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  1. #1
    Join Date
    May 2011
    Posts
    5

    Default Effect on Benefits of Returning to Work on Light Duty

    My workers compensation claim was made in the State of: Maine

    I am fresh into my worker's comp claim. I was injured about 3 months ago but was taken out of work 3 weeks ago after enduring too much pain while working. WC has contacted my employer about me returning to light duty and my boss is going to write up what exactly I would be doing so that my doctor can determine if it is appropriate. I have yet to receive any real treatment for my injury. They tried physical therapy but it only caused more pain. I had an MRI that indicated that something is wrong but my doctor wants me to see a specialist- that appointment isn't for a couple of weeks and I doubt they'll be able to do much the first visit. If my doctor determines that I'm ok to go back to light duty at work but then after trying I find I'm in too much pain and need to stop will I lose my WC benefits? If my doctor deems me unable to return even though light duty was offered will this cause problems? I don't want to end up going back to work then not able to work again and having problems getting WC benefits. I saw in another state some form needed to be filled out so that your benefits start back up immediately if you can't work again, otherwise you'd be waiting months for a check. I just want to protect myself. This has been so stressful.

  2. #2
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Returning on Light Duty- How Will This Effect My Benefits

    If my doctor determines that I'm ok to go back to light duty at work but then after trying I find I'm in too much pain and need to stop will I lose my WC benefits? If my doctor deems me unable to return even though light duty was offered will this cause problems?
    Your Dr should be the one makeing the decision on light duty... in writing what your restrictions would be... restrictions are not written to match the ER's accommodation of light duty work. This is backwards...

    If you cannot perform the work provided, you go back to your Dr and get your status changed from TPD/Temp Partial Disabled, to TTD/Temp Total Disabled... your benefits should resume without difficulty. There isnt' any you can do to guarantee this happening. Sometimes it takes time for paperwork to catch up between your Dr and the CA, and the checks issuing. You could see a week or two before the TTD resumes.

    When you are delayed/denied benefits, it's a good idea to consult with a WC atty. There is no fee for this.

  3. #3
    Join Date
    May 2011
    Posts
    5

    Default Re: Returning on Light Duty- How Will This Effect My Benefits

    I got a hold of my WC adjuster and she said that my benefits would start right back up if I had to be taken off of work again. I don't like calling them because I feel so paranoid about everything that is said. My worry now is if my doctor decides tomorrow that I need to remain off of work for a while longer will WC retaliate? I guess reading all of these nightmarish threads is making me nervous! I'm worried if she says I should wait that WC will delay my benefits or make me get a second opinion. I'm not sure they would bother since my case is fairly new and I've only been out for 3 weeks. I would really like a chance to see the specialist before I go back to work to find out what is actually wrong with me before I do more damage. I still experience significant pain in my shoulder from doing simple tasks and wear a sling whenever I have to stand or walk for too long. I guess in the long run I need to take care of myself and do whatever the doctor deems fit but I'm living paycheck to paycheck and worry about what might happen if payments stops all of a sudden. This whole mess is definitely making me lose sleep at night!

  4. #4
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Returning on Light Duty- How Will This Effect My Benefits

    Your frustration is understandable...but you need to understand, you are not going to control the claim.
    Your Dr certifies benefits you are eligible for...TD specifically.
    your Dr is also in charge of getting any prior authorization for any medical care you may be recommended for.
    There is no "immediate" in WC.. and, everyone has a different definition in mind when you say "immediate".

    As I said, it would be in your best interest to at the very least consult with a comp atty.

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