IMPORTANT INFORMATION FOR WORKERS COMPENSATION – DON’T MISS THE WINDOW TO CLAIM
A recent decision of the Supreme Court is of real importance to anyone with a work injury who might need surgery or expensive medical treatment in the future. If you have a workers compensation claim and your entitlement to medical expenses is about to end then urgent action might be required to protect your interests.
Historically in South Australia under the workers’ compensation legislation, a worker who suffers a work injury in the course of employment would be entitled to weekly payments of income maintenance and medical expenses. Those medical expenses would be open to the injured worker for the rest of their life. Such medical expenses include the reasonable costs of surgery and any associated costs with the procedure.
From 1 July 2015 the Return to Work Act 2014 came into operation in South Australia. The Return to Work Act limited the period of entitlements with respect to income maintenance but also to medical expenses.. Under the current Act, a worker’s entitlement to medical expenses is limited to a period of 12 months from the last date of payment of income maintenance. The maximum medical entitlement period for an injured worker is three years from the date of injury.
Until now, there was some speculation whether an injured worker would be entitled to surgery outside of the medical expense entitlement window under the Act, unless specifically pre-approved by the Compensating Authority (the insurer), if it was recommended that such surgery be delayed due to medical advice or due to the injured worker’s requirement for work.
On 1 June 2018 the Full Court of the Supreme Court of South Australia handed down the decision in Return to Work Corporation v Rudduck & Karpathakis, which has provided some clarification on this important issue.
There are two mechanisms in the new Act whereby a worker may seek what can be referred to as ‘pre-approval’ for medical treatment, including surgery. The first section 33(17) allows a worker to request the cost of medical treatment required now, or within the medical treatment period. The second section 33(21) specifically relates to a request for pre-approval for surgery to occur at a time in the future, outside the medical treatment period.
It is important when requesting pre-approval for treatment and particularly surgery, that the correct procedure is followed and that proper notice is given pursuant to the relevant section of the Act, containing all the necessary information and be made within the time limitations. What this means for injured workers requiring future surgery outside of their medical expense entitlement window under the Return to Work Act is that they will need to put their Compensating Authority on notice as to the type of surgery that may be required in the future, however, they will not need to comply with the onerous requirements as set out in Regulation 22 of the Return to Work Regulations.
It is important to be aware that if a worker suffered an injury before 1 July 2015 that the time for making an application for pre-approval for surgery closed on 1 July 2016.
The Return to Work Act has introduced significant changes to the way in which the workers compensation scheme in South Australia operates and many injured workers are confused about their entitlements. If you have a workers compensation claim, Websters Lawyers have a team of experienced workers compensation lawyers to assist you to through your claim. For a free first consultation called 8231 1363 or end through a contact form here.
FREE FIRST INTERVIEW
NO WIN NO FEE
LOCAL LAWYERS FOR LOCAL NEEDS
GET THE RIGHT LAWYER FIRST
Having such a short time frame I was very impressed with the outcome made by [my solicitor]. Excellent and timely manner
Very professional mannerism and overall great outcome was delivered by Websters Lawyers.
West Ryde NSW
Helpful, explained fully, patient, excellent service.
Patient and helpful in explaining the process.
Call Websters Lawyers for a most professional and friendly service. All understanding with [my solicitors] and the reception staff. Thank you so much.
Making my will was effortless on my part, with everything explained clearly. Well done to all.
Great service, professional, explains things clearly, definitely recommend Websters Lawyers.
Patient, professional, good communication about procedures and probable outcomes.
Thank you for all your work over the course of the case. You [both] were always very approachable and I appreciated your understanding and professionalism in all areas.
All in all my experience was great. Thank you for your time and expertise.
My matter was dealt with efficiently and was explained in an understandable language. A pleasant experience.
Practical and very helpful. Reasons and explanations given where needed
I stumbled across Websters in the Yellow Pages and I rang, explained my situation and immediately they took my case on. Greatly appreciate their services.
The service from Websters Lawyers was outstanding. [My solicitor] was caring, had patience and was very professional. Wonderful personality.
[My solicitor] made everything so simple to understand. [The receptionist] was wicked too, would recommend them anytime. Level of entire service was outstanding.
I had dealings with Websters over 20 years ago. They were my first choice when I recently needed legal advice. Both legal and office staff were professional, courteous and accessible at all times. Everything was explained up front in a clear and concise manner. I would not hesitate to recommend their services.
It has truly been a pleasure communicating with you throughout the process. I really appreciate your patient and speedy replies to my questions and requests. You were always able to provide an easily understood response and this helped me deal with the process. Your friendly and positive manner encouraged me to seek your advice.
Battery Hill QLD
[My lawyer's] service was prompt and efficient with all questions explained clearly with all our requests carried out within the laws. Overall service was very satisfactory.
[My lawyer] was excellent.
Excellent service. Professional. Clear advice and instructions. Prompt actions. Overall 10/10!
Overall, I was happy with my outcome and my lawyer, would definitely recommend [my lawyer].
[My solicitor] was excellent at helping us through preparing our wills which were particularly challenging as they involved assets in multiple countries. She was professional and knowledgeable and spent time tailoring the wills to our needs.
[My solicitor] was very helpful, respectful and polite. She made sure I understood the process and documentation of our wills.
Professional. Smooth Transaction.
I found the whole experience from Receptionist to Solicitor excellent. They completely put us at our ease.
This was a new experience for us and didn’t have a clue what to do. [Our solicitor] on our first visit put us at ease, explained what will happen, pointed out there was a strong case. [Our solicitor] was genuine in her approach, kept us well informed, explained actions several times with patience and understanding. Overall very happy with the service we received.
[My lawyer] was very reassuring in her approach to my case. I felt that every possibility in terms of evidence to provide and possible outcomes were explained to me, The result of the case was the best possible outcome I could have expected.
With no previous dealing with the criminal justice system, [our solicitor] gave us excellent advice and guided us through a nightmare to achieve a just and correct outcome. [Our lawyer] was both forthright and compassionate in her handling of our case.
[My lawyer] explained all the legal terms in language I could understand – she was very easy to talk to.
Cameron, Munno Para
I felt confident knowing my matter was in good hands. Very professional!
Shravan, Christie Downs
Initial phone call was fantastic and the role of an executor was fully explained.
Penny, Henley Beach
The service I received was efficient and promptly finalised. The solicitor clearly explained the details and I was happy with how easy it was.
Dale, Fairview Park
[My lawyer] was exactly the lawyer I needed in a serious matter. The outcome was as predicted which was a fantastic result. I received prompt professional and personal service at all times. Capable and supportive in a very stressful period.
Jason, Munno Para West
I had any of my concerns answered to my satisfaction and understanding.
Valda, Ingle Farm
[My lawyer] is an excellent professional lawyer who assisted in achieving a great positive outcome/result. I sincerely thank you and your great staff for your assistance and guidance throughout my claim. Would highly recommend [my lawyer], staff and Websters Lawyers. Kept fully informed and guided, professionally throughout the matter.
Our work was dealt with very efficiently and speedily. Our lawyer was very professional, at the same time as being approachable. Communication was great.
My experience with Websters Lawyers was far beyond what I expected. From the moment I spoke to [my lawyer] she made me feel very comfortable and eased my stress. In my case I had a court appearance the day before we were scheduled to fly to Spain, Considering my first appointment with her was only 2 weeks before the court hearing, she was able to obtain the police statement and thoroughly work on my case within that limited time frame. She was very knowledgeable, understanding and confident which greatly relieved so much pressure from me and my family. At court, she explained everything thoroughly and advised me of all the possible outcomes. Price, service and result, very highly recommended. Thank you Websters Lawyers.
Rafael, Davoren Park
I have high expectations and they were met. Websters service was swift, courteous, professional and met the agreed budget. I will recommend Websters to my family, friends and colleagues. Thank you.
I would recommend Websters Lawyers, especially for [my lawyer's] dedication and exemplary attitude and advice. She is the epitome of a good lawyer. The service was impeccable.
Pamela, West Lakes
[My lawyer] was very professional and I was made comfortable to understand.
I was very pleased with the end result and how well [my lawyer] conducted herself.
Jesse, Morphett Vale
[My lawyer] has been very prompt , reliable and provided a high level of communication.
My experience at Websters was very positive. The stress was taken from me and I could not be happier with the outcome. [My lawyer] at Websters was professional, personable, available and caring. Thank you for making the experience stress free.
Magda, Holden Hill
Found my lawyer upfront and reliable – I would highly recommend Websters Lawyers.
Lee, Evanston Park
Top bunch of solicitors and admin staff. Very friendly and to the point service.
Bradley, Hallett Cove
Websters Lawyers were very professional in their service, I would be happy to recommend them.
Carole, Tea Tree Gully
We would not hesitate in recommending Websters for any legal matter. They are professional and courteous at all times and call back when they say they will.
David and Dianne, Lockleys
I fully recommend Websters Lawyers. This was the 3rd time myself & my family have used Websters Lawyers. In these stressful times we have found them to answer and guide us through the process needed to accomplish the legal requirements in a timely and courteous manner.
Solid, to the point, no hustle. Highly recommend.
George, Windsor Gardens