Effective date: September 1, 2016
Application: All claims.
Policy subject: Health care services – general
To establish entitlement and guidelines for the provision of health care services to injured workers.
Medical Aid, also referred to as health care, means “the provision of medical and surgical aid, of hospital and professional nursing services, of chiropractic and other treatment and of prosthetics or apparatus” (Section 2(1)(v) of The Workers’ Compensation Act, 2013 (the “Act”)).
Health Care Professional, also referred to as a health care provider, means “a physician, dentist, chiropractor, optometrist, psychologist, occupational therapist, physical therapist, nurse or any other person who is registered or licensed pursuant to any Act to practise any of the healing arts” (Section 2(1)(p) of the Act).
Evidence-Based Practice means the use of accepted external clinical evidence and individual clinical expertise in making decisions about the diagnosis and care of a patient by a health care professional.
POL 05/96 Health Care Services
POL 57/80 Medical Fees – Extra Billing
PRO 18/2016 Health Care Services
POL 02/1997 Health Care Services Fees
POL 08/2014 Continuum of Care
POL 08/96 Return-to-Work Plans
POL 11/2019 Medication Coverage
PRO 11/2019 Medication Coverage
POL 05/2017 Privacy of Information
POL 04/2021 Travel Expenses - General
PRO 06/2017 Authority for Disclosure
All medical fees procedures.
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