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To qualify, injured workers must have an impairment rating of 15% or greater, be out of work or earning less than 80% of what they made before the injury, show that they are looking for work, and have not accepted a lump sum payment for their injury.

If an employee gets sick or injured at work, workers' comp benefits pay for medical expenses related to the resulting injury. Those expenses include doctors' visits, medical tests (e.g. x-rays, blood tests), rehabilitation, emergency room care, hospital stays, and in some cases, even transportation costs.

You must get a referral from your treating doctor before going to a specialist. Network providers may not bill you for medically necessary care for a work injury. But if you go to a doctor or hospital outside your network without approval, the network may deny payment and you might have to pay the bill yourself.

Under workers' compensation law, an injury or illness is covered, without regard to fault, if it was sustained in the course and scope of employment, i.e., while furthering or carrying on the employer's business; this includes injuries sustained during work-related travel.

Texas is the only state which does not require coverage. However, there are exclusions to this rule for some employers listed below: Any public employer including cities, counties, state agencies and state universities. Building and construction contractors for public employers.

Coverage to Employees Employers must tell their employees that they carry workers' compensation insurance by providing a written notice of coverage to new employees upon hire. The written notice must inform employees of their right to reject workers' compensation coverage and retain their common law right of action.

As stated in the Texas Labor Code, you have the right to choose your treating doctor in a workers' compensation claim. If, following your injury or illness, you were seen by the company doctor, then you only have 10 days to find a different doctor otherwise the company doctor becomes, by law, your treating doctor.

You can refuse to attend the Occupational Health service but this may mean that further management action is taken without the benefit of medical advice. You should discuss any concerns you have about the assessment with your manager. You can also contact Occupational Health for more information about the assessment.

Texas, unlike other states, does not require an employer to have workers' compensation coverage. Subscribing to workers' compensation insurance puts a limit on the amount and type of compensation that an injured employee may receive - the limits are set in the law.