Important things to know about Medical Expenses

Here are some important things to know about medical expenses following changes to the WorkCover law

If you are seeking any of the following services, you will now require a medical practitioner’s referral and prior approval before the initial service:

  • aids and appliances
  • attendant care
  • childcare
  • community access
  • elective surgery
  • equipment
  • external case management
  • gym / swimming programs
  • hearing devices
  • home exercise equipment
  • implantable pain therapy
  • MRI scans (where requested by a GP)
  • Network occupational therapy
  • Network pain mgt program
  • Network psychology
  • Occupational rehabilitation
  • Pain mgt programs
  • Pharmacy medications (specific ones)
  • Private hospital expenses
  • Removalist costs
  • Respite care

If you are unsure whether the insurer will pay for a particular type of treatment / service, you should contact your case manager to find out what you need to do to obtain approval.

The following services require prior approval before subsequent services will be paid:

  • acupuncture – after 2nd medical practitioner referral
  • dietician – after 2nd medical practitioner referral
  • district nursing services – after initial 4 services
  • exercise physiology – after 2nd medical practitioner referral
  • grief and loss counseling – after 2nd medical practitioner referral
  • household help – after initial 12 week program
  • naturopathy – after 2nd medical practitioner referral
  • occupational therapy – after 2nd medical practitioner referral
  • remedial massage – after 2nd medical practitioner referral
  • social work – after 2nd medical practitioner referral
  • speech pathology – after 2nd medical practitioner referral

The following are considered “treating health practitioners” for the purpose of getting a report. They need to be registered as a provider with WorkSafe (Victorian WorkCover Authority):

  • GP
  • dentist
  • optometrist
  • physiotherapist
  • chiropractor
  • osteopath
  • podiatrist
  • psychologist