The workers’ compensation system in Georgia provides benefits for job-related injuries, even in less physical jobs where employees might suffer from issues like carpal tunnel syndrome or back injuries. Many workers have pre-existing conditions when they get injured at work. While these conditions don’t prevent workers from receiving benefits, they do make determining the amount of benefits more complex.
Pre-existing conditions defined
A pre-existing condition is any medical condition that existed before the workplace injury occurred. This can include chronic illnesses, prior injuries, or ongoing medical treatments. Workers’ compensation does not cover these conditions directly.
Aggravation of pre-existing conditions
If a work-related injury aggravates a pre-existing condition, workers’ compensation typically covers the exacerbation. For example, an employee with a pre-existing back injury might experience a work-related accident that worsens their condition. In such cases, they may be eligible for benefits. The key is proving that the work incident directly contributed to the worsening of the pre-existing condition.
Medical evidence
Medical evidence is crucial in cases involving pre-existing conditions. Documentation from healthcare providers can demonstrate the extent of the pre-existing condition. It can also show how the work-related incident worsened it.
This evidence shows the link between the workplace injury and the worsening of the pre-existing condition. It ensures you can get the maximum benefits from worker’s compensation.
Claim challenges
Claims involving pre-existing conditions can be more challenging to process. Employers and insurance companies may argue that the symptoms relate solely to the pre-existing condition. They may claim the workplace incident did not contribute. Employees must provide comprehensive medical documentation. If necessary, they should seek legal advice to safeguard their rights.
Working around workers’ compensation with a pre-existing condition can be complex. Knowing the rules and gathering the right evidence, can help the workers manage their claims better. This approach helps them receive the benefits they deserve.