Medical & Wage Benefits
Medical Treatment
As part of helping you return to work, LWCC will provide you with reasonable and necessary medical treatment for your covered injury. LWCC encourages you to choose a health-care provider in our occupational medicine network, OMNET®. Any physician you choose must gain approval from LWCC for any treatment over $750, unless it is provided under emergency circumstances. Requests for authorization to exceed the $750 limit for medical services may be made by submitting the Louisiana Workforce Commission’s Office of Workers’ Compensation Administration’s (OWCA) LWC-WC Form 1010 (Request for Authorization/Carrier or Self-Insured Employer Response).
Wage Benefit
If your doctor takes you off of work and you miss more than seven days, or if your employer is unable to accommodate your work restrictions, you may be eligible for wage benefits.
Compensation Rate for Temporary Total Disability (TTD):
The Louisiana Workforce Commission's Office of Workers’ Compensation determines the amount of this benefit. For an injury resulting in TTD, the rate is 66 2⁄3 percent of the average weekly wage (AWW), subject to the minimum/maximum weekly benefits allowed at the time of the injury. Employees will receive the greater of the minimum weekly benefit or the full two-thirds of their AWW, but no more than the maximum weekly benefit.
To determine how much your wage benefit will be, you must first determine your AWW. For most people, their AWW equals the average gross wages during the four full weeks before their accident. We will obtain your wage information from your employer.
Supplemental Earnings Benefit (SEB):
If you are able to return to a job or begin earning any income that is less than 90 percent of your pre-injury wages, you may be entitled to two-thirds of the difference to supplement your earnings. This type of payment is called supplemental earnings benefit (SEB).
You can receive SEBs until you are released to full duty, are earning pre-injury wages, or hit the maximum of 520 weeks, whichever occurs first. (Temporary total disability wage replacement benefits are included in the 520-week maximum.) SEB checks are mailed monthly.
If the same work-related injury causes a second period of disability, you may be eligible for additional benefits, provided it has been less than one year since you received your last benefit check.
If the same work-related injury causes you later to earn less income, you may be eligible for additional SEB benefits, provided it has been less than two years since you last received an SEB payment.
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