FAQ

Frequently Asked Questions

What is WorkCover in NSW?

Answer: WorkCover is a government-run workers’ compensation scheme that provides benefits and support to workers who are injured or become ill as a result of their work.

Who is eligible for WorkCover in NSW?

Answer: Workers who are injured or become ill as a result of their work are generally eligible for WorkCover in NSW. This includes full-time, part-time, and casual employees, as well as self-employed people.

What benefits are available under WorkCover in NSW?

Benefits available under WorkCover in NSW include compensation for medical expenses, loss of income, rehabilitation, and other related expenses.

How do I make a WorkCover claim in NSW?

To make a WorkCover claim in NSW, you should report your injury or illness to your employer as soon as possible and seek medical attention. You can then fill out and submit a claim form to WorkCover.

How long do I have to make a WorkCover claim in NSW?

You have six months from the date of your injury or illness to make a WorkCover claim in NSW.

Can I choose my own doctor under WorkCover in NSW?

Yes, you have the right to choose your own doctor for medical treatment under WorkCover in NSW. However, seeing a doctor who does not regularly manage WorkCover claims may result in issues with your claim, especially when the required forms are not completed correctly or the necessary information is

missing. Our doctors and lawyers work with our panel of lawyers which enables us to even overturn declined claims.

What if my employer does not have WorkCover insurance in NSW?

If your employer does not have WorkCover insurance in NSW, you can still make a claim through the Uninsured Liability Scheme.

What if my WorkCover claim is rejected in NSW?

If your WorkCover claim is rejected in NSW, you can appeal the decision through the Workers' Compensation Commission. Our doctors and lawyers work together to overturn declined claims from other doctors at no cost to our patients.

Can I return to work while receiving WorkCover benefits in NSW?

Yes, you can return to work while receiving WorkCover benefits in NSW, as long as your doctor has approved your return to work. Sometimes, you may be able to return to work with modified or limited duties, depending on your medical capacity and your doctor’s recommendations

How long do WorkCover benefits last in NSW?

The length of time you can receive WorkCover benefits in NSW depends on the nature and severity of your injury or illness. Benefits can last for a few weeks to several years, or even for the rest of your life in some cases.

What should I bring to my appointment?

If you are a new patient and have a new claim, please bring indentification and a copy of your insurance letter. If you are transferring from another clinic, please bring any previous health records, discharge summaries and previous Certificate of Capacities.

What if my claim has been declined?

If your claim is declined, you can request for a dispute, or look into other alternative health treatments through Medicare or your health insurance. Rest assured, we are here to support and assist you.

Can I make an appointment if my claim has not been accepted?

Yes, you can still have an appointment for the purposes of continuity of care. Advise the reception staff and the GPs that your claim is pending.

Can I ask for help with a psychological injury?

Yes, upon assessment and consultation with the GP, you may be referred to the relevant allied health treatment such as psychologist. Subject to insurance approval.

What happens if I cannot return to my usual duties?

Dependent on the GP's assessment and external third party assessments such as Indenpdendent Medical Examination (IME) doctors and allied health, you may apply for permanent incapacity.

Is there a limit on the amount of money I can claim from WorkCover in NSW?

There is no definite limit on the amount of money you can claim from WorkCover in NSW. The amount of compensation you receive depends on the nature and severity of your injury or illness.

How is the amount of compensation determined under WorkCover in NSW?

The amount of compensation you receive under WorkCover in NSW is determined by several factors, including the severity of your injury, your pre-injury average weekly earnings, and the impact your injury has on your ability to work.

Can I receive compensation for pain and suffering under WorkCover in NSW?

No, you cannot receive compensation for pain and suffering under WorkCover in NSW. However, you may be able to claim for medical expenses, lost income, rehabilitation, and other related expenses.

Can I receive compensation for lost income under WorkCover in NSW?

Yes, you may be able to receive compensation for lost income under WorkCover in NSW. The amount of compensation you receive will depend on your pre-injury average weekly earnings and the impact your injury has on your ability to work.

How long can I be on WorkCover in NSW?

The length of time you can be on WorkCover in NSW depends on the severity of your injury or illness and your ability to return to work. In most cases, you can receive benefits for up to 2 years. However, if your injury is deemed to be catastrophic, you may be able to receive benefits for life.

Can my WorkCover benefits be extended beyond the 2-year limit?

Yes, in some cases, your WorkCover benefits can be extended beyond the 2-year limit. This may be possible if your injury is deemed to be catastrophic or if you require ongoing medical treatment or rehabilitation.

What happens if I can't return to my pre-injury job after 2 years on WorkCover?

If you are unable to return to your pre-injury job after 2 years on WorkCover, you may be eligible for vocational rehabilitation. This program can help you develop new skills or retrain for a different job.

Can my employer terminate my employment while I am on WorkCover?

No, your employer cannot terminate your employment while you are on WorkCover in NSW. However, if your injury or illness prevents you from performing your job duties, your employer may be able to terminate your employment for reasons unrelated to your injury.

What happens if I reach the 2-year limit on WorkCover and I'm still unable to work?

If you reach the 2-year limit on WorkCover and you are still unable to work, you may be eligible for other types of benefits, such as the Disability Support Pension or the National Injury Insurance Scheme.

Can I ask for a medical certificate?

When you come in to see our practitioner for a consultation, you may request for a Certificate of Capacity or a standard medical certificate.

0452 585 278

Open Hours 08:00 am - 05:00 pm

35/ 40 Earl Street , Merrylands New South Wales 2160

Our Merrylands Medical Team promises to stay on the patient's side of

things and strive to set patient-orientated goals. Nothing is more important

to us than your health, and your ability to get back on your feet and back to

work comfortably.

Kairos Medical Group and WorkCover Doctor are sister clinics under the same group.