justalurker66 wrote: ↑Mon Dec 20, 2021 12:09 am
I am not seeing that exclusion in my plan documents. Perhaps since you know my coverage so well you can tell me the section and paragraph number where I should look?
Seriously, your statement is overly broad. Are you claiming NO health insurance plan covers any injury that might also be covered by WC/FELA? Absolutely none?
When I went through the process 15 years ago for a workplace injury my company had a high deductible group plan. I claimed through workman's comp which had no deductible or out of pocket expenses. The cost of the emergency room visit and post injury physical therapy were less than the deductible so it would have been 100% out of pocket if I would have used the group plan whether the claim was approved or not. I have a better job with better insurance now.
I was injured at work for a now nearly gone department store chain - poor lighting and sloppy storage in back rooms. Fortunately, 911 was called right away, and management, albeit a bit unhappily, promptly filled out the WC paperwork.
Many years earlier, in a very odd case, I was a volunteer for a major NorthEast city and got hurt. 100% covered by WC because, more or less, I was considered an unpaid employee with only one major benefit other than a small uniform allowance - WC. Years before the city had tried to fight such a case, but lost, so when I needed, it wasn't a big deal. Though us volunteers were not supposed to know that we had coverage.