Workers With Pre-Existing Conditions May Be Eligible for Workers’ Compensation Benefits

Each state has its own workers’ compensation statutes, therefore laws regarding pre-existing conditions vary. Employers often try to dissuade workers from filing a claim when there is a pre-existing injury. However, work-related aggravation of a pre-existing injury is generally covered under the Pennsylvania Workers’ Compensation Act (the Act).

Workers’ Compensation in Pennsylvania

Most employers in Pennsylvania are required to carry workers’ compensation insurance under the Act. As such, they must compensate employees for work-related injuries regardless of who was at fault for the accident. Workers’ compensation benefits in Pennsylvania include medical expenses, lost wages, specific loss, vocational rehabilitation, and death benefits.

To retain eligibility, employees generally must notify their employers of their injuries within 120 days of the workplace accident. It is advisable to provide the notice in writing with the date listed for proof of compliance. Employers may then accept or deny the worker’s claim for benefits.

Aggravation of a Pre-Existing Condition

Generally, injuries must be work-related to qualify for workers’ compensation. However, a pre-existing condition does not need to be; it could be an injury from a previous car accident, a medical procedure, or even the natural aging process. All a worker must show is that the new work-related injury worsened his or her pre-existing condition.

Under the Act, a pre-existing condition is compensable if it was aggravated by the injured employee’s work activities or environment. The condition does not need to be visible, nor is the employee required to have previous knowledge of it.

Some common types of pre-existing injuries include:

Pre-Existing Condition Claims Are Often Denied

Employers may choose to deny workers’ compensation claims for various reasons, including:

  • The claim was not filed within the statutory time limit
  • Vital information was missing or inaccurate
  • The employer disputes that the injury took place at work or was work-related

Employers and their insurance companies often deny claims for pre-existing conditions by claiming that the injury was not work-related, but rather a result of the pre-existing injury’s natural progression. Employees with pre-existing injuries that were aggravated by their work activities or environment are eligible for workers’ compensation benefits. However pre-existing injury claims are typically more complex than the average workers’ compensation claim; therefore, workers are advised to seek qualified legal counsel for assistance. The Philadelphia workers’ compensation lawyers at Larry Pitt & Associates, P.C. know what it takes to file a successful claim, both initially and on appeal.

Appealing a Denied Workers’ Compensation Claim for a Pre-Existing Condition

Workers whose claims have been denied may still be able to obtain benefits. The original appeal, plus two copies, must be mailed to the Workers’ Compensation Appeal Board (WCAB) and postmarked within 120 calendar days of the Circulation Date listed on the initial decision. A statement of the grounds upon which the appeal is based must also be included, along with a copy of the initial decision and proof of service.

Workers and employers are both given an opportunity to appear before the WCAB, which will then issue a written decision. The WCAB decision may be further appealed within 30 days to the Pennsylvania Commonwealth Court, which will determine if an error was made, and issue a written decision.

A final appeal may be made to the Pennsylvania Supreme Court, which may decide whether to hear the case. If it decides to hear the case, their ruling is final and cannot be appealed.

Philadelphia Workers’ Compensation Attorneys at Larry Pitt & Associates, P.C. Help Workers Obtain Benefits for Pre-Existing Injuries

If your pre-existing injury was aggravated by your work duties or environment, contact a Philadelphia workers’ compensation attorney at Larry Pitt & Associates, P.C. Our experienced lawyers can help you navigate the workers’ compensation process in order to get the benefits you deserve. To discuss your case, call 888-PITT-LAW today to arrange a free consultation or contact us online.

We represent injured workers in Berks County, Bucks County, Chester County, Delaware County, Montgomery County, Philadelphia County and throughout Pennsylvania, including those in the communities of Abington, Ambler, Ardmore, Bala CynwydBensalem, Clifton Heights, Crum Lynne, Darby, Downingtown, Doylestown, Drexel Hill, Essington, Folcroft, Glenolden, Haverford, Havertown, Holmes, Kutztown, Lansdowne, Media, Merion Station, Morton, Narberth, Norristown, Norwood, Philadelphia, Prospect Park, Quakertown, Reading, Roxborough, Sharon Hill, Upper Darby, West Chester and Wynnewood.

Testimonials

“100% Happy”

Best Workman's Comp law firm in the Philadelphia area. 100% happy with the outcome of my case.

Donna Elmwood

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5.0
2019-02-19T18:18:09+00:00

Donna Elmwood

Best Workman's Comp law firm in the Philadelphia area. 100% happy with the outcome of my case.

“Guided Me Every Step of the Way”

One of the BEST Workman's Comp Lawyers in Philadelphia. Guided me every step of the way, with the positive and negatives that could happen in my case. So happy I stuck with Larry Pitt & Associates
Melinda Matson
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5.0
2019-01-31T17:30:27+00:00
Melinda Matson
One of the BEST Workman's Comp Lawyers in Philadelphia. Guided me every step of the way, with the positive and negatives that could happen in my case. So happy I stuck with Larry Pitt & Associates

“Prompt Responses”

Cannot thank you enough for your prompt responses and for solving my problems without allowing me to go through any stress whatsoever. I greatly appreciate your help with my work injury case.

Michele Leap

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2019-01-28T16:20:04+00:00

Michele Leap

Cannot thank you enough for your prompt responses and for solving my problems without allowing me to go through any stress whatsoever. I greatly appreciate your help with my work injury case.

“Very Knowledgeable”

Excellent, efficient service!!! Very knowledgeable staff!! Highly recommend

Sal Vito

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5.0
2019-01-24T15:27:15+00:00

Sal Vito

Excellent, efficient service!!! Very knowledgeable staff!! Highly recommend

“I am 110% Happy”

Larry Pitt's team is very professional. I am 110% happy with the outcome of mt case.

 

Melissa Yonkers

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5.0
2019-01-18T13:32:01+00:00

Melissa Yonkers

Larry Pitt's team is very professional. I am 110% happy with the outcome of mt case.  

“Very Professional”

Answered or returned calls and emails in a timely fashion. The employees at this firm are working for us the employee, not the employers. Very professional.

Anna Diaz

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5.0
2019-01-15T14:51:34+00:00

Anna Diaz

Answered or returned calls and emails in a timely fashion. The employees at this firm are working for us the employee, not the employers. Very professional.

“They Go Above and Beyond”

The staff of Larry Pitt & Associates cannot be more helpful when going through a tremendously tough time. They are there for you and have answers for you before you even ask. They go above and beyond and are always on top of their game. Their time, consideration and professionalism are more than anyone can ask for. Highly recommend them and their services they provide!

Terri Delaney

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5.0
2018-12-10T13:17:05+00:00

Terri Delaney

The staff of Larry Pitt & Associates cannot be more helpful when going through a tremendously tough time. They are there for you and have answers for you before you even ask. They go above and beyond and are always on top of their game. Their time, consideration and professionalism are more than anyone can ask for. Highly recommend them and their services they provide!

“Best Worker’s Compensation Law Firm in Pennsylvania”

If you're in need of a Worker's Compensation lawyer, do not doubt that Larry Pitt and Associates is the Best Worker's Compensation Law Firm in Pennsylvania

Ryan Hoffman

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5.0
2018-11-16T18:57:03+00:00

Ryan Hoffman

If you're in need of a Worker's Compensation lawyer, do not doubt that Larry Pitt and Associates is the Best Worker's Compensation Law Firm in Pennsylvania

A friend recommended Larry Pitt and associates to me after being hurt at work.

A friend recommended Larry Pitt and associates to me after being hurt at work. They were incredibly compassionate and handled my case professionally with an outstanding outcome.

D.R., client

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5.0
2018-11-16T16:12:21+00:00

D.R., client

A friend recommended Larry Pitt and associates to me after being hurt at work. They were incredibly compassionate and handled my case professionally with an outstanding outcome.

“Thank you for being so professional..”

"Thank you for being so professional in the way you and your staff handles my case. I am a little late showing my appreciation, but thank you so much. If I ever need someone to represent me again, you would be the ones!"

Annette P. Walls

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2018-11-16T15:51:00+00:00

Annette P. Walls

"Thank you for being so professional in the way you and your staff handles my case. I am a little late showing my appreciation, but thank you so much. If I ever need someone to represent me again, you would be the ones!"
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