If your patient is approaching the reaching the end of their eligibility period for medical, hospital and rehabilitation expenses, we encourage you to help them plan for a smooth transition onto alternative options outside the workers compensation system.
It is important to:
- discuss and inform the worker of the medical and support services available to them and make referrals where appropriate to publicly-funded community, state or federal systems, or where applicable, services funded by private health insurers.
- prepare a discharge plan to promote independence from health care and assist with longer-term management of the injury or condition
- inform them that the costs of any treatment or services provided after that date will be their responsibility.
Treatments or services provided after the end date will not be paid by the insurer, even if it was approved prior to the end date.
More information about the worker’s entitlements and alternative supports are detailed in this factsheet.