Insurance · Workers Compensation

An employee is injured at work and has $50,000 in medical bills. Under workers' comp, how are these bills handled?

Correct answer

Workers' comp pays all reasonable and necessary medical treatment related to the work injury — without a deductible or copay from the employee

  1. A Employee pays; employer reimburses later
  2. B Workers' comp pays all reasonable and necessary medical treatment related to the work injury — without a deductible or copay from the employee
  3. C Employee's health insurance pays first
  4. D Employee receives a lump sum to pay bills themselves

Why this is the answer

Workers' compensation medical benefits cover ALL reasonable and necessary medical treatment for the work-related injury — with no deductible, copay, or out-of-pocket from the employee. This includes: emergency care, hospitalisation, surgery, physical therapy, prescription medications, and ongoing care for chronic conditions from the injury. The employer (through their workers' comp carrier) pays the medical providers directly in most states. This is one of the key advantages of workers' comp over health insurance for work injuries.
Source: P&C Exam, Workers' Comp Medical Benefits

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