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medical benefits

Referrals From The Authorized Treating Physician

With any injury or illness, it is common for a primary treating physician to find it necessary to refer the patient to another doctor for specialized care.  Obviously, in a workers’ compensation setting, this is also possible.  The question then arises, how does the Workers’ Compensation Act provide for such referrals? (more…)

What Does a WC-104 Mean for Me and My Workers’ Comp Claim?

After being involved in a work-related accident, you will undoubtedly appear for medical appointments with your authorized treating physician. At some point, in most claims, prior to being released to full duty, your authorized treating physician will release you to work with light duty restrictions.  That means (more…)

What Happens to My Health Insurance if I Settle My Claim?

One of the major concerns any person has when leaving a job, either voluntarily or involuntarily, is what to do about health insurance.  If the employee had health benefits with the employer, there is continuing coverage available through COBRA.  This coverage is typically (more…)

Does the Panel of Physicians Affect the Type of Medical Treatment I Will Receive?

Employers who are subject to the Georgia Workers’ Compensation Act are required to post a panel of physicians.  The employer’s panel of physicians consists of medical facilities or individual physicians who are authorized to render treatment to employees injured on the job.  There are three types of panels employers may elect to post: (more…)

Why Isn’t My Case Moving Along More Quickly

If you have suffered a work-related injury and cannot work, you are entitled to workers’ compensation benefits. Yet when an employer/insurer denies benefits for any reason, there can certainly be some frustration while waiting for results from a claim filed with the State Board of Workers’ Compensation.  That frustration (more…)

An IME Physician May Request Patient Undergo More Testing

In Georgia, as long as an employee is receiving compensation benefits, then he shall submit himself to examinations ordered by a qualified physician.  Independent Medical Examinations (IME) are common in workers’ compensation cases.  They give the employer or the Board a chance to determine (more…)

Can I seek Experimental medical treatment for my injury?

Pursuant to O.C.G.A. § 34-9-200(a), an employer must furnish an injured worker such medical treatment which, in the judgment of the Board, is (more…)

Recent Court of Appeals Decision – Change of Condition

The Georgia Court of Appeals made an interesting decision on July 10, 2008 in United Grocery Outlet v. Bennett, 292 Ga.App. 363 (2008). In essence, the decision states (more…)

Are expenses incurred prior to 2003 reimbursable?

The 2003 amendment to O.C.G.A. § 34-9-203, effective July 1, 2003, added paragraph (c)(4), imposing a one year limitation period on the filing of reimbursement claims. While this amendment imposed a one year filing limitation (more…)

What Benefits May the Employee Receive?

Employees are potentially entitled to the Five Pillars of Workers’ Compensation: (i) Temporary Total Disability; (ii) Temporary Partial Disability; (iii) Permanent Partial Disability; (iv) Medical care / treatment; and (v) Rehabilitation care and counseling.

Assuming the claim is compensable, the Employee may receive two-thirds of his (more…)