Q: In a work comp situation and it has been ten months but I’m still in treatment. Insurance said only covered for one year
What happens after that? If my injury is still being treated and I still can’t work can they stop paying me after one year? I only yesterday got my back injury diagnosis every thing takes forever to be approved etc
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- California
- (916) 704-3009
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- Answered
A:
In California, workers' compensation insurance typically covers medical treatment for as long as it's necessary, related to the work injury. The one-year timeframe often mentioned refers to the statute of limitations for filing a claim, not the duration of medical coverage.
If you're still in treatment after a year and unable to work, your medical benefits should continue. However, there might be disputes or challenges from the insurance company regarding the necessity or duration of treatment.
In addition, temporary disability benefits, which replace a portion of your lost wages, are generally limited. They can last up to 104 weeks within a five-year period from the date of your injury, but this can vary depending on the specific injury and circumstances.
If you are approaching the one-year mark and are concerned about continued coverage or benefits, it's advisable to discuss your situation with your attorney. They can provide guidance on how to ensure continued medical treatment and what steps to take if the insurance company challenges or seeks to terminate your benefits.
Remember, each workers' compensation case is unique, and the laws and regulations are complex. It's important to stay informed about your rights and options, especially as your situation evolves.
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