What medical expenses are covered by a workers compensation claim?
Generally, the cost of reasonable and necessary medical expenses incurred by the worker are covered for up to one year after their entitlement to weekly compensation payments ceases. However, the Workers Rehabilitation and Compensation Tribunal (Tribunal) has the power to extend the employer’s liability for medical expenses in what are wide ranging circumstances.
Medical expenses may include costs associated with pharmaceutical, ambulance, hospital, nursing, rehabilitation or constant attendance services as well as examination or treatment by medical practitioners, physiotherapists, dentists, opticians, chiropractors, osteopaths, etc. The injured worker’s reasonable travelling expenses in connection with medical appointments will also be reimbursed. Travel involving the use of a motor vehicle is reimbursed at the rate set down in the Tasmanian State Service Award.
Regardless of whether a new claim is accepted (pending further information), an employer is generally required to meet the cost of a worker’s medical and rehabilitation expenses, up to a limit of $5,000.
Accounts for medical expenses must be forwarded by a worker to their employer within 7 days of receipt, and similarly by the employer to their insurer within 7 days of receipt.