Helpful Tips on Loss of Earnings & Health Care Benefits
Loss of Earnings Benefits
The Workplace Safety & Insurance Act provides the WSIB with the authority to pay Loss of Earnings. If you miss time from work because of a work-related injury or illness and the WSIB allows your claim, you are entitled to receive LOE benefits. When a decision is made by the WSIB to pay LOE benefits, there are some key rules that they must abide by to pay said benefits. Similarly there are some rules that you are required to follow as well. Bellow, we have noted one of the key rules that you need to be aware of, in order to ensure that you are compliant with respect to your requirements and remain eligible to receive LOE benefits.
Cooperation in the process
In our opinion, one of the more critical rules is that while you receive LOE benefits you continue to participate in your recovery and return to work. The WSIB's role is to help you return to work that is safe and productive, is within your capabilities and limits, and, to the extent possible, pays you the same or close to what you were earning before your injury or illness.
Health Care Benefits
The WSIB is required to let you know about each health care benefit and how each benefit is paid. In most cases, they will pay your health care provider (e.g., physiotherapist, pharmacist) directly.
Your primary health care provider will guide you to get appropriate treatment that the WSIB covers. We highly suggest that you request approval for all your health care related expenses for your injury or illness before proceeding with the purchase and even if you have other health care insurance. This will ensure that you are not out of pocket for those expenses and having to chase the WSIB to get reimbursed.
We've got you covered!
We know all too well from experience, that it's not always possible to cooperate with the WSIB in the manner that is expect and that this may impact your benefits.
Our OnePlan membership was created to provide you with all the tools and support to have your issues properly addressed by the WSIB and to ensure that you are properly compensated for your workplace injury or illness.