WorkCover weekly payments can be stopped for many reasons. If you receive a Notice from your workcover case manager/insurer stating that your weekly payments (income maintenance) are to be terminated you should seek legal advice as soon as possible, bearing in mind that there are strict time frames within which a dispute can be lodged.
Your weekly payments have stopped but you are still injured
Some common reasons for termination of weekly payments
- The injured worker has returned to work and is now earning more than their pre-injury average weekly earnings (PIAWE)
- The injured worker has failed to attend medical appointments, including IMEs; refused to undertake suitable duties when certified fit; or been sacked from their job as a result of serious and/or willful misconduct
- The injured worker has reached the end of the “third and last entitlement period” (that is, the worker has been unable to work for a period over 130 weeks) and has a limited capacity for work but is not actually working
- The injured worker has turned 65 years of age (in most states)
- The injured worker is residing outside of the state where they were originally injured, or has travelled and remained outside of their state for more than 2 months (generally).
If you receive a Notice from the workcover insurer stating that your payments are to be terminated you should seek immediate legal advice. There are strict time frames within which a dispute needs to be lodged and the sooner you seek legal advice the better.
In most cases when weekly payments are terminated, an injured worker is still entitled to have any reasonable medical expenses ( incurred) for treatment as a direct result of their work related injury paid for by the insurer. If the workcover insurer refuses to pay for medical treatment then you may be entitled to challenge their decision (i.e. conciliation, arbitration, Workers Compensation Tribunal).
Needless to reinforce the importance to seek legal advice if the insurer refuses to pay for your medical expenses related to your workplace injury.
Somewhat related articles
- When can weekly payments in Victoria be terminated
- Injured worker weekly payments reinstated after 9 years
- Pre Injury Average Weekly Earnings – PIAWE
- Workcover termination of payments: when insurer suddenly terminates medical expenses