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Workers' Comp Medical Benefits

Workers' Compensation Medical Benefits

Access to timely, high-quality medical care is the first concern for anyone who suffers an on-the-job injury.

The Louisiana workers’ compensation system provides benefits to most injured workers, regardless of fault. These benefits include medical care, rehabilitation and vocational services, lost wages and disability benefits. In exchange, employees are generally prohibited from suing an employer for personal injury or wrongful death.

While the program’s aim is to provide timely, cost-effective benefits to injured workers and their families, while protecting employers from the cost of lawsuits, it’s an imperfect system that pits unrepresented injured workers and their families against experienced teams of professionals working at large insurance companies. Those injured on the job are always best served by early consultation with an experienced Louisiana workers’ compensation law firm, which can handle your claim with no up-front costs while allowing you and your family to focus on recovery.

Work Injury Medical Benefits

Workers’ compensation medical benefits in Louisiana include:

  • Emergency medical care
  • Doctor visits
  • Specialty services
  • Diagnostic services, including x-rays, MRIs, etc.
  • Medical supplies
  • Prescription drug coverage
  • Hospital stays
  • Surgeries
  • Bloodwork and lab tests
  • Physical therapy
  • Home Care
  • Rehabilitative services
  • Vocational services
  • Travel expenses
  • Prosthetic devices
  • Mental health services

Injured employees have an absolute right under Louisiana workers’ compensation law to choose their own treatment provider, as well as one specialist from each required medical specialty. However, many common issues arise, ranging from workers’ compensation insurers challenging injury as a pre-existing condition, to the right of insurers to challenge any non-emergency medical care over $750.

Additionally, while employees are entitled to copies of all paperwork, so are employers, their workers’ compensation insurance companies, and any health care provider, rehabilitation service or vocational service involved in an employee’s care. Understanding what information is being gathered about your injury, and how it will likely be used to determine benefits, including maximum medical improvement and impairment ratings, is critical to getting all of the benefits to which you are entitled and is always best left to an experienced New Orleans work injury law firm.

Since the employee’s chosen treating physician will likely determine an employee’s ability to work, as well as his or her disability, such choices are critical. The insurance company may also force an employee to attend a Second Medical Opinion (SMO) exam. If disagreements arise, either side may then request an Independent Medical Exam with a physician from the Louisiana Office of Workers Compensation Medical Services Division or a physician chosen by the court.

Without guidance from an experienced workers’ compensation lawyer in News Orleans, Covington or Raceland, the end result is often injured workers submitting to multiple medical exams with very little understanding of the long-term impact on his or her care and/or ability to continue to receive benefits. In fact, your choice of a law firm and your choice of a treating physician are among the two most important decisions you will make throughout your workers’ compensation claim. Claimants who do not carefully choose both at the outset of their case can face significant disadvantages. Insurance companies know this and often use it to their advantage by being cooperative and responsive when it comes to medical care at the start of a claim.

Your chosen doctor will:

  • Decide what medical treatments and rehabilitative services you receive.
  • What home-care you require.
  • What ongoing medical issues you will have.
  • Whether you will be left with impairment or disability.
  • Whether your injury or medical condition was work related.

Your chosen workers’ compensation law firm can:

  • Help you choose a physician experienced in handling workers’ compensation claims.
  • Choose a doctor with a history of fighting for the rights of injured patients.
  • Help you determine which doctors have the experience and reputation to provide you with the best care.
  • Help protect you from common tactics used by workers’ compensation insurers to reduce or eliminate benefits or other necessary costs of your care or claim.

Injured employees also have a right to be reimbursed for out-of-pocket medical expenses and insurers are required to pay medical bills within 30-60 days, depending on whether a medical provider bills electronically or by paper.

Don’t wait until care issues or significant disagreements arise before reaching out for help from an experienced Louisiana work injury law firm. At Wanko Law, we believe injured workers and their families deserve the same access to knowledgeable and experienced advocacy that will be deployed by their workers’ compensation insurance company and their attorneys.

If you have been injured, call day or night for a free and confidential consultation to discuss your rights. Call 985-893-6530.

Louisiana Workers' Compensation Claims

-20 Years of Professional Experience- 

Will My Injury Be Covered?

Workers’ compensation covers both mental and physical injuries and occupational diseases.
Under Louisiana law, an accident refers to anything that is unexpected, unforeseen and occurs suddenly or violently – producing an injury.
The injury:
  • may or may not produce a disabling condition
  • may allow you to still work
  • may take you out of work
Generally, your compensation will not be affected depending upon who was at fault for the accident.
An occupational disease or illness is covered if it is the direct result of exposure to hazardous or toxic materials in the workplace. If you work in Louisiana’s oil and gas or chemical and petrochemical industries, you are at a greater risk to develop serious health conditions.

Common injuries suffered on the job include, but are not limited to:

Louisiana Workers' Comp Benefits

Will My Injury Be Covered?

In Louisiana, most workers are covered under Workers’ Compensation Statutes on the first day that they begin employment. These benefits extend to all workers whether they are employed full-time, part-time or seasonally.
Additionally, employees who are minors are also covered to the same degree as if they were adults.
Primary Types of Benefits:

Indemnity/Lost Wages — weekly payments based upon your average weekly wage; you will receive 66% of your average weekly wage capped at a maximum rate

Medical and/or Death — covers all necessary and reasonable medical treatment, including doctors visits, diagnostic tests, hospital stays, surgery, physical therapy, etc.

Mileage Reimbursement — travel related expenses to and from health care provider, pharmacy, etc. Vocational Rehabilitation program designed to retrain you in an attempt to return you to work for your previous employer, or find new work.

Contact Louisiana Workers' Comp

Whether you have suffered an immediate injury or have endured a long-term disability or chronic illness, you deserve to have the support you need to recover. Our work injury attorneys will provide you with nothing less than compassionate understanding and exceptional legal counsel.
We’re eager to start advocating on your behalf.
CALL US (985) 893-6530
Wanko Workers' Comp Lawyers provides its service in New Orleans, Covington, Houma, Thibodaux, Mandeville and all across Louisiana
Covington Location
19295 N 3rd St Ste 1 
Covington, Louisiana 70433
New Orleans Location
1140 St. Charles Street
New Orleans, Louisiana 70130
Thibodaux Location
406 West 3rd Street, STE 105
Thibodaux, Louisiana 70301

Disclaimer: The hiring of an attorney is an important decision that should not be based solely on advertisements. Before you decide, ask us to send you free written information about our qualifications and experience. The information on this website is for general information purposes only. This information on this website is not intended to create, and receipt or viewing of this information does not constitute an attorney client relationship. We are workers compensation attorneys serving the entire New Orleans area including Larose, Golden, Meadow, Thibodaux, Houma, Covington, Mandeville, Abita Springs, Metairie, Belle Chasse, Elmwood, Boutte, Harahan, Destrehan, River Ridge, Raceland, Slidell, Kenner and all of Louisiana. We serve St. Tammany Parish, Livingston Parish, Orleans Parish, and Jefferson Parish.
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