Workers’ compensation is designed to protect employees who suffer work-related injuries or illnesses. It’s important to seek immediate medical care after an on-the-job injury—but cost can be a deterrent for some people, even with medical insurance. Does workers’ compensation cover emergency room visits?
Are emergency room visits covered?
In general, workers’ compensation may cover emergency room visits if the injury or illness is work-related. This means that the injury occurred while the employee was performing job duties or was otherwise connected to their employment. Examples of situations where emergency room visits would likely be covered include workplace accidents, such as slips and falls, machinery accidents or exposure to hazardous substances.
When are emergency visits not covered?
In Ohio, workers’ compensation typically requires medical care to be provided by an approved doctor. However, there are exceptions to this rule, such as seeking immediate care at the emergency room or an urgent care center. Generally, when an accident requires immediate care, workers don’t have the time to research which providers are Bureau of Workers’ Compensation (BWC)-approved. However, following the ER or urgent care initial visit, subsequent medical appointments must generally be provided by an approved provider.
Once your workers’ compensation claim has been approved, further visits to the emergency room for treatment may not be covered, as you are expected to continue treatment with your approved provider. If you encounter an emergency related to your initial work injury and require immediate care, it’s a good idea to seek approval from your Managed Care Organization (MCO) beforehand, whenever possible. However, your primary focus should always be on getting medical care right away.
Because injuries must be directly related to work, it’s important for employees to promptly report any work-related injuries to their employer as soon as possible. This increases the likelihood that your emergency room or urgent care visit will be covered.
What can I do if workers’ compensation denies my coverage?
Remember, your health and safety should be your top priority—but you’re also entitled to certain benefits from the BWC. Understanding your rights under workers’ compensation laws will ensure you protect yourself and access any benefits you’re entitled to. If your emergency room visit is denied for workers’ compensation, call the Law Offices of Tim Misny right away. You may have options for appealing the denial or alternative avenues for compensation.
Talk to an Ohio workers’ compensation and personal injury lawyer today
The Law Offices of Tim Misny can review your accident claim. When you suffer an on-the-job injury or are the victim of negligence or recklessness, I’ll Make Them Pay!® Call my office at (800) 556-4769 so that I can evaluate your case right away.
