Pre-existing conditions can complicate a workers’ compensation claim. Many employees worry that their past health issues could prevent them from getting the benefits they need. Understanding how pre-existing conditions influence workers’ compensation is important when seeking fair compensation.
How pre-existing conditions affect a claim
A pre-existing condition is a health problem or injury that existed before a workplace injury occurred. Workers’ compensation typically covers injuries directly related to work. However, if a workplace accident worsens a pre-existing condition, the worker could still be eligible for benefits. The key is proving that work activities aggravated the condition.
Proving work-related aggravation
Insurance companies often try to argue that a worker’s injuries stem from pre-existing conditions rather than workplace incidents. For this reason, workers must prove that their job directly aggravated or worsened their condition. Medical documentation, such as doctor’s notes and treatment records, plays a crucial role in establishing a link between work duties and the worsening of a condition.
The importance of medical evidence
Clear medical evidence can make or break a claim involving a pre-existing condition. A medical professional needs to provide an opinion on how the workplace accident affected the existing condition. Workers should be honest about any prior injuries or illnesses during the claims process. Any attempt to hide or downplay previous issues can damage credibility and weaken a case.
Seeking legal help
Workers with pre-existing conditions often face uphill battles when filing claims. Legal help can improve the chances of getting benefits by ensuring that all medical records and necessary evidence are properly presented. An experienced workers’ compensation attorney knows how to address challenges related to pre-existing conditions and how to negotiate with insurers who try to deny coverage.
Pre-existing conditions do not necessarily prevent workers from getting compensation. Proper evidence and legal support can help workers receive benefits when a job aggravates an existing health problem.