MMR (Maximum Medical Recovery)
WSIB Policy “ Workers reach maximum medical recovery (MMR) when they have reached a plateau in their recovery and it is not likely that there will be any further significant improvement in their medical impairment.”
I would like to start the discussion on reaching MMR (Maximum Medical Recovery)
When I reached MMR, I was no longer entitled to benefits to manage my pain, and/or strengthen my arms as WSIB determined I was irreversibly injured. Reaching MMR seemed like a death sentence…I know when you reach MMR you might be entitled to NEL (Non Economic Loss) settlement but that’s another discussion.
WSIB cut off everything but medication. Therefore after all these years with no help with physiotherapy, etc my pain level has worsened and my strength has decreased severely. I am left with only meds to survive. Now my condition is worse than when all this began.
I know many others are in the same predicament. Let’s talk about it. Does anyone know the MMR policy and know how (if it’s possible) to get help even if you have reached MMR? I have the same problem with my PTSD/depression and anxiety. They paid for counselling for me until I reached MMR. I was diagnosed with severe depression and anxiety but as soon as I reached MMR…I was cut off from seeing my psychologist.
I then crashed…lowest point in my life…but thankfully I called my psychologist and I’m back seeing her BUT I am paying for it. She is not charging me full price but even still…its more money coming out of my pocket every week because of a workplace injury.
Who else is in this boat? Does anyone know a way around it? Let’s talk!
My psychologist is amazing. And yes she does charge me on a sliding scale. I have gone through the system in Ontario for free psychologist/psychiatrist. But there is no comparison in the care that I receive from them to the psychologist that I've had (off and on) now for a couple of years.
A week ago I had a call from WSIB. I don't normally let my anger out during a telephone conversation. They still refuse to pay for my psychologist and will continue paying for antidepressants. The reason for my anger is that this WSIB employee stated that after a time a psychologist does not do you any good. My psychologist should have given me work to take home so it is no longer necessary for counselling. To which I replied ‘ but putting me on more and more antidepressants is better?’ I really don't mind paying for my psychologist as she is the best thing that's ever happened to me during this whole journey of pain and bureaucracy. However because of a workplace injury that I have severe depression post traumatic stress disorder and anxiety. Therefore, WSIB should be covering it. I don't think it should matter that I reached MMR. In fact I think it's even more necessary because I have reached MMR to receive counseling and help getting back into society and try to turn my life around. On a side note as well, being injured is a very expensive journey. We make less money and have to spend more not only on survival but on all the extras that it takes to get us through our days. So spending money on my psychologist, even though I know she is the best thing to happen to me, seems ludicrous as I have a workplace injury. WSIB paid for my psychologist until they deemed me reaching MMR and then cut me off immediately.
I was put on a waiting list at that time for our free system and it took 8.5 months to get an appointment. I crashed 5 months after not receiving any treatment. That’s when I contacted my psychologist to see if she would consider taking me back as a patient even though I didn’t have WSIB coverage. The ‘free’ system (which has nothing to do with WSIB) suggested yet another anti depressant (on top of the other ones I already take), and group Cognitive Behavior therapy which starts next month. It will be my 3rd cbt group therapy since this whole adventure began. I don’t begrudge the group therapy…it will do me good getting out of the house. But don’t you think it’s crazy that it would take that long to get in for an appointment with my diagnosis. Our system just don’t make sense…if I didn’t have the courage to call my psychologist when I crashed…who knows where I would be.