610-892-9300

Certified Workers’
Compensation Specialists

Contact Us Today
Schmidt, Kirifides, Rassias & Rio partners

3 ways a pre-existing condition affects a workers’ comp claim

Reviewed for legal accuracy by

Attorney Vasil L. Kirifides
Vasil L. Kirifides Certified Workers’ Compensation Specialist

When you suffer an injury at work, you may qualify for workers’ compensation benefits to cover your medical expenses and lost wages. However, if you have a pre-existing condition, it can complicate your claim.

There are several ways that a pre-existing condition can affect the outcome of a workers’ compensation claim.

1. Aggravation of a pre-existing condition

If your work-related injury aggravates a pre-existing condition, you might still qualify for workers’ compensation benefits. For example, even if you have a history of back problems and you hurt your back at work, you might receive benefits for the aggravation of your pre-existing condition. You will need to prove that your injury significantly worsened your condition.

2. Proof of causation

When you have a pre-existing condition, it can be more challenging to prove that your work-related injury caused your current symptoms. The insurance company may argue that your symptoms are entirely related to your pre-existing condition and not your work-related injury. To strengthen your claim, you will need to provide medical evidence that clearly shows the connection between your work-related injury and your current symptoms.

3. Full-disclosure needs

When filing a workers’ comp claim with a pre-existing condition, you need to fully disclose your medical history to your employer and the insurance company. Failing to disclose a pre-existing condition can jeopardize your claim and may even result in a denial of benefits.

Having a pre-existing condition means being proactive about your workers’ compensation claim. We are here to help you navigate your case. Contact your workers’ compensation specialist today for a free, no-obligation consultation. You can reach us online or at 610-892-9300 today!