(05-09-2014, 01:56 AM)1171 Wrote: yes.
you don't have to counter offer with more $$.
let them know you are afraid to guess wrong about your treatment $$ and be without coverage and would prefer if they continued to pay all the future medical.
if you keep pressing them for the open medical, they'll raise their offer.
look at item 16 page 3 from the settlement check list on the link I gave you
http://sbwc.georgia.gov/sites/sbwc.georg...gUsers.doc
have them stipulate to open medical.
you can also ask for a print out of the treatment they've already paid.
it'll give you an idea of how much things cost.
and do talk to your doctor about what you'll need and for how long.
Ok I understand a little better.
Medical Benefits
15. _____Electronically file a recent medical report or summary from the ATP(s), not rehab personnel and not the entire medical file. [Rule 15(a)(6)] If the claimant has not received medical care recently, please indicate that to us in the body of the Agreement. Otherwise, we may contact you to ensure a more recent report has not been overlooked.
____If open medical is not a part of the Agreement, a rationale for
closing medical treatment must be provided. [Rule 15(b)(2)]
17. _____If a portion of the Settlement is based on the on-going medical needs of the claimant, ensure the claimant attorney’s fee is not taken as a percentage of money designated for the medical treatment or expense. [Rule 15 (e)]. Note, Board Rule 15(h) allows us to make informal inquiry regarding a Settlement.
18. _____Indicate that all authorized medical has been or will be paid up until
the date that the Stipulation is approved by the Board. [Rule 15(b)(2)]
19. _____If the Settlement includes an MSA, the Agreement shall contain a
provision as to the actual cost of the MSA. [Rule 15(d)]
20. _____The Stipulation shall not contain an indemnification clause that
shifts the risk of Medicare or other liens for medical treatment related to the
work injury from the employer/insurer to the claimant.