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How Can Pre-Existing Conditions Affect a Worker’s Compensation Claim?

Written by Ryan Terrey
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Pre-existing conditions often feel like the skeletons in the closet of workers’ compensation claims. Whether it’s an old back injury or recurring anxiety, many workers fear that these conditions will completely derail their chances of a successful claim. The good news? That’s not necessarily true. While pre-existing conditions can add some complexity, they don’t have to shut the door on your Brisbane WorkCover claim. 

Key Takeaways

  • You can still claim compensation if a work-related incident aggravates a pre-existing condition.

  • Transparency about your medical history is essential to avoid disputes.

  • Medical evidence plays a critical role in proving work-related aggravation.

  • Employers are liable for work-related injuries, even if a pre-existing condition is involved.

  • Seeking legal advice early can help you navigate complex claims. 

What Are Pre-Existing Conditions?

Pre-existing conditions are any injuries or illnesses that existed before starting your job or before the workplace incident. Think of them as the “greatest hits” of your medical history—like that dodgy knee from a high school rugby game or the back pain you’ve been managing for years.

Some common examples include:

  • Chronic back pain or arthritis.

  • Mental health conditions such as anxiety or depression.

  • Previous injuries, like a torn ligament or a broken bone.

While these conditions might complicate claims, they don’t automatically disqualify you from receiving compensation.

 

How Pre-Existing Conditions Impact Workers’ Compensation Claims

1. Aggravation vs. New Injury

A key question in pre-existing conditions claims is whether your work aggravated an existing issue or caused a new one.

  • Aggravation: If your job worsens a condition, this is often compensable. For example, lifting heavy boxes could exacerbate chronic back pain.

  • New Injury: The claim is more straightforward if your workplace caused an entirely new injury.

The distinction matters because it determines the level of compensation and the evidence required. 

2. Increased Scrutiny by Insurers

When pre-existing conditions are involved, insurers tend to dig deeper. They might argue that your condition is unrelated to work or that your symptoms aren’t as severe as claimed.

  • Expect requests for detailed medical reports.

  • Insurers often compare your condition with past records to determine if work contributed to the injury.

3. Partial Liability

In some cases, an employer’s liability may be limited to the portion of the injury directly related to your job. For example:

  • If you had chronic back pain that worsened due to work, the employer might only be responsible for the “aggravation” rather than the full extent of the condition.

 

Listicle: Myths About Pre-Existing Conditions and Compensation

  1. Myth: You can’t claim if you have a pre-existing condition.
    Reality: You can if your work contributed to or worsened the condition.

  2. Myth: Insurers will permanently deny claims involving pre-existing conditions.
    Reality: Proper medical evidence can counteract insurer objections.

  3. Myth: You should hide your pre-existing condition from your employer.
    Reality: Transparency is crucial and can protect you in the long run.

  4. Myth: Compensation is only for visible injuries.
    Reality: Conditions like chronic pain and mental health issues are also compensable.

"Your pre-existing condition doesn’t cancel your right to fair compensation—it just means the road might have a few more twists and turns." 

Steps to Strengthen Your Workers’ Compensation Claim

1. Be Transparent About Your Medical History

It might be tempting to omit details about pre-existing conditions, but honesty is the best policy. Failing to disclose could harm your credibility and weaken your claim.

2. Gather Strong Medical Evidence

The success of your claim often hinges on detailed medical reports. Your doctor needs to outline:

  • The baseline of your pre-existing condition before the workplace incident.

  • How work has aggravated the condition.

3. Consult a Workers’ Compensation Lawyer

Navigating a claim with a pre-existing condition can feel like an uphill battle. A specialised lawyer can:

  • Help you gather the proper evidence.

  • Negotiate with insurers who may try to minimise payouts.

  • Ensure your claim is as strong as possible from the start. 

How AMK Lawyers Can Help

Dealing with a Brisbane WorkCover claim involving pre-existing conditions can be overwhelming, but you don’t have to go it alone. AMK Lawyers specialise in navigating the complexities of these cases.

Their team provides:

  • Clear guidance on your rights.

  • Assistance with gathering the evidence needed to strengthen your claim.

  • Expert negotiation with insurers to maximise your compensation.

With AMK Lawyers, you’ll receive personalised support tailored to your unique situation, ensuring you feel empowered every step.

Conclusion

Pre-existing conditions don’t disqualify you from making a workers’ compensation claim, but they do add layers of complexity. You can confidently navigate the process by being transparent, collecting strong medical evidence, and seeking expert legal advice.

If you’re dealing with a Brisbane workcover claim and need help understanding your rights, contact AMK Lawyers today. Their expertise can make all the difference in achieving the outcome you deserve.

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