You may be eligible for all or some of your medical treatments and services.
medical or related treatment
Medical or related treatment includes:
- treatment by medical practitioners, physiotherapists, chiropractors, osteopaths, psychologists, counsellors, exercise physiologists, remedial massage therapists, and other allied health practitioners
- provision of artificial aids
- domestic assistance services
- nursing, medical and medicine supplies (provided outside of hospital treatment).
Your expenses will only be approved and paid for by your insurer after they’ve been determined as reasonably necessary.
Most treatment requires prior approval, however some treatments do not require it.
These may include:
- treatment provided within the first 48 hours following the injury
- consultation with the nominated treating doctor
- services provided in an emergency department of a public hospital for injury
- some diagnostic investigations within a certain period from the date of injury
- some pharmaceutical items prescribed by the nominated treating doctor or medical specialist
- some consultations for physiotherapy, osteopathy or chiropractic treatment
- some psychological treatment or counselling.
The SIRA Guidelines for claiming workers compensation provide the full details of treatment exempt from prior approval .
Please note: Your medical and related expenses may be limited to 2 or 5 years from the date of injury depending on your level of permanent impairment unless weekly payments of compensation have been paid or are payable.
Hospital treatment includes treatment at public and private hospitals and/or rehabilitation centres.
Ambulance services include emergency, non-emergency and inter-hospital transfers provided by the Ambulance Service of NSW.
workplace rehabilitation services
Workplace rehabilitation services include:
- return to work and case management
- vocational, functional and workplace assessments
- job analysis and modification
- identification of suitable employment
- worker retraining and placement in suitable employment.
These services are provided by approved workplace rehabilitation providers.
If you wish to claim for reimbursement of travel expenses to attend medical, hospital and rehabilitation appointments, you will need to keep:
- record of mileage if you used your car
- receipts for public transport.
The maximum amount payable for private car travel associated with attending medical, hospital and rehabilitation appointments is currently $0.55 per kilometre. This amount is reviewed by SIRA every 12 months.
To find out more about past and current benefits payable for medical, hospital and rehabilitation expenses, refer to the SIRA Benefits Guide.