Does Having Surgery Increase Workers’ Comp Settlement in Florida?

When you’re dealing with a workplace injury, one of the questions you may have is, “does having surgery increase workers’ comp settlement?” It’s a valid question, especially if you’re facing the financial strain of medical bills and time off work.

In Florida, undergoing surgery can indeed impact your settlement, but the outcome depends on factors like the severity of your injury, the costs associated with the procedure, and how your recovery affects your ability to return to work. This blog will break down how surgery influences Florida workers’ compensation settlements, providing insights to help you understand the process.

How Surgery Impacts the Value of a Workers’ Comp Settlement

Surgery often leads to higher workers’ compensation settlements because it signals a more serious injury. Florida workers’ compensation laws focus on compensating injured workers based on medical expenses, lost wages, and the long-term effects of an injury. When surgery is necessary, it typically increases medical costs, which are factored into your settlement.

Additionally, surgery often results in longer recovery times and may lead to permanent restrictions or disabilities. These factors can significantly influence the amount offered in your settlement. Employers and insurance companies consider the overall impact of your injury on your ability to work and your quality of life when determining the settlement amount.

Factors That Influence Settlement Amounts After Surgery

Several factors determine how much your settlement increases after surgery. These include:

1. The Severity of Your Injury

If your injury requires surgery, it’s likely more severe than injuries treated with physical therapy or medication alone. Severe injuries often lead to higher settlements because they involve more extensive medical care and longer recovery times.

2. Medical Costs

Surgery adds substantial expenses to your claim, including hospital stays, the surgeon’s fees, follow-up appointments, and physical therapy. These costs are included in the calculation of your settlement.

3. Lost Wages and Reduced Earning Capacity

If surgery and recovery prevent you from returning to work for an extended period—or if you cannot return to your previous job due to permanent restrictions—this loss is reflected in the settlement.

4. Permanent Impairment Rating

After surgery, a doctor will evaluate your recovery and assign a permanent impairment rating if your injury leads to lasting effects. This rating directly impacts the value of your settlement.

5. Future Medical Care

Some surgeries may require additional procedures or ongoing care, which can increase the settlement amount to account for these future costs.

Temporary Disability Benefits During Recovery

In Florida, workers’ compensation provides temporary total disability (TTD) or temporary partial disability (TPD) benefits to cover lost wages while you recover. These benefits replace a portion of your income until your doctor determines you’ve reached Maximum Medical Improvement (MMI).

Surgery often prolongs the time before you reach MMI, meaning you may receive TTD or TPD benefits for a longer period. This extended benefit period may also influence the final settlement amount, as it reflects the extended impact of your injury.

The Role of Maximum Medical Improvement (MMI)

Maximum Medical Improvement is a key milestone in your Florida workers’ compensation claim. MMI is the point when your doctor determines that your condition has stabilized, even if you haven’t fully recovered. After reaching MMI, your doctor will assess any permanent impairments resulting from your injury.

If your surgery leads to a high permanent impairment rating, your settlement is likely to increase. Permanent impairments account for the lasting impact of your injury on your ability to work and live comfortably.

Challenges in Settling a Workers’ Comp Claim After Surgery

While surgery can increase your settlement, it may also introduce challenges to the negotiation process. Insurance companies often scrutinize the necessity of surgery and may argue that less invasive treatments would have sufficed. They might also dispute the severity of your injury or the long-term impact of the surgery to reduce their payout.

It’s important to document every aspect of your medical treatment and recovery process. Detailed records from your doctor and other medical providers strengthen your case and provide evidence of the necessity and outcomes of your surgery.

Steps to Take After Surgery to Protect Your Claim

After surgery, it’s vital to take the right steps to protect your workers’ compensation claim and maximize your settlement:

• Follow Your Doctor’s Orders: Adhering to your treatment plan shows that you’re making a good-faith effort to recover, which can strengthen your claim.
• Keep All Medical Records: Detailed documentation of your surgery, follow-up visits, and rehabilitation will support your case during settlement negotiations.
• Document Your Recovery: Keeping a journal of your pain levels, physical limitations, and progress during recovery can provide valuable evidence.
• Communicate with Your Employer and Insurance Carrier: Regular updates ensure that everyone involved in the claim is aware of your medical status and work restrictions.

When to Seek Legal Guidance

While Florida’s workers’ compensation system is designed to provide benefits for injured employees, the claims process can be complex, especially when surgery and long-term recovery are involved. If you’re unsure about your settlement offer or feel that the insurance company is undervaluing your claim, consulting with a Fort Lauderdale workers’ compensation lawyer can make a significant difference.

Your attorney can evaluate your case, negotiate with the insurance company, and advocate for fair compensation based on your circumstances.

In Florida, surgery often leads to higher workers’ compensation settlements because it signifies a severe injury and adds substantial medical costs to your claim. However, the increase depends on various factors, including the extent of your injury, the success of your recovery, and the long-term effects on your ability to work.

Recognizing how surgery impacts workers’ compensation claims can give you the confidence to handle the process effectively. If you have questions about your specific situation, consulting with a Fort Lauderdale workers’ compensation lawyer can provide clear answers and direction tailored to your case.

Find Out How Surgery May Impact Your Workers’ Comp Settlement

Facing the challenges of a workers’ compensation claim after surgery can feel overwhelming, especially when you’re unsure how it affects your settlement. At Lyle B. Masnikoff & Associates, we understand the stakes involved and are here to advocate for you.

Our Florida workers’ comp attorneys focus on helping injured employees like you address the complexities of your case. From negotiating settlements that account for your medical expenses to addressing disputes with your employer or insurance company, we’re dedicated to protecting your rights.

If you’ve had surgery related to your workplace injury and want clarity on your settlement options, let us guide you through your next steps. Call us today at (561) 598-7122(561) 598-7122 or visit our website to schedule a free, confidential consultation. We’ll review your case, outline your options, and help you work toward a fair resolution.

Don’t wait to take control of your case—contact Lyle B. Masnikoff & Associates today.

Let us go the extra mile for you!

Copyright © 2024. Lyle B. Masnikoff & Associates, P.A. All rights reserved. 

The information in this blog post (“post”) is provided for general informational purposes only and may not reflect the current law in your jurisdiction. No information in this post should be construed as legal advice from the individual author or the law firm, nor is it intended to be a substitute for legal counsel on any subject matter. No reader of this post should act or refrain from acting based on any information included in or accessible through this post without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer licensed in the recipient’s state, country, or other appropriate licensing jurisdiction.

Lyle B. Masnikoff & Associates, P.A.
1645 Palm Beach Lakes Blvd #550
West Palm Beach, FL 33401
(561) 598-7122(561) 598-7122
https://workerscompfl.net

Lyle B. Masnikoff & Associates, P.A.
7380 Sandlake Road, Suite 500
Orlando, FL 32819
(561) 598-7122(561) 598-7122
https://workerscompfl.net/

Lyle B. Masnikoff & Associates, P.A.
110 E Broward Blvd #1700
Fort Lauderdale, FL 33301
(561) 598-7122(561) 598-7122
https://workerscompfl.net/

Lyle B. Masnikoff & Associates, P.A.
543 NW Lake Whitney Place, Suite 106
Port St. Lucie, FL 34986
(561) 598-7122(561) 598-7122
https://workerscompfl.net/