2012-2013 Workers Compensation Changes: Medical Expenses
Prior to the 2012 legislative changes you were able to claim for your reasonable and necessary medical expenses that relate to the injury for life.
Those expenses included items such as:
- Doctors visits;
- X-rays and scans;
Under the changes, although those benefits are still available they are now limited in time after the injury. Essentially they can now be claimed for up to twelve months after the injury or up to twelve months after weekly payments cease.
So, if you have suffered injury and need treatment but have been able to maintain work, then you are entitled to your medical expenses for one year after the accident and then the entitlement ceases.
If however you are injured and cannot continue your pre-injury work duties and are entitled to weekly payments then you can continue to receive your medical expenses during the period that you are receiving weekly payments and then for twelve months, or one year after those payments cease. Please visit the article called The Worker’s Compensation Changes – Lump Sum Entitlements to view your entitlements to weekly payments under the changes.
As has always been the case, it is important that when claiming medical expenses for certain treatment that you obtain a referral from your nominated treating doctor for the treatment and seek approval from the insurer initially before engaging in the treatment.
If the insurer has not approved the treatment or has not made a decision, you can still approach the Workers Compensation Commission for orders that the insurer pay for the treatment.
If you have any concerns regarding your entitlement to treatment expenses, or have received a denial of the claim for treatment, contact LHD Lawyers today for an obligation free discussion regarding your claim.