Already Hurt? What Workers Need To Know About Preexisting Conditions

A workplace injury is sure to create a host of issues for the hurt worker. However, things could become even worse if their claim is denied. Workers' compensation insurance is a valuable benefit for those with approved claims, but some may be denied their benefits if the insurer claims the worker had a preexisting condition. To learn more, read on.

Benefits Denied

Workers' comp insurers don't approve every claim and they use a variety of reasons for denying coverage. Part of the reason they are so strict is that the benefits are costly. For example, hurt workers with approved claims can expect to be covered for all related medical treatment costs along with a partial disability salary if the worker must stay home from work. After seeking medical treatment and filling out a claim form, some workers get a denial letter in the mail with a denial because of a preexisting condition.

Previous Medical Conditions

The claim form for benefits contains a section for hurt workers to list any previous injuries or medical conditions. If any of those conditions are similar to the most recent claim, the worker can be turned down. However, things are not necessarily over because of a denied claim. Unfortunately, few workers understand how things work and they never file an appeal.

Speak to an Attorney

Hurt workers should speak to a workers' compensation lawyer about their denial and they should act quickly. In many cases, workers have only a limited number of days to file an appeal. Workers' comp lawyers understand how the system works and they know what to do to get your benefits started. Moreover, they can assist you if your injury turns out to be permanent by negotiating with the insurer to obtain a fair settlement for you.

Key Factors in Overturning a Denial

The worker must be prepared to show that even if they did suffer from a condition in the past, the job injury or illness has made that condition worse. Preexisting conditions that are made worse by a job are covered under the insurance rules. For example, if you have an old knee injury, it could easily worsen if your job requires you to walk or kneel over the course of your day. You must show, however, that your previous injury had healed before you began working or that your situation has worsened considerably.

To find out more, speak to a workers' compensation lawyer about your injury.  

About Me

Understanding How To Obtain Accident Compensation Through The Court System

Hello, I am June Miazaki. When I was in my early thirties, I found out that I lost my parents in a horrible car accident. They lost their life due to the actions of a drunk driver who was claiming they were to blame for the collision. Since I was emotionally and financially devastated by this loss, I needed help handling the accident proceedings. I wanted to have my parents' funeral and vehicle damage covered by the negligent party's insurance. I also wanted to obtain financial compensation to stay afloat while dealing with my grief. I hired a personal injury attorney to help me file a case with the courts. I will share information about the process of filing a case like this with the courts from beginning to end. I hope that the stories I tell will help other people through a similarly difficult time.

Latest Posts

21 June 2024
Navigating the complexities of workers' compensation can be a daunting task for employees who have suffered a workplace injury. Hiring a workers' comp

5 February 2024
When it comes to workplace injuries and navigating the complexities of workers' compensation claims, understanding when to enlist the expertise of a w

4 October 2023
You've walked away from a car accident, and you don't feel a thing. That's great news, but it doesn't mean you're out of the woods. It can take days,