBS. If you were in the course of your job as a painter, your employer's workers' comp coverage may pay medical treatment and wage-loss benefits regardless of who caused the crash.
That does not erase the claim against the at-fault driver.
It means you may have:
- a workers' comp claim tied to the job injury
- a bodily injury claim against the driver who rear-ended you
- possible VA payment/reimbursement issues if the VA covered treatment
That overlap is where people get screwed up. One insurer says it's workers' comp. Workers' comp says part of it is from the car crash. The auto carrier says treatment wasn't necessary. Meanwhile you're the one who can't work overhead with a roller or climb a scaffold without pain.
Can you sue if they refuse to pay?
Yes, if liability and damages are being disputed and the insurer won't make a fair offer, a lawsuit is absolutely on the table.
But Oregon has a big rule you need to know: modified comparative fault. If you are 51% or more at fault, you recover nothing. If you are 50% or less at fault, your recovery gets reduced by your share.
In a rear-end push into oncoming traffic, insurers sometimes try to pin blame on the injured driver for where the vehicle ended up after the first impact. That argument can get ugly. The key issue is what the rear-end hit set in motion.
If the first impact forced you into danger, that matters.
So do the photos, the vehicle damage, witness statements from the site, and your early medical records. The ER chart or urgent care note often does more work than the adjuster wants to admit.
What are you actually entitled to?
Potentially, payment for reasonable accident-related medical care, lost wages, reduced earning ability if the injury affects your painting work, and pain and suffering.
Not every dollar you ask for.
But also not whatever scraps the carrier feels like tossing over because you have VA coverage.
If they're denying care as "not medically necessary," the real fight is usually whether the crash caused the treatment. And in a Gresham rear-end collision bad enough to shove you into oncoming traffic, that is not some minor paperwork dispute. It's the center of the case.
Colleen O'Shea
on 2026-03-22
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