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In connection with the above workers compensation case, you are entitled to be reimbursed for (1) medications or supplies properly prescribed by your health care provider that you paid for yourself and for (2) fares, automobile mileage or other necessary expenses going to and from your health care provider's office or the hospital.
15 mar 2024 · When you travel to medical appointments that are paid through New York workers’ compensation, you can request mileage reimbursement using Form C-257. The reimbursement rate for travel in 2024 is 67 cents per mile.
You can calculate mileage reimbursement in three simple steps: Select your tax year. Input the number of miles driven for business, charitable, medical, and/or moving purposes. Click on the "Calculate" button to determine the reimbursement amount.
Instructions – Form OWCP-957 Part A – Medical Travel Refund Request – Mileage. This is a mileage only reimbursement form. If you need other travel expenses reimbursed, complete Form OWCP-957 Part B Medical Travel Refund Request - Expenses. Enter claimant's full name: last name, first name, middle initial (M.I.).
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3 mar 2020 · The workers’ compensation insurer has 15 days to provide reimbursement after you’ve submitted documentation of mileage, meals, and lodging. If the insurer doesn’t pay within this timeframe, it can be subject to a late penalty. Download FREE Medical Mileage Reimbursment Form.
Instructions. This calculator can help you track you mileage and can accommodate 2 different rates. Enter your data and then look for the Total Reimbursement amount at the bottom.
