This Medical Treatment Statement is one of the official workers' compensation forms for the state of Wisconsin. This Official Workers' Compensation form is fillable in pdf and Word format This Medical Treatment Statement complies with all applicable statutory requirements.
Wisconsin Medical Treatment Statement for Workers' Compensation
Category:
State:
Wisconsin
Control #:
WI-WKC3-WC
Format:
Word;
PDF;
Rich Text
Instant download
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Public form
Description
How to fill out Wisconsin Medical Treatment Statement For Workers' Compensation?
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FAQ
Most injuries that occur on the job are covered by workers' comp insurance, including accidents and illnesses caused by exposure to work activities, materials, and equipment. As soon as an employee suffers an occupational injury that is covered by workers' comp insurance, time is of the essence.
Medical benefits: Employers are responsible for paying authorized doctor, hospital and rehabilitation bills for up to 400 weeks after your injury. They can request you visit select health care providers outside of initial emergency care, so long as you are provided with a choice of six doctors or more.
Medical. Surgical. Chiropractic. Acupuncture.
These benefits are calculated at two-thirds of your average weekly wage before your injury, up to a maximum that changes annually. For 2020, the maximum TTD benefit is $1,051 (two-thirds of the maximum weekly wage of $1,576.50 for that year, which is 110% of the statewide average weekly wage).
Workers' compensation insurance is a type of business insurance that provides benefits to employees who suffer work-related injuries or illnesses. Specifically, this insurance helps pay for medical care, wages from lost work time and more.
Workers' comp does pay for medical expenses that are necessary to diagnose and treat your injury. But it also provides temporary disability payments while you are recovering and unable to work, as well as compensation for permanent impairments caused by your work-related injury or illness (more on that below).
Wisconsin workers' compensation pays valuable benefits to employees with work-related injuries or illnesses. These benefits include medical treatment, weekly payments to help offset earnings you've lost as a result of your injury, vocational rehabilitation, and more.
Workers' comp insurance provides coverage to help your employee pay for medical expenses related to a work-related injury or illness. This can include emergency room visits, necessary surgeries and prescriptions.
The main categories of workers that are not covered by traditional workers' compensation are: business owners, volunteers, independent contractors, federal employees, railroad employees, and longshoremen.