How ‘maximum medical improvement’ impacts your workers’ comp benefits
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Recent data shows that the construction industry had the highest number of fatal workplace accidents in 2022, making it one of the most dangerous industries in the United States. As a construction worker, suffering a serious work-related injury can be devastating, both physically and emotionally. Aside from this, you must also go through the complex workers’ compensation system to receive the benefits you deserve. One crucial concept to understand in the workplace comp landscape is “Maximum Medical Improvement” (MMI).
What is MMI?
According to the Pennsylvania Workers’ Compensation Act, Maximum Medical Improvement (MMI) is the point at which your medical condition has stabilized, and further treatment is unlikely to improve your condition. A qualified doctor will typically assess your condition and decide whether you have reached MMI.
How does MMI affect your workers’ comp benefits?
Reaching MMI does not, by itself, end medical or wage-loss benefits. It is different from full recovery or being able to return to work. An insurer seeking to change benefits must rely on the applicable legal grounds and process.
Can you challenge an MMI determination?
If the insurer relies on MMI or an IRE to seek a change, have the notice, medical evidence and proposed action reviewed promptly. What must be challenged depends on the procedure; showing that you still have symptoms is not the same question as whether you have reached MMI.
Do not let MMI hold you back
Reaching MMI does not mean your journey to recovery is over. A halted workers’ comp benefit during this time can have devastating consequences for your healing. Without the financial support you need, you might need to return to work too soon, risking further injury or prolonged recovery. Do not let an MMI determination stand in the way of the compensation and care that is rightfully yours.
You have options, and we are here to guide you through the process. If you are struggling with an MMI determination or have questions about your workers’ comp benefits, do not wait – call us at 610-892-9300 or reach us online to schedule a free, no obligation consultation. Take the first step toward securing the fair compensation you deserve.