Q: Are health issues that are a direct result of the workers compensation injury also covered by workers compensation?
I have developed health issues after my work injury that doctors have verified in their diagnosis notes have occurred as a direct result of the work injury. Is workers compensation responsible for providing medical treatment for these health issues? And, if I have paid out of pocket in regards to these issues, does workers compensation have to reimburse me and if so, how long do they have to provide the reimbursement?
A: In most NC workers' compensation (WC) cases, you must have an accident (very liberally defined) or a specific traumatic incident to your back. Other types of WC are called occupational diseases generally result from exposure to some harmful substance. The key to all WC cases is a qualified physician linking the health issue to your work. Since you appear to have the medical link worked out, you should file a WC claim. If the health condition is related to your work, WC insurance will pay for medical expenses to make you better and/or reduce your pain levels. WC insurance will also reimburse you for out of pocket expenses like mileage, prescriptions, medically ordered devices. if you miss work due to your work-related health issue, you can also be entitled to receive 66% of gross income after a short waiting period. You should file a Form 18 (official notice of claim) as soon as possible. Once you file the Form 18, WC insurance will normally answer and notify you if your claim has been accepted for processing and payment.
Tim Akpinar agrees with this answer
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