Does Workers' Compensation Pay for Doctor's Appointments?

NY Workers' Compensation for Doctor's Appointments

Doctor's Appointments

In New York State, Workers’ Compensation pays for medical treatment itself, but unfortunately does not reimburse claimants for time taken from work to attend doctor’s appointments. This is is the case for appointments involving physical therapy (PT), an independent medical examination (IME), and consultations with your primary physician regarding your work-related injury or illness. While Workers' Compensation may cover the associated medical expenses, you are required to use your personal time (or benefits such as paid time off (PTO) that your employer may offer) to attend these appointments.

The same applies for prescription medications. Workers' Compensation may cover the cost of the prescriptions, but not the time taken to visit a pharmacy and collect them.

Mileage Reimbursement

However, you are entitled to mileage reimbursement to and from doctor's appointments, including PT, IMEs, etc. You must use the Workers' Compensation Board’s prescribed form, and complete and submit the form fully and accurately.

Lost Wages

Workers’ Compensation only covers lost wages if you are unable to work due to your injury. You must have a doctor’s note taking you out of work and a corresponding medical narrative in order to receive lost wages. Requests for lost wages are often ignored or denied by the insurance companies, so a hearing may be necessary in order to get you paid. The hearing process is complicated and can be intimidating. The insurance company will have an attorney representing them at any hearing, so you should seek competent legal representation to make sure you are protected as well. MCV Law has over 40 years of legal experience appearing before the Workers’ Compensation Board and advocating for injured workers. Call us today for your free consultation.

"I couldn't ask for a better experience. Bethany Nicoletti was very knowledgeable and professional. I will be using them again if I need legal assistance."
- Peter A., a satisfied MCV Law client

Contact Us Today

Categories: