What Happens to My Workers’ Comp Claim if I Need Surgery?

Sustaining an injury on the job can be incredibly frustrating, as you’ll not only be in pain as a result, but it can also keep you out of work and result in lost wages. However, when you discover that you require surgery, this matter can quickly become overwhelming. If this represents your current circumstances, it’s critical to understand the impact a surgical procedure can have on the outcome of your workers’ compensation claim. In addition, the following blog explores the importance of working with an Illinois workers’ compensation attorney to help you navigate these difficult times.

Will Workers’ Compensation Cover a Surgery?

In general, when you are injured on the job and file a workers’ compensation claim, you are eligible to have your medical expenses covered, including surgery. However, there are some factors that must be taken into consideration. Generally, you’ll find that any surgery that is directly related to your injury and deemed medically necessary allows you to recover compensation. In addition, any additional expenses incurred as a result of the operation, like physical therapy,  rehabilitation, medication, or medical equipment, will also be factored in, and you can receive compensation for these costs.

Typically, the only time you cannot receive compensation for a surgery is in the event that your provider deems the procedure medically unnecessary, or the injury for which you are undergoing an operation is not related to your work injury.

How Can This Impact My Settlement?

Surgery can often be an anxiety-inducing procedure, as many fear the unknown or potential complications that could arise as a result. Unfortunately, those who are on workers’ compensation may have additional fears about the impact this will have on their claim.

In general, you’ll find that, typically, a surgery can increase the value of your settlement to cover the cost of this procedure. However, if you improve significantly following the surgery, you’ll find that your claim can also decrease as you may no longer require the same level of medical care. On the other hand, if the surgery is unsuccessful or results in additional complications, the value of your claim can increase even further to help compensate you for the new issues at hand.

However, if you agree to settle your case through a compromise and release agreement, which essentially alleviates the company of its legal obligation to you in exchange for money, often delivered in a lump sum. You should note that if you agree to settle, it formally closes your case, meaning you can no longer submit medical bills incurred from the injury to the insurance company. As such, it may not be in your best interest to settle until you’ve reached maximum medical improvement.

When you need surgery for your workers’ compensation injury, it can be an overwhelming time. That is why it’s in your best interest to connect with an attorney with the Law Firm of Kevin A. Moore to help guide you through this process. Not only can your attorney help you fight for the compensation you deserve, but they can also assist you in understanding your legal options to ensure you can make the most of your claim. When you need help, contact our firm today to learn how we can fight for you.