Claiming out of pocket expenses

If you have a severe injury and you’re a Lifetime Care participant or worker in the Workers Care Program we can reimburse you for approved services and treatment

We prefer service providers to invoice us directly for your treatment and services, but we understand this isn’t always possible.

We can reimburse you for approved treatment and rehabilitation services that you have paid for yourself.

You can make a claim for reimbursement by sending us an expense claim form or having someone else send it on your behalf. Your icare coordinator can provide you with a copy of the form, or you can download one below.

Before you make any payments, you should check that the expenses can be reimbursed and seek verbal approval before paying if possible.

There are exceptional circumstances where obtaining approval beforehand is not possible, such as a medical appointment at short notice. If this happens, talk to your icare coordinator as soon as possible.

Expense claim forms

To make a claim for reimbursement you must submit the relevant expense claim form.

If you are a participant in Lifetime Care, you must send a Participant Expense Claim (PEC) form. If the expense is related to your motor accident injury and considered reasonable and necessary, we will reimburse you.

If you are a worker in the Workers Care program, you must send a Workers Expense Claim (WEC) form. If the expense is related to your workplace injury and considered reasonably necessary, we will reimburse you.

    Lifetime Care Participant Expense Claim (PEC)

  • Expenses you can claim

    Types of expenses you can claim include:

    • Mileage and fares for travel to your approved treatment and care appointments
    • Injury-related medicines you buy before a pharmacy account is set up
    • Injury-related medical appointments arranged at short notice.

     

  • What to include

    You need to include all of the following information so the PEC can be processed.

    Date

    The submission date of the form.

    Person to be reimbursed

    The name and details of the person who will be reimbursed − this could be you or someone else. If it’s someone else, write down their relationship to you on the PEC.

    Receipts

    A tax invoice, receipt or fare ticket. We will accept digital copies but you must keep the original for auditing purposes.

    Travel

    If you are claiming for travel, you must include:

    • For mileage: The start and end destination, the total kilometres per trip (based on the shortest most direct route) and the reason for the trip. (For example, ‘Appointment from A to B and back, 75km return, Dr Smith rehabilitation specialist’)
    • For parking: The receipt/parking ticket and the reason why the parking was needed
    • For tolls: The name of the motorway used, tolls charged, the date of travel and the reason why the motorway was required
  • Submitting your form

    You should send in a PEC within three months of paying for the expense. You don’t have to submit a form every time you pay for something – one form can cover several expenses.

    You can send the form to us by email or post to:
    Email: ltcspecs@icare.nsw.gov.au
    Mail: Lifetime Care
    GPO Box 4052
    Sydney, NSW 2001
  • Next steps
    Your icare coordinator will review the PEC to make sure the items you are seeking reimbursement for meet the criteria.
    You’ll be advised if there are any items that can’t be reimbursed.
    Payment will be made by electronic funds transfer into the nominated bank account within 30 days.

    Workers Expense Claim (WEC)

  • Expenses you can claim

    Types of expenses you can claim include:

    • Mileage and fares for travel to your approved treatment and care appointments
    • Injury-related medicines you buy before a pharmacy account is set up
    • Injury-related medical appointments arranged at short notice.

  • What to include

    You need to include all of the following information so the WEC can be processed.

    Date

    The submission date of the form.

    Person to be reimbursed

    The name and details of the person who will be reimbursed − this could be you or someone else. If it’s someone else, write down their relationship to you on the WEC.

    Receipts

    A tax invoice, receipt or fare ticket. We will accept digital copies but you must keep the original for auditing purposes.

    Description

    Include a brief description of the item or service you have paid for.

    Travel

    If you are claiming for travel, you must include:

    • For mileage: The start and end destination, the total kilometres per trip (based on the shortest most direct route) and the reason for the trip (For example, ‘Appointment from A to B and back, 75km return, Dr Smith rehabilitation specialist’)
    • For parking: The receipt/parking ticket and the reason why the parking was needed
    • For tolls: The name of the motorway used, tolls charged, the date of travel and the reason why the motorway was required.
  • Submitting your form

    You should send in a WEC form within three months of paying for the expense. You don’t need to send in a form each time you pay for something – one form can be used to claim multiple expenses.

    You can send the form to us by email or post to:
    Email: wecs.workers-care@icare.nsw.gov.au
    Post: Workers Care Program
    GPO Box 4052
    Sydney, NSW 2001
  • Next steps
    • Your icare coordinator will review your WEC form to make sure the services you’re seeking reimbursement for meet the criteria.
    • You’ll be advised if there are any items that can’t be reimbursed.
    • Payment will be made by electronic funds transfer to your nominated account within 15 days.

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