COMPARISON OF WORKERS' COMPENSATION ARRANGEMENTS
BENEFITS
WESTERN
AUSTRALIA
QUEENSLAND
TASMANIA
NORTHERN
TERRITORY
A.C.T.
NEW ZEALAND
$39,182.70 (i.e.
(a) Medical and
No limit all
No limit all
The employer is
Full costs of public
30% of the
rehabilitation: no
reasonable costs
reasonable costs
liable to pay for the
health acute
prescribed
limit all
cost of medical
Entitlements cease
services are met by
amount)
reasonable costs
treatment
ten years after the
ACC and residual
In certain
(b) Private
reasonably
date the claim was
insurers, with
circumstances, at
hospitalisation cost
obtained in relation
lodged
services provided
the discretion of
for any one
to the injury an
exclusively by
the Conciliation
incident:
amount of
public hospital and
and Review
$10,000.00 limit
compensation
health services. If a
Directorate, an
appropriate for the
treatment is other
In special
additional amount
provision of the
than a `public
circumstances, a
of up to $50,000.00
medical treatment,
health acute
further $10,000.00
may be granted
having regard to
service', and is one
may be granted
the charges
of the types of
customarily made
treatment set out
for similar
in regulation, then
treatment.
the set amount is
S 70(1)(a)
payable. If a
However the total
treatment is not
amount payable for
regulated or
each of the
covered by a
following must not
contract
be more than the
agreement, then
maximum amount:
the actual cost is
for the cost of
paid. Treatment
medical treatment
must be necessary
consisting of the
and appropriate.
repair or
replacement of a
worker's contact
lenses, crutches,
prosthesis,
spectacles, or
other artificial aid.
S 70(2)(a).
The maximum
amount: an
amount agreed
between the
worker and
employer of, any
other case, $500
(cpi indexed).
Section S 70(3).
Rates are
Medical
Prescribed fee, or
Reasonable fees
Medical Fees:
1. Acute (Hospital)
prescribed by
Practitioners based
if no fee prescribed,
for medical and
assessed having
services: Annual
regulation
on Medicare
service provider
like services
regard to the
levy payment to
following
Benefits Schedule,
must not charge
charges (includes
the Ministry of
negotiation with
and calculated as
fee in excess of fee
wages lost,
Health
the relevant body
Scheduled Fee plus
normally charged
transport &
2. Primary Care
27.5% for all
for that service in
accommodation
Rates:
consultations and
the general
expenses incurred
Prescribed by
procedures
community (taking
by injured worker)
regulation
Allied Health and
into account any
customarily made
3. Elective Services:
other services
discount that
for similar medical
Contract with
Table of Costs,
would normally be
treatment in the
provider
developed in
applicable)
place where that
consultation with
treatment is
4. Services not
service providers,
obtained. S 70(1)(4)
covered by
outlines fees and
regulation or
conditions
contract: Full
cost paid
Heads of Workers' Compensation Authorities 25