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Geico no fault insurance (lost wages)
I was involved in a 1 car accident last year on my way to work. Witch has resulted in my having 2 knee surgerys and possible more.
I have been out of work due to this since aug. of last year. Now geico has paid my lost wages since last year up till 2 months ago when all of a sudden they changed adjusters and now the new person believes that this was a pre existing condition and I just exacerbated the old injury and know they have halted all lost wage's and medical payments to doctors till they have another IME look at all my old records and determine this is what happened.
Now the first IME did agree that this was a new injury .
I have been upfront with Geico and never disputed I had a previous knee surgery 5 years ago. But I was better and working till the accident.
How is this right? Even if I did have a preexisting condition and I reinjured it in a accident wouldn’t they be responsible?
Please let me know how I should further handle this. I have spoke to everyone they would let me speak to at Geico and did get them to make one more payment of lost wages but they are not willing to do anymore till there bought and paid for doctor gives his decision.
I have a family to support and cant afford to go with out lost wage payment. Please advice.
Loss wage claims can be a tremendous pain. Insurance companies like to “investigate” them and to dig down to see if they can stop paying, thereby forcing you into a complete settlement.
It really sounds to me like you need a lawyer. You are entitled to damages for the aggravation of the injury and not for a “new” injury, unless the doctors can show that the prior injury was fully recovered. A lawyer can help you navigate the process and help you dealing with insurance companies.
Geico is probably arguing that they do not owe for this damages because you were already hurt. However, they do owe for the aggravation (as you said, even if you were injured prior to this accident). Please see our notes at:
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