What Benefits Are Actually Available Through Workers’ Compensation

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By Ezekiel Elliott

Most injured workers have no clue what they’re actually entitled to.

They’re injured on the job. They file a claim. They settle for whatever the insurance company gives them — often a small percentage of what they deserve. Here’s the truth:  Workers’ comp can pay you MUCH MORE than your medical bill.

Here’s the kicker…

Lost wages workers comp benefits typically make up the largest portion of any claim. However, they are also the most misunderstood. Most people don’t know:

  • How much they’re owed
  • How long benefits should last
  • What other benefits stack on top

This guide breaks down every benefit available through a workers’ compensation claim.

Let’s jump in!

Inside this guide:

  1. Why Workers’ Comp Benefits Even Exist
  1. The Lost Wages Workers Comp Pays
  1. Medical Treatment Coverage Explained
  1. Vocational Rehabilitation Benefits
  1. Death Benefits & Other Hidden Coverage

Why Workers’ Comp Benefits Even Exist

Workers’ comp is insurance that your employer is required by the state to have. As an injured worker, you file a claim with it. You don’t need to sue.

Why does it matter so much? Because workplace injuries are still a massive problem.

The Bureau of Labor Statistics released 2.5 million nonfatal workplace injuries last year. Millions suffered through medical bills, lost work and wages.

Workers comp is supposed to provide all of that without making injured workers sue their employer.

The thing most people don’t realize… Typically, you have to have an attorney to maximize your benefits. Experienced workers’ compensation attorneys know how to determine how much in lost wages workers comp is liable for, challenge denials from insurers, and collect benefits most injured workers don’t know are owed to them.

Without that backing? Claims get short-changed all the time.

The Lost Wages Workers Comp Pays

This is the big one.

Lost wages workers comp benefits will cover you when you are out of work due to a work injury. There are 4 different types of wage replacement benefits. Each benefit covers a unique circumstance.

Temporary Total Disability (TTD)

This is the most common type of wage benefit.

When a worker is unable to work at any job during their recovery period, TTD provides a percentage of their usual wages. This amount is typically two-thirds of the worker’s pre-injury weekly wage in most states. TTD is also not taxable.

Here’s a quick example:

For example, if a person was making $900 per week prior to injury, they would collect approximately $600 per week during their recovery period.  This lasts until released to return to work.

Temporary Partial Disability (TPD)

Can you receive partial disability benefits if you are able to return to work with restrictions that pay less than your pre-injury wage?

TPD is here to help. The insurance will pay part of the difference between your previous wage and your new (lower) wage.

That’s important to know because a lot of workers don’t know they can receive benefits and return to work. They think that if they go back to work their claim is terminated. It’s not.

Permanent Partial Disability (PPD)

Some injuries never fully heal.

PPD benefits compensate for permanent impairments that don’t completely prevent work. Think things like:

  • Hearing loss
  • Limited range of motion
  • Loss of grip strength
  • Lasting back pain

These benefits are calculated using a disability rating determined by your doctor. The higher the rating you qualify for, the larger your payout will be.

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Permanent Total Disability (PTD)

PTD benefits provide lifetime wage replacement (or to retirement age depending on the state) for the most severe injuries.

Includes workers who will never be able to return to any form of gainful employment.  For example:

  • Severe brain injuries
  • Spinal cord damage
  • Loss of multiple limbs
  • Total blindness

The median days away from work due to a serious injury is 8 days according to BLS — but in the most severe cases, time off work can be forever.

Medical Treatment Coverage Explained

Workers’ comp covers 100% of your work-related medical treatment. No copay. No deductible. Period.

That coverage includes:

  • Emergency room visits
  • Surgery and hospital stays
  • Prescription medications
  • Physical therapy and rehab
  • Specialist appointments
  • Diagnostic tests like MRIs and X-rays
  • Medical equipment (braces, crutches, wheelchairs)
  • Travel to and from medical appointments

The catch?

Injured workers in most states must see an approved doctor — at least in the beginning. Seeing someone outside the network without permission could jeopardize your medical coverage.

And this is one of the simplest ways insurers will deny you a claim.  They say treatment was not authorized, therefore they won’t pay.

That’s why EVERY doctor visit, RX, appt needs to be recorded and put through channels.

Vocational Rehabilitation Benefits

Here’s an often-forgotten benefit…

Vocational rehabilitation will assist injured workers back into the workforce when they are unable to return to their previous employment. Vocational rehab benefits may include:

  • Job retraining programs
  • Career counseling
  • Skills assessments
  • Education or certification courses
  • Job placement assistance

Why does this matter? Because workplace injuries cost the US $176.5 billion in 2023.

Vocational rehab benefits reduce that expense by returning injured workers to productive employment — sometimes in an entirely new career.

Death Benefits & Other Hidden Coverage

This is the part of workers’ comp no one wants to think about.

Fatalities at work continue to occur at alarming rates. In 2024, a worker died every 104 minutes due to a work-related injury.

When the worst happens, workers’ comp death benefits provide for the worker’s family.

These benefits typically include:

  • Weekly payments to surviving spouses
  • Payments to dependent children (often until age 18 or college graduation)
  • Funeral and burial expense coverage
  • Lump-sum payments in certain cases

This differs state by state, but generally is equivalent to the disability benefits that the worker would have collected.

There are also some lesser-known benefits worth knowing about:

  • Mileage reimbursement for travel to medical appointments
  • Penalty payments when insurers delay or wrongfully deny claims
  • Settlement options to close out a claim in one lump-sum payment

Many thousands of dollars can be added to a final claim payout with these extras. Most workers just leave that money behind by not even knowing to ask.

Bringing It All Together

Workers’ comp offers injured employees a total safety net . . . if they know what benefits they’re entitled to.

The full benefit package includes:

  • Wage replacement (TTD, TPD, PPD, PTD)
  • Full medical coverage
  • Vocational rehabilitation
  • Death benefits for families
  • Plus several lesser-known extras

The cardinal sin? Agreeing to the first offer the insurance company makes without asking yourself what’s left off the list.

If you only recover lost wages on your workers comp claim, that can be worth tens of thousands. Add medical, rehab, and other benefits on top of that and your claim could be worth a life-changing amount.

Anyone dealing with a workplace injury should:

  • Report the injury immediately
  • Get medical attention through an approved provider
  • Document everything in writing
  • Get legal advice before signing anything

The perks are there for a purpose. The challenge is ensuring that you take advantage of all of them.

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