Workers’ Compensation Claims

An on-the-job injury that prevents you from working for an extended period can put you in a challenging financial situation. For many Americans who have limited savings, the sudden loss of income can quickly escalate into a financial emergency.

That’s why workers’ compensation benefits are so vital. These benefits ensure injured workers receive the support they need during recovery.

Workers’ compensation typically consists of two main components: wage replacement benefits and medical care benefits. The total amount of compensation you can receive depends on several factors, including your earnings before the injury and the severity of your condition. Understanding what influences the average workers’ compensation claim can help you better prepare for the process.

However, every case is unique. For personalized answers, consult our experienced attorneys.

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(213) 213-0000

FREQUENTLY ASKED QUESTIONS

Workers’ Compensation Lost Wages

Workers’ compensation provides wage replacement benefits that cover a percentage of an injured worker’s lost income. While each state’s system varies, here’s a general overview:

  • Average Weekly Wage (AWW):
    Workers’ comp typically covers 60–70% of an employee’s AWW. This calculation is based on the worker’s earnings prior to the injury. Some states determine the AWW by looking at the employee’s earnings over the past year, while others use a shorter timeframe.
  • Maximum and Minimum Compensation:
    States set caps on the maximum and minimum amounts of weekly benefits. These limits are adjusted regularly to reflect changes in the cost of living.
  • Temporary vs. Permanent Disability:
    • Temporary Disability: If you’re temporarily unable to work but are expected to recover, you’ll receive benefits until you can return to work.
    • Permanent Disability: If your injury results in long-term impairment, you may continue to receive benefits even if you eventually find a different type of work. States often calculate permanent disability benefits based on the degree of impairment.

Workers’ Compensation Medical Benefits

Workers’ compensation also covers medical expenses related to your injury or illness. In most cases, these benefits:

  • Are unlimited and have no deductible.
  • Ensure all payments are made directly from the employer’s insurance company to the healthcare provider, so you’re not billed.
  • Require you to attend all medical appointments and follow your doctor’s recommendations.

The coverage of medical benefits can vary depending on your state:

  • Employer-Authorized Providers: In some states, you must use a physician chosen by your employer or their insurance provider.
  • Freedom to Choose: Other states allow you to select your own healthcare provider, with certain restrictions or periodic consultations with an employer-authorized physician.

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(213) 213-0000

Types of Medical Expenses Covered by Workers’ Compensation

Workers’ compensation typically covers a broad range of medical costs, including:

  • Hospital stays and emergency care
  • Prescription medications
  • Surgery and related fees
  • Rehabilitation services (e.g., physical therapy, occupational therapy)
  • Nursing care
  • Modifications to your home, vehicle, or workspace (if necessary)
  • Travel expenses related to medical appointments

Why Workers’ Comp Medical Benefits Are Crucial

The cost of healthcare in the U.S. can be staggering. For example:

  • A fall requiring hospitalization may cost over $35,000.
  • Getting struck by a falling object can range from $7,000 to $42,000.
  • A traumatic brain injury (TBI) may cost $40,000–$45,000 or more.

If your workers’ compensation claim is denied, you could be held personally responsible for these expenses. Don’t let a denied claim leave you with overwhelming medical bills.

How E&L, LLP Can Help

Navigating the workers’ compensation claims process can be overwhelming, especially when dealing with severe injuries and financial stress. At E&L, LLP, our dedicated attorneys:

  • Help you file claims correctly and on time.
  • Work to secure the maximum possible compensation for your wage loss and medical expenses.
  • Represent you in disputes with employers or insurance companies.
  • Handle appeals if your claim has been denied.

CALL OUR ATTORNEYS FOR A FREE NO-OBLIGATION CONSULTATION
(213) 213-0000

Protect Your Rights With E&L, LLP

If you’ve been injured on the job, you deserve the full benefits available under workers’ compensation law. Don’t navigate this complex process alone. Contact E&L, LLP for expert guidance and advocacy.

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(213) 213-0000

WE DO NOT GET PAID UNTIL YOU GET PAID. THAT IS OUR GUARANTEE.