Medicare Or Medicaid Set
Under federal law, Medicare won’t pay for medical expenses that are covered under workers’ compensation, but it may pay medical bills conditionally when there’s a dispute about workers’ comp liability. So if you’re eligible for Medicare, part of your settlement may go to the government. First, you must repay Medicare for conditional payments it made during your appeal. Second, if your settlement includes any money for future medical expenses , you need to make sure that Medicare’s financial interests are protected. In most cases, you’ll do this by putting part of the settlement funds in a Medicare Set-Aside Account , which will go to pay for future medical treatment related to your work injury.
There’s no law requiring you to get approval from Medicare for the amount in your MSA, but doing so has a big advantage: Medicare will pay any medical expenses for your work injury once you’ve used up the approved amount in your MSA. Medicare will only review and approve your MSA if:
- you’re already a Medicare beneficiary, and your settlement is for more than $25,000 or
- it’s reasonable to expect that you’ll be eligible for Medicare coverage within 30 months, and the anticipated total settlement amount is more than $250,000.
How Much Compensation Will I Get For A Broken Ankle
A broken ankle at work claim depends on how it has affected your life after the accident. It also depends on how much you have spent because of the injury. Lets have a look at how much broken ankle claim amount you can get.
|Type of Broken Ankle|
|Minor Achilles tendon injury: tendon damage caused by the turning of the ankle||£6,820 to £11,820|
You can also use an ankle injury compensation calculator to estimate your claim value. But its better to contact us. We will analyse your case from every angle and let you know your ankle injury claim value.
Example: Femoral Neuropathy From Workplace Fall
Ryan, a 25-year-old man making $15/hour, slipped and fell on a wet floor in his office. He suffered a hip injury in the fall. The injury blocks the signals from his femoral nerve, resulting in leg pain, numbness and difficulty walking. He is temporarily totally disabled while his hip heals, and with non-surgical treatment, his nerve issue will resolve in a year.
Prior medical expenses and diagnosis: $5,000
Cost of physical therapy and future medical treatment for femoral neuropathy: $15,000
6 weeks of lost earnings : $400 x 6 weeks $2,400
Estimated Workers Comp Settlement Value: $22,400
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Beware The Unfair Vocational Assessment
Insurance companies frequently use the vocational assessment to say a disabled employee can earn wages in a different job. Wage loss checks get reduced or stopped bringing down the average workers comp ankle injury settlement. It is important to challenge any vocational assessment that is used to reduce weekly checks.
Michigan Workers Comp Lawyers never charges a fee to evaluate a potential case. Our law firm has represented injured and disabled workers exclusively for more than 35 years. Call 316-8033 for a free consultation today.
- 30101 Northwestern Highway, Suite 250
- Farmington Hills, MI 48334
- 645 Griswold St, Suite 1308
- Detroit, MI 48226
- 330 Fulton Street East #250
- Grand Rapids, MI 49503
Imaging Tests Used To Diagnose Ankle Injuries
Your workers comp doctor may use the following tests to determine the extent of your ankle injury:
- X-ray: This imaging technique is used to determine if your ankle is broken.
- Computed tomography scan: This imaging test is useful to determine the extent of an ankle fracture.
- Magnetic resonance imaging scan: This test provides your doctor with high resolution images of your bones, ligaments, and other soft tissues. Often an MRI is recommended if an X-ray shows no problems but you continue to have pain and other symptoms.
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Dont Forget The Impact On Your Job Or Your Life
In a workers compensation claim, the insurance company looks at how your injury impacts your ability to do your job. Wage loss is obviously important, but so is evidence about how your injury affects your work capacity.
Evidence from you and others in your workplace or industry explaining how the injury affects your ability to work will be key.
Once youve reached Maximum Medical Improvement youll be given an impairment rating. Only a medical doctor can determine whether your nerve injury has left you with a total or partial work disability.
If the workers compensation adjuster questions the extent of your injuries, you will be sent for an independent medical exam with a physician chosen by the insurance company.
How Workers Comp Settlements Are Reached
If a worker recovers fully and goes back to work with no outstanding bills or unpaid benefits, the claim can simply be closed.
In many states, closing a claim involves a settlement negotiated between the insurer and the injured worker, often through their attorney.
The settlement process typically begins with an offer from the insurance company and employer. This may include payment for unpaid benefits or medical bills, as well as costs of future treatment. If an injury leaves a worker permanently impaired, they may also be entitled to a disability award to compensate them.
A work injury settlement can be either a lump sum or a structured payment plan:
- Lump sum payment: The employee receives a one-time payment for all medical costs and benefits under the claim. Depending on the state, they may have to agree not to seek any future reimbursement for the injury.
- Structured payment: The employee will receive regular payments over a specified period of time. They may include a separate medical account to pay for future medical care.
Before a settlement is reached, the employee and their attorney calculate what they think the workers comp payout should be. It should be enough to cover previous medical care and future medical costs. The settlement should take into account:
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Ankle And Foot Injuries
One of the best ways to understand the settlement value of foot and ankle injuries is to see example cases. This is not going to tell you the exact amount your case should settle for but it should help you better understand the range of values in your case.
Below are sample ankle and foot injury settlements and verdicts nationally. You can find statistics that show average foot and ankle injury verdicts and case results in Maryland here.
Example Foot and Ankle Injury Settlements and VerdictsHiring a Lawyer to Fight Your Injury Claim
If you have an ankle or foot injury in a car, motorcycle or truck accident, we can help you get fair compensation – and sometimes more than “fair” – for these life-altering injuries. Call Miller & Zois at 800-553-8082 or get a free claim evaluation.
$125000 Workers Compensation Settlement For Foot And Ankle Injury
Construction foreman sustained career ending foot and ankle injury on the job. After 3 years of litigation, Jim Aspell was able to obtain a sizeable $125,000 settlement for out client in addition to all of the monetary and medical benefits our Litchfield County injury client received during the course of our representation
Practice area: Workers Compensation
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How Does Negotiating A Workers Compensation Settlement Work
When you bring a workers compensation case after a work injury, the insurance company might offer payment for medical bills and disability. You can choose to accept the offer, or you can seek a settlement to cover more of your damages.
To reach a fair settlement, you will need to negotiate with the insurance company. Its best to have a workers compensation lawyer to help with this, as its very difficult to go up against workers comp insurance companies alone. You will need to work with an attorney who specializes in workers comp claims and understands what goes into them.
Most Common Types Of Ankle Fractures
The ankle has three main bones connected to bands of soft tissues. Breaking an ankle at work may be a clean fracture to a single bone, or catastrophic ankle trauma involving several bones and surrounding soft tissues, like the Achilles tendon.
Three bones make up the ankle joint:
- Tibia shinbone
- Fibula smaller bone of the lower leg
- Talus a small bone that sits between the heel bone and the tibia and fibula
Four most common types of ankle fractures:
Ankle fractures may be displaced or non-displaced:
The cost of an ORIF ankle surgery can range from $3,000 for an outpatient procedure to more than $14,000 for an operation that requires a hospital stay.
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Work With An Experienced Local Lawyer
The workers compensation system is complex, with many potential obstacles you must overcome. Rather than struggling to manage your claim by yourself, you may choose to work with an experienced local lawyer.
An attorney in your area understands state workers compensation law. He or she may investigate your claim, negotiate a settlement, file an appeal or otherwise help you assert your legal rights.
Submit a request online or call us today at to get in touch with an experienced lawyer in your area!
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Foot And Ankle Injury Workers Compensation Settlements
Foot and ankle injuries can make it very difficult to return to work. Primarily, they affect your ability to stand and walk. Most jobs require you to do some amount of standing and walking.
Even if you are able to stand and walk fine after your foot and ankle injury, you may find that more physical parts of your job are difficult. Many jobs require you to work at heights or have good balance. You will likely have difficulty doing this if your foot and ankle does not heal completely.
If your foot and ankle does not heal up completely, you should certainly consider whether settlement of your workers compensation case would be a good option. This article will discuss settlement generally as well as some of the specifics to consider when considering settlement of a foot and ankle injury.
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How Long Do Settlements Take
Short answer: It varies greatly. The Martindale-Nolo survey of readers turned up an average of 15.7 months to resolve a case, and less than 20% of cases are resolved in less than six months. Obviously, those who try to negotiate a better workers comp settlement may hire legal assistance to negotiate the best terms for a settlement or to bring a hearing if there is a disputed issued. This can be time consuming. However, a shorter time frame is not always better. Those actions that lengthen the process can also bring higher settlements.
Once an agreement is reached, it can take four-to-eight weeks for money to arrive while settlement contracts are drafted, signed and approved.
An Experienced Attorney To Help You Get Fair Value For Your Work
If you have a personal injury case or workers comp claim involving an ankle injury, you probably have many questions and want to know what to do to protect yourself and your family. I can help.
From advising you on the steps to take after a workplace accident to guiding you through every stage that happens after you file a workmans comp claim, including managing litigation and discovery, presenting your case at trial, and negotiating a fair ankle injury settlement, Im with you every step of the way.
Ill even review the facts of your case to determine whether you have a viable Social Security Disability claim. Those of you who have been out of work a year or more for your ankle injury, or who are expected to be out of work that long, may qualify for SSDI benefits.
All you have to do is call: 804-251-1620 or 757-810-5614.
I look forward to hearing from you and working with you during this difficult time.
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What Does Workers Compensation For An Ankle Injury Cover
An ankle compensation payout compensates you for everything you have to bear after the accident. You can reimburse every penny you spent. Lets have a look at what type of expenses you can claim in your compensation for an ankle injury.
- General Expenses: Compensation for the pains and sufferings.
- Travel Costs: Compensation for the travel expenses you incurred in hospital rounds.
- Loss of Earnings: It includes the money you could have earned if you didnt injure your ankle.
- Medical Care: No matter what type of medical treatment you get, you can claim all the expenses in your ankle injury compensation amounts.
- Special Care: If you need professional care for your ankle, you can also cover these expenses in your ankle injury settlement.
If you had to bear some other types of expenses because of your injury, you can also reimburse them.
Broken Or Sprained Ankle At Work How To Get Compensation For Injuries
Workers comp kicks in when you suffer a sprained or broken ankle at work. See what kind of benefits or settlement you can expect.
In one recent year, over 92,000 workplace foot and ankle injuries were reported. The average cost of ankle claims alone was $17,000 in medical expenses and nearly $13,000 in wage replacement costs.¹
The most common types of ankle damage are sprains and bone fractures.
Sprains and fractures can happen in many different ways, from turning an ankle while walking on an uneven surface, to violent falls and machinery accidents.²
While mild sprains can keep you off your feet for a few days, some workplace accidents can leave you with disabling injuries.
Serious ankle damage can keep you out of work for months, and some injured workers are never able to return to work. Heres how to get fair compensation.
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How To Secure Workers Compensation Benefits If You Hurt Your Foot Or Ankle While On The Job
Ankle and foot injuries are more common than people realize and are likely to, at a minimum, disrupt an employees ability to work.
For instance, here at Gerber & Holder, weve represented numerous past clients in such casesincluding:
- A 59-year-old temporary laborer who fell off a scaffolding and fractured his ankle. This injury required his ankle to be fused.
- A 54-year-old mason who sustained a crush injury to his foot when a concrete wall collapsed on top of him.
- A 30-year-old construction worker who injured his foot when a scissor lift rolled over it.
- A 45-year-old maintenance worker who slipped on the stairs and fractured her foot.
In one particular instance, our client sustained a ligament tear in her foot. We obtained authorization for 3 separate foot surgeries and fought to maintain her workers compensation benefits while she recovered from surgery. Following her discharge from medical care, we secured a settlement of $45,000.
Continue reading to learn what to do if you get injured on the job and how to prevent these injuries from occurring.
What If I Suffered An Ankle Injury And I Dont Qualify For Workers Comp
First, you should make sure you are absolutely certain that you dont qualify for workers comp. This will involve discussing your legal rights with an attorney. You dont want to make any assumptions and, unfortunately, you cant necessarily rely on what your employer tells you. If you truly dont qualify, then you may have other options available. For example, an attorney may be able to help you file a personal injury claim, and your attorney can also determine if you qualify for Social Security government benefits.
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What Are Workers Comp Foot Injury Settlements
Have you sustained a foot injury at work? Do you have mounting medical bills you are struggling to pay? Call us today or complete the online contact form below to talk with an experienced local attorney who can help you better understand workers comp foot injury settlements.
Whether you work in an office, warehouse, factory or anywhere else, you probably use your feet every day. Depending on the type of job you do, your feet may also be critical for performing your job duties. Either way, a sudden foot injury may make working virtually impossible.
If you have sustained a job-related foot injury, you may be eligible for workers compensation benefits. Insurance companies regularly approve workers comp foot injury settlements for injured workers. Foot injury compensation payouts usually depend on the severity of the injury and its life and employment implications.