Banyas v. American Mut. Fire Ins. Co., FF-290

Decision Date19 May 1978
Docket NumberNo. FF-290,FF-290
Citation359 So.2d 506
PartiesJohn BANYAS, Appellant, v. AMERICAN MUTUAL FIRE INSURANCE COMPANY, Appellee.
CourtFlorida District Court of Appeals

Henry H. Graham, Jr., of Howell, Howell, Liles & Braddock, Jacksonville, for appellant.

Carle A. Felton, Jr., of Boyd, Jenerette, Leemis & Staas, Jacksonville, for appellee.

McCORD, Chief Judge.

By his amended complaint in the court below, appellant sought to recover from his insurance company, appellee, certain medical expenses which he contended were incurred by him as a result of an automobile accident in which he was involved. Appellee admitted the accident and that it had in full force and effect a policy of insurance on appellant which provided personal injury protection benefits and medical payment coverage. Appellee denied, however, that there was coverage for the expenses alleged and asserted that such expenses resulted from a pre-existing condition of appellant. Final judgment was entered for appellee, and appellant has appealed. Appellant contends that the trial court's judgment was against the manifest weight of the evidence. We agree and reverse.

It is undisputed that appellant suffered a blow to his chest in an automobile accident. He was taken by ambulance to St. Joseph's Hospital in Tampa for treatment where he complained of pain in his chest. Pursuant to instructions of his then treating physician, he was confined to the hospital for observation for a three-day period. His physician at the hospital called appellant's regular treating physician in Jacksonville, Dr. Hardin, and requested information as to appellant's cardiac history, explaining that he had been in an automobile accident and was complaining of chest pain. Dr. Hardin advised that during a hospital confinement for arthritis some years previously, he had found a distorted e.k.g. with respect to the electrical impulses on the left side of appellant's heart, otherwise known as a left bundle branch block. At the end of the three days, appellant was discharged from the Tampa hospital with a diagnosis of chest pain of unknown etiology. Appellant then returned to Jacksonville where he was examined the following day by Dr. Hardin. Because of appellant's continuing complaints of chest pain and because of the previous heart problem, Dr. Hardin referred appellant to a cardiologist, Dr. Robert L. Pekaar, for a heart catheterization with coronary and renal arteriography. As to his reason for referring appellant to Dr. Pekaar, Dr. Hardin testified as follows:

". . . I felt that it was necessary to distinguish between the pain, whether or not it was from the automobile accident or whether it was due to his heart condition.

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7 cases
  • Derius v. Allstate Indem. Co.
    • United States
    • Florida District Court of Appeals
    • June 10, 1998
    ...through expert testimony. See Farmer v. Protective Cas. Ins. Co., 530 So.2d 356 (Fla. 2d DCA 1988); Banyas v. American Mut. Fire Ins. Co., 359 So.2d 506, 507 (Fla. 1st DCA 1978). The current state of the law is that the issue of necessity in a PIP case is decided by factfinders on a case by......
  • Plana v. Sainz
    • United States
    • Florida District Court of Appeals
    • June 18, 2008
    ...was undisputed that medical and hospital expenses incurred for diagnostic purposes were reasonably necessary); Banyas v. Am. Mut. Fire Ins. Co., 359 So.2d 506 (Fla. 1st DCA 1978)(undisputed diagnostic tests incurred immediately following accident to determine whether or not accident was cau......
  • Vega v. Travelers Indem. Co.
    • United States
    • Florida District Court of Appeals
    • February 9, 1988
    ...award of some damages); Valdez v. State Farm Mut. Auto. Ins. Co., 381 So.2d 743 (Fla. 3d DCA 1980); Banyas v. American Mut. Fire Ins. Co., 359 So. 2d 506 (Fla. 1st DCA 1978). Based on both the evidence adduced at trial and the statutory provisions, Travelers must reimburse Mrs. Vega for the......
  • Barris v. Toppers of Florida, Inc.
    • United States
    • Florida District Court of Appeals
    • April 17, 1980
    ...v. Jones, IRC Order 2-3073 (December 3, 1976), cert. denied, 348 So.2d 946 (Fla.1977). Also see Banyas v. American Mutual Fire Insurance Company, 359 So.2d 506 (Fla. 1st DCA 1978), for an analogous situation involving Florida's no-fault auto insurance There was no evidence to support the ju......
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