The Lifetime Care and Support Scheme pays for treatment, rehabilitation and care for people who have been severely injured in a motor accident in NSW.
We’re a no-fault scheme. This means we can provide support regardless of who was at fault in the accident, as long as you meet our eligibility criteria for both your motor accident and your injury.
Severe injuries that may be eligible for the Scheme include:
- Spinal cord injury
- Brain injury
- Permanent blindness
Injured people who are accepted into the Scheme are called ‘participants’. Participants can receive a range of services, including:
- Medical treatment
- Physiotherapy, occupational therapy, speech therapy and other forms of rehabilitation
- Aids and equipment
- Home and vehicle modifications
- Attendant care and domestic services
- Help to return to study or work
We use a person-centred approach to working with participants, which means we keep you at the centre of the process. Everyone’s journey to recovery will be different, which is why we’ll work with you to ensure your services are flexible and tailored to your life and needs.
We aim to empower participants by supporting them to have choice and control in identifying their goals and support needs.
Our goal is to help participants develop and maintain skills to maximise their independence and fully participate in their life and community.
How it works
If you meet the eligibility criteria for the Scheme, you’ll be accepted as an ‘interim participant’ and will receive support for two years.
This means we’ll pay for the ‘reasonable and necessary’ treatment, rehabilitation and care you need as a result of your injury. You’ll also be provided with a coordinator who’ll be your contact at icare and help you receive the right services.
Before you leave hospital, your treating team will work with you to identify and request the treatment, rehabilitation and care services you need to help you live at home and participate in your community.
Before getting home, you should also be introduced to your case manager. Once you’re at home, they’ll help you identify your goals and support needs for both now and the longer term.
Your case manager will help you choose appropriate people to provide the services you need and develop a plan with you to request approval of these services.
Towards the end of the two year period, an interim participant can apply to become a lifetime participant.
Becoming a lifetime participant means we’ll continue paying for treatment, rehabilitation and care services that are considered ‘reasonable and necessary’ and related to your motor accident injury for the rest of your life.
What we pay for
We pay for a range of treatment, rehabilitation and care services for participants. We can only pay for services that are considered ‘reasonable and necessary’ and related to your motor accident injury.
Whether a service request is for home modifications, physiotherapy, equipment or attendant care, it will be considered against our ‘reasonable and necessary’ criteria which include:
- How it relates to your goals and will benefit and enable you to participate more fully in your life and community
- How appropriate and suitable both the service and service provider are for your type of injury, your goals and individual needs and circumstances
- How cost-effective it is
- How it relates to your motor accident injury
Treatment, rehabilitation and care services can include things like:
- medical treatment including pharmaceuticals
- dental treatment
- ambulance transportation
- attendant care and respite services
- domestic assistance
- aids and appliances
- educational and vocational training
- home, vehicle and workplace modifications
- a range of other things.
There are certain things we can’t pay for. Please refer to our ‘reasonable and necessary’ information sheet for further details.
How we're funded
The Lifetime Care and Support Scheme is run by the Lifetime Care and Support Authority (which is a part of icare) and funded by a levy on NSW green slips (Compulsory Third Party insurance).
The Lifetime Care and Support Scheme was established under the Motor Accidents (Lifetime Care and Support) Act 2006.
ACT motor accident injuries
If you were severely injured in a motor accident in the ACT from 1 July 2014, you may be eligible for the ACT Lifetime Care and Support Scheme. Information about the ACT Scheme can be found at the ACT Treasury website.
icare lifetime care has an agreement with with the ACT Lifetime Care and Support Commissioner to pay for the treatment, rehabilitation and care for participants of the ACT Scheme on behalf of the Commissioner.