If you are injured at work and file for workers compensation, the expectation is that medical costs will be covered. However, depending on several circumstances, that is not always the case. Finding out the reasoning behind lack of coverage and knowing what to do at that point is imperative if you feel your claim should still stand. It is also imperative to know prevention methods in the future should you ever need to file again.
There are a variety of reasons your medical costs may not be covered under your workers compensation claim. Did you notify your employer ASAP of the situation and injury? Did you file the claim within the statutory time period required? Did your injury occur within your place of employment and was it related to your specific job? Were you completely sober (not under the influence of alcohol or drugs)? If you answered “no” to any of these questions, you may have found a reason your costs are not covered.
Also for consideration is whether or not you had a pre-existing condition prior to the incident or whether or not the injury is actually a serious one. You may want to ask yourself if medical treatment is “reasonable and necessary.”
Unfortunately, in some cases it is even possible that your employer has disputed your claim and is withholding the truth.
If your costs were not covered, a few options are available to you.
To ensure your medical costs are covered under workers comp, make sure to document all injuries (with pictures if applicable) ASAP. Make note of your injury and pain on ALL intake forms and make sure your doctor is aware to do the same. Be specific and always review paperwork thoroughly. If you are still unsure of what to do, contact us to schedule a consultation.