Last Updated on June 19, 2023
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Who Pays My Workers Comp Medical Bills?
If you become injured on the job and your work injury requires medical care, your employer’s workers’ compensation insurer will always be responsible for paying the whole of any necessary medical treatment which is reasonable.
If you’ve suffered a serious injury on the job, you may be faced with mounting medical bills and the need for ongoing medical treatment.
To make sure the bills are going to the right place, put the medical care provider on formal notice that the bill is for a workers’ compensation injury.
Your employer and their insurer are responsible for paying your work-related medical bills, not you or your private health insurance provider, even if you receive coverage through your employer.
Your medical providers are also prohibited by law from billing you the balance.
If you receive medical care for a work-related injury, inform the health care provider that your injury happened at work.
Workers Comp Insurance Carrier and Denial of Medical Bills
Workers’ comp insurers sometimes act contrary to the law by covering work-related medical costs partially or denying coverage altogether. Sometimes insurance companies deny claims simply because they think that injured workers will not fight for their benefits.
Eligible workers get coverage for things like medical bills, lost wages, job retraining and permanent disability.
If you workers’ compensation insurance carrier suspects that you are recovered enough that you no longer require continuing treatment, they can file a petition to terminate workers’ compensation benefits, including payment of medical bills.
What is Covered Under Medical Treatment for Injured Workers
Workers’ compensation can cover a variety of medical costs including physical therapy, chiropractic therapy, medication, surgery, and emergency care as long as they are “reasonable and necessary” medical costs.
So even if 50 years after your accident you have medical treatment related to your injury, the workers’ comp insurance company is responsible for paying the bills.
Additionally, if a provider from the list recommends surgery, the injured worker can seek a second opinion from any doctor and seek to have it covered by workers’ compensation.
Workers Comp and Denial of Injury Claim
If your claim was initially denied, but you have filed a claim petition, you can continue to treat your injury. While you may be concerned about what happens to medical bills when workers’ comp is denied, the treatment creates a record showing that you were truly injured.
Questions People Ask
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