What is the difference between medical-only and lost-time claims?
Asked 3 months ago
In the context of workers' compensation, medical-only claims and lost-time claims represent two distinct categories of claims that differ primarily based on the impact of an injury on an employee's ability to work.
Medical-only claims occur when an employee sustains an injury while on the job, but does not lose any time from work due to that injury. In these claims, the focus is primarily on covering medical expenses related to the treatment of the injury. These expenses can include doctor visits, hospital stays, prescription medications, and rehabilitation services. The claim is generally processed quickly because the employee is expected to return to work without significant disruption.
On the other hand, lost-time claims arise when an employee is unable to perform their job duties for a certain period due to an injury. These claims not only cover medical expenses but also provide wage replacement benefits to the employee during the time they are away from work. The lost-time claim process can be more complex, as it may involve assessments of the extent of the employee's injuries and their ability to return to work.
Both types of claims are essential components of the workers' compensation system, designed to provide necessary support to employees recovering from workplace injuries. For further details on these claims, it can be helpful to refer to the relevant information available on the current web page.
If you need to call State Compensation Insurance Fund customer service, now that you have the answers
that you needed, click the button below. You can either call them on your phone or use our
free AI-powered phone to dial for you, get a rep for you, and more.
Find a list of many popular State Compensation Insurance Fund questions with answers or step by step guides on our FAQ page below. Or ask a whole new question and get an answer right away.