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Medical, hospital and rehabilitation expenses

You may be eligible to claim the costs of some or all medical treatments and services.

How long am I covered for?

You may only claim for the cost of medical and related treatment, hospital treatment and rehabilitation services during a specific compensation entitlement period. The compensation period that applies to you depends on whether or not your injury has resulted in an assessed degree of permanent impairment

Workers with no permanent impairment or a permanent impairment assessed as 1 to 10 per cent can claim expenses for treatment or services provided:

  • from the date of claim to two years after weekly payments stop being payable, or
  • for two years from the date of claim if no weekly payments made.

Workers with a degree of permanent impairment assessed as 11 to 20 per cent can claim expenses for treatment or services provided:

  • from the date of claim to five years after weekly payments stop being payable, or
  • for 5 years from the date of claim if no weekly payments made.

Workers with high needs can claim expenses for life. This refers to workers:

  • with a permanent impairment assessed as greater than 20 per cent or
  • where an approved medical specialist  has declined to make an assessment  the worker has not reached maximum medical improvement or
  • for whom the insurer is satisfied that the degree of permanent impairment is likely to be more  than 20 per cent.

Medical and related treatment

This can include:

  • treatment by medical practitioners, physiotherapists, chiropractors, osteopaths, psychologists, counsellors, exercise physiologists,  other allied health practitioners
  • provision of artificial aids
  • domestic assistance services
  • nursing, medical and medicine supplies (provided outside of hospital treatment)
  • modifications to your home or vehicle

Your insurer will only pay expenses for approved treatment or services  which are reasonably necessary, so you should seek the insurer’s approval for most treatments first.

But some treatments don’t require prior approval in order for you to claim expenses.

Refer Part B of to the guidelines for claiming workers compensation. It is very important to read the full details including the time frames for claiming expenses.

Hospital treatment

This includes treatment at public and private hospitals.

Ambulance services

This includes emergency, non-emergency and inter hospital transfers provided by the Ambulance Service of NSW.

Workplace rehabilitation services

These services are provided by approved workplace rehabilitation providers and include:

  • return to work and case management
  • vocational, functional and workplace assessments
  • job analysis and modification
  • identification of suitable employment
  • worker retraining and placement in suitable employment

Travel expenses

You can claim for travel to attend medical, hospital and rehabilitation appointments.

The maximum amount payable if you’re using a private motor vehicle transport is $0.55 per kilometre. This amount is reviewed every 12 months.

You will need to keep:

  • a record of the kilometers if you use a private motor vehicle
  • receipts for public transport

Further information

Our workers compensation benefits guide contains the past and current benefits payable for medical, hospital and rehabilitation expenses.

Our guidelines for claiming workers compensation also has additional information