Dis­pute over pay­out

Southern Gazette (South Perth) - - FRONT PAGE -

A COMO man says an In­surance Com­mis­sion of WA (ICWA) de­ci­sion not to pay out 100 per cent of his claims af­ter a no-fault crash this year is not ac­cept­able.

Fees for Al­lied Health providers and ICWA paid in ac­cor­dance to the fees set.

“The In­surance Com­mis­sion pays the rea­son­able cost of treat­ment in ac­cor­dance with the WorkCover fees,” he said.

He said some providers charged be­yond what ICWA would re­im­burse and prospec­tive pa­tients should seek pric­ing be­fore start­ing treat­ment.

“Some Al­lied Health providers seek to charge in ex­cess of the WorkCover fees, and claimants are ad­vised to con­sult the treat­ment provider be­fore com­menc­ing treat­ment to con­firm they in­voice WorkCover fees,” he said.

Mr Arm­strong said he did not ac­cept the ex­pla­na­tion.

“They say to go and find a provider that will charge the amount (ICWA) pays out… but I had just had an ac­ci­dent, I was in pain, it was not a good time,” he said.

“The in­surance says you are cov­ered when you’re not. Are you sup­posed to be a lawyer be­fore you have an ac­ci­dent? It’s non­sense.”

Pic­ture: Marie Nirme www.com­mu­ni­typix.com.au d456151

Como res­i­dent Gra­ham Arm­strong.

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