PTSD Workers’ Comp Claim: Is It Covered?

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PTSD Workers' Comp Claim: Is It Covered?

Michigan lawyer explains how a diagnosis of Post-Traumatic Stress Disorder should be covered under workers’ comp if related to employment activities.

Mental health is an important issue that does not get much attention in workers’ comp. We see people struggling every day from the demands of their jobs. Some have trouble coping with life after a traumatic event or trauma. This shows up in conflicts with friends, family, and co-workers. Many of these employees refuse to get help because of the stigma attached to mental illness and fear of losing their job. Here is some information about PTSD workers’ comp claims that Michigan employees should know about.

Post-traumatic stress disorder can occur after any perceived traumatic event. Individuals suffering from this mental health condition are diagnosed by a medical professional. Symptoms include feeling upset, anxious, jittery, numb, losing interest in activities, and avoiding situations. Some people have vivid memories, nightmares, flashbacks, and panic attacks. Post-traumatic stress disorder can change behavior and lead to drug or alcohol abuse. Relationships with friends and family members can be impacted. It is usually treated with medication and counseling.

Is PTSD covered by workers’ comp in Michigan?

In Michigan, PTSD workers’ comp claims are covered for employees when they suffer from this disorder due to work related activities. All medical treatment is covered 100% without any copayments or deductibles being owed. This includes prescription medications and therapy if needed.

Employees can also collect lost wages. The amount paid should equal 80% of their after-tax average weekly wage. A good rule of thumb is to estimate about 60% of gross wages is owed subject to a state-wide weekly maximum. This money is income tax free.

Common PTSD Workers’ Comp Claims

Some jobs are particularly dangerous or involve witnessing horrific events. This includes police officers, firefighters, and emergency medical technicians (EMT). Any high stress job can put employees at risk of developing post-traumatic stress disorder.

It is also common for employees who suffer from workplace accidents to develop this mental health condition. This is especially true for employees who suffer from an amputation of a body part. Going back to operating a machine or even just entering the factory can bring on signs and symptoms of the disorder.

Some of our clients experience terrible events in their everyday jobs. They witness gruesome accidents, illness, and death. Doctors and nurses are especially vulnerable. We are seeing this first-hand with a recent influx of front-line responders who developed this mental health condition after treating Covid-19 patients.

Getting robbed or assaulted on-the-job is another life event that can lead to post-traumatic stress disorder. Having to return to a store location and face similar danger is just too much.

What is the average workers’ comp PTSD settlement?

In Michigan, there isn’t a specified average workers’ comp PTSD settlement. Statistics published by the Workers’ Disability Compensation Agency show the average redemption amount was just $62,315.56 in 2022.

What is known, however, is that in those cases where a worker’s mental trauma – such as post traumatic stress syndrome – require permanent work restrictions and medical care for the rest of his or her life, the settlement amounts are considerably higher.

Insurance Company/Employer Disputes

Post-traumatic stress disorder does not show up on an x-ray or MRI scan. There is no magic test to prove or disprove what an employee is feeling. A mental health professional will take a history, ask about symptoms, and make a diagnosis if appropriate.

Insurance companies do not want to take responsibility for mental health claims because of the potential amount of money that must be paid out. It is also common for employers to refuse even making the PTSD workers’ comp claim in Michigan. Do not suffer in silence. If you are suffering from this disorder due to work related activities contact an experienced Michigan workers’ comp lawyer if your benefits have been denied.

Suffering from post traumatic stress disorder due to work-related trauma? Contact our work injury attorneys now for a free consultation!

If you are suffering from PTSD due to work-related trauma in Michigan and have questions about a workers’ comp claim and settlement options, call now 844-418-1186 to speak with an experienced workers’ comp lawyer, or fill out our contact form for a free consultation. There is absolutely no cost or obligation. We’re here for you.

Our attorneys have been exclusively helping injured workers in Michigan for more than 40 years. Our attorneys can help you better understand workers’ comp laws and what happens after someone has been hurt on the job. To see what our own clients have to say about the caring, compassion, and communication they received from us, you can read in their own words about their experience here on our testimonials page from clients we have helped.

Michigan Workers Comp Lawyers never charges a fee to evaluate a potential case. Our law firm has represented injured and disabled workers exclusively for more than 35 years. Call (855) 221-2667 for a free consultation today.

Related information:

Can I Sue My Employer For A Workplace Injury?

Author Bio Jeffrey Kaufman

Author
Jeffrey E. Kaufman
Michigan Workers Comp Attorney

Jeffrey E. Kaufman has extensive experience in workers compensation cases and has recovered millions of dollars in benefits for his clients. He believes all injured workers deserve to be on equal footing with insurance companies and employers, and fights tenaciously so their rights are secured and protected.


“Jeff also helped me with getting my Blue Cross bills paid. I would absolutely recommend him and the whole firm. Jeff and the firm did everything they were supposed to do for me and my case.”
Ricardo Perfetto

Hundreds of 5-Star Reviews

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Get Help From our Michigan Workers’ Comp Lawyers Today

You’re not alone. Our Michigan workers’ comp lawyers have been called the best in the state, and our clients love how they’re treated with care, respect, and responsiveness. We will give you the time you need, we will explain your legal rights, and we will always treat you with respect.

Our workers’ compensation and Social Security disability lawyers always put your needs first. Get to know your legal team.

Our attorneys post regularly about common issues related to workers’ comp, including common injuries, settlement calculations, laws, and more.

Injured? It’s Time to Get Some Answers

Don’t let the insurance adjuster push you around. Request your free consultation today.

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This field is for validation purposes and should be left unchanged.

Our attorneys post regularly about common issues related to workers’ comp, including common injuries, settlement calculations, laws, and more.

Our workers’ compensation and Social Security disability lawyers always put your needs first. Get to know your legal team.