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Understanding Compensation for Spinal Cord Injuries in Kentucky

Slechter Law Firm
Doctor pointing at spinal cord of skeleton to explain to patient

Spinal cord injuries (SCI) are among the most catastrophic and life-altering injuries a person can experience. These injuries often lead to permanent disability, significant medical costs, and profound emotional and psychological challenges. 

Individuals who suffer spinal cord injuries due to accidents or incidents, whether in the workplace, due to motor vehicle accidents, or as a result of medical malpractice, may be entitled to compensation through various legal avenues, including personal injury claims, workers’ compensation, and disability benefits.

The following guide provides an in-depth look at how people who sustain spinal cord injuries are compensated in Kentucky. It explains the types of compensation available, the legal processes involved, and the challenges that individuals may face when seeking financial support for their injuries.

Read on to learn how Slechter Law Firm can help you with your personal injury.

Discussing Spinal Cord Injuries

A spinal cord injury occurs when there’s damage to the spinal cord that results in a loss of function, sensation, or movement below the level of the injury. These injuries can be categorized into two main types:

  • Complete spinal cord injury: This occurs when the spinal cord is fully severed or damaged, resulting in a total loss of function below the injury site.

  • Incomplete spinal cord injury: In this case, there’s partial damage to the spinal cord, and some sensation or movement may still be possible below the injury level.

The severity of the injury depends on the location and extent of the damage. Injuries that occur higher up on the spinal cord, such as in the cervical spine (neck), often result in quadriplegia, where there’s paralysis of all four limbs. Injuries to the thoracic, lumbar, or sacral regions of the spine typically result in paraplegia, affecting only the lower limbs.

Regardless of the type or severity, spinal cord injuries have significant long-term effects, including the need for extensive medical treatment, rehabilitation, home care, and assistive devices. For those injured in Kentucky, understanding the compensation options available can be crucial for securing financial support and improving quality of life post-injury.

Legal Process for Spinal Cord Injury Compensation in Kentucky

Individuals with spinal cord injuries may be eligible for compensation through several legal avenues. The type of compensation that an individual can pursue will largely depend on the circumstances surrounding the injury, such as whether an accident, workplace incident, or medical malpractice caused it.

 Below are the primary sources of compensation for spinal cord injuries in Kentucky.

Personal Injury Claims

A personal injury claim is a legal action taken by an individual who has suffered harm due to another party’s negligence or wrongful actions. If the spinal cord injury is caused by a car accident, a slip and fall incident, medical malpractice, or a defective product, the injured person (plaintiff) may be able to file a lawsuit against the at-fault party (defendant).

In Kentucky, personal injury claims are governed by a legal principle known as "negligence." To win a personal injury case, the plaintiff must prove that the defendant was negligent and that this negligence directly caused the injury. Common forms of negligence that lead to spinal cord injuries include:

  • Motor vehicle accidents: Drivers who operate vehicles recklessly or under the influence of drugs or alcohol may be held liable for the injuries they cause.

  • Slip and fall accidents: Property owners are responsible for maintaining safe premises. If they fail to do so and an individual falls, they may be held liable.

  • Medical malpractice: Healthcare professionals who fail to provide an acceptable standard of care, such as making a surgical error, may be liable for spinal cord injuries caused by their actions.

  • Defective products: Manufacturers or sellers of products that are defective or dangerous may be held accountable for injuries caused by their products.

Personal injury compensation typically covers the following:

  • Medical expenses: This includes the costs of surgeries, hospital stays, rehabilitation, and ongoing medical care.

  • Pain and suffering: Compensation for the physical and emotional pain experienced due to the injury.

  • Lost wages: If the spinal cord injury prevents the individual from working, compensation for lost income may be provided.

  • Loss of future earnings: In cases of severe disability, compensation may be awarded for the future earnings the injured person will lose due to the inability to work.

  • Loss of consortium: This compensates the family members of the injured person for the loss of companionship or support.

The statute of limitations for filing a personal injury claim in Kentucky is typically one year from the date of the injury. Therefore, it’s essential for individuals to consult with an attorney promptly to make sure that their claim is filed within the required time frame.

Workers' Compensation

Workers' compensation is a no-fault insurance system that provides benefits to employees who are injured on the job. Spinal cord injuries resulting from work-related accidents in Kentucky may qualify for workers' compensation, even if the injury occurred due to the worker's own actions.

Workers' compensation is designed to provide medical care, wage replacement, and rehabilitation services to employees who are injured on the job. For spinal cord injuries, this can be especially valuable, as the medical expenses and rehabilitation costs can be astronomical. The specific benefits provided under workers' compensation include:

  • Medical benefits: Workers are entitled to receive medical treatment that’s necessary to treat the injury, including surgeries, physical therapy, and long-term care.

  • Temporary disability benefits: If the worker is temporarily unable to work due to the injury, they may be eligible for wage replacement benefits. These benefits typically provide two-thirds of the worker’s average weekly wage.

  • Permanent disability benefits: If the worker’s spinal cord injury results in permanent disability, they may qualify for permanent partial or total disability benefits. The amount of compensation will depend on the severity of the injury and its impact on the worker’s ability to perform their job.

  • Vocational rehabilitation: In cases where the worker is unable to return to their previous job, vocational rehabilitation services may be provided to help the worker acquire new skills and find alternative employment.

Workers’ compensation claims must be filed promptly after the injury occurs. In Kentucky, the statute of limitations for filing a workers’ compensation claim is two years from the date of the injury. Workers must report their injury to their employer as soon as possible, and failure to do so may result in the denial of benefits.

Social Security Disability Insurance (SSDI)

Individuals with severe spinal cord injuries who are unable to work may also be eligible for Social Security Disability Insurance (SSDI). SSDI is a federal program that provides benefits to individuals who are unable to work due to a disability, including spinal cord injuries.

To qualify for SSDI, the individual must meet certain eligibility criteria, including having a sufficient work history and demonstrating that their injury prevents them from engaging in substantial gainful activity (SGA). The Social Security Administration (SSA) evaluates the severity of the injury and its impact on the individual’s ability to perform basic work activities.

Spinal cord injuries may qualify for SSDI benefits if they result in:

  • Quadriplegia or paraplegia: If the injury leads to full or partial paralysis, the individual may be eligible for SSDI benefits.

  • Inability to perform any work: If the injury prevents the individual from performing their previous job or any other type of work, they may qualify for SSDI.

SSDI benefits are based on the individual’s earnings history and can provide monthly financial support. The application process can be intricate, and many individuals experience delays or denials. For this reason, it’s advisable to seek the assistance of an experienced attorney to complete the SSDI application process.

Medicaid and Medicare

Spinal cord injury patients may also qualify for Medicaid or Medicare benefits, which provide health insurance coverage for individuals with limited income or those who have been receiving SSDI benefits for at least 24 months. 

Medicaid provides healthcare coverage for low-income individuals, while Medicare is a federal health insurance program for those aged 65 or older or those with certain disabilities.

Both Medicaid and Medicare can assist with the medical expenses related to spinal cord injuries, including hospitalization, surgeries, rehabilitation, and long-term care. However, these programs may have specific eligibility requirements, and individuals must apply separately for each program.

The Claims Process for Spinal Cord Injury Compensation

The process of seeking compensation for spinal cord injuries in Kentucky can vary depending on the type of claim being pursued. However, the general process for seeking compensation includes the following steps:

  1. Consultation with an attorney: It’s highly recommended that individuals consult with an experienced personal injury or workers’ compensation attorney to evaluate their case and determine the best course of action. An attorney can help gather medical records, evidence, and witness testimony to support the claim.

  2. Filing the claim: Once the appropriate type of claim has been identified (personal injury, workers’ compensation, SSDI), the individual must file the claim with the relevant insurance company or government agency.

  3. Medical documentation: Medical records and evidence are critical to proving the severity of the injury and its impact on the individual’s ability to work and function. Individuals may need to undergo medical evaluations to establish the extent of their spinal cord injury.

  4. Negotiations and settlement: Many personal injury and workers’ compensation cases are resolved through settlements. The insurance company or responsible party may offer a settlement, but it’s essential to consult with an attorney before accepting any offer to make sure it adequately compensates for current and future expenses.

  5. Litigation: If a fair settlement can’t be reached, the case may proceed to court. Litigation involves presenting evidence, questioning witnesses, and making legal arguments to a judge or jury.

Reach Out to Slechter Law Firm Today

Working through the claims process for spinal cord injuries can be complicated, and individuals should consult with an experienced personal injury attorney to make sure they receive the justice they deserve. The attorneys at Slechter Law Firm serve Louisville, Lexington, and the entire state of Kentucky. Contact Slechter Law Firm for personal injury representation.