Financial support for medical treatment - claims made before 1 July 2015

One of the big changes with the introduction of the Return to Work scheme is that the duration of financial support for medical expenses has changed for most people.

If you made a claim before 1 July 2015, the information below details payment of medical treatment costs and related medical expenses available under your employer's work injury insurance.

Were you injured at work (which resulted in 29% or less whole person impairment) but not receiving income support on 1 July 2015? This includes if you have not received income support for many years or are retired, but are continuing to have your medical expenses paid by the Scheme. Financial support for your medical treatment costs and related medical expenses will cease on 30 June 2016. Some medical expenses will continue to be paid through your employer’s work injury insurance after 30 June 2016. These include preapproved surgery, therapeutic appliances and treatment services for some injury types such as some cancers. We encourage you to discuss your treatment plan with your medical provider and how to transition from scheme funded services to community, state, commonwealth or privately funded services after 30 June 2016 if ongoing treatment  is required. Were you injured at work (which resulted in 29% or less whole person impairment) and receiving income support on 1 July 2015? Financial support for medical treatment costs and related medical expenses will be provided for up to one year after your income support payments finish. Some medical expenses will continue to be paid through your employer’s work injury insurance including preapproved surgery, therapeutic appliances and treatment services for some injury types such as some cancers. Were you seriously injured at work (which resulted in 30% or more whole person impairment)? If you have a permanent impairment and the degree of your whole person impairment is formally assessed as  30% or more as a result of a work injury, you will continue to receive lifetime reasonable and necessary medical treatment. 

Are you a medical practitioner or allied health provider?

If your patient's treatment is funded by the Return to Work scheme, please speak with them to clarify when their financial support ends. They may need help to transition to community, state, commonwealth or privately funded services if ongoing treatment is required. More information is available in the Return to Work scheme for health practitioners brochure (PDF, 661 KB).

Your patient’s insurance case manager can answer any questions you have about the impact of these changes

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