No. The rideshare company does not automatically pay medical bills simply because the app was on. Coverage depends on the driver’s status at the exact time of the crash. If the driver was waiting for a ride request, contingent liability coverage may apply, but that coverage does not function like health insurance. It typically pays only after fault is established and within policy limits. Medical providers often bill your health insurance first, and reimbursement may occur later through a bodily injury claim.