Reimbursement for out-of-pocket expenses
Will I be reimbursed for my out-of-pocket expenses?
Yes, if your
claim is accepted. The insurer may require reasonable documentation to support
your reimbursement request.
Also, it is
important to know that during the time your claim is being evaluated
(deferred), the insurer is not required to reimburse you for any prescriptions
or for any other expenses such as transportation costs for visits to the
doctor’s office. You should keep receipts for these expenses as they will be
paid by the insurer, in addition to related medical bills, if your claim is
How do I get reimbursed for my out-of-pocket
You must submit
a written request for reimbursement to your insurer within two years of
incurring the expense. The written request should provide sufficient documentation
to show the costs are related to the accepted compensable injury or disease.
• Prescriptions will be reimbursed based on
• Mileage reimbursement will be based on reasonable
mileage when using a private vehicle or the actual cost when using public transit.
How long does the insurer have to process my
If your claim
has been accepted an insurer has 30 days from the receipt of your request to
timely process your reimbursement or provide a written explanation of the
reason for nonpayment.
Will I be reimbursed for expenses to attend an
independent medical examination (IME)?
Yes. The insurer must
reimburse you for costs related to your attendance at an independent medical
examination, regardless of the acceptance, deferral, or denial of the claim. If you need advance payment of your cost to attend the examination, be sure to request the advance as soon as possible.