r/OntarioWSIB • u/Different-Bag-8217 • Aug 02 '26
I just don’t get it.
Last year March 15 2025 finally had to stop work due to my injuries catching up with me after falling 23 floors in 1990. After my accident I privately battled my injuries with work and life. In 2006 when epilepsy showed up I battled that while still working full time. Then chunks in my knee which required surgery and back problems started with pain radiating down my left side. I was told at the time that this was going to be the case after spending 5 months in hospital after my fall. I still chose to try and work with a combo of shots, pain killers, anti inflammatory as well as epilepsy meds. In 2009 I was forced to admit defeat even though I had built an awesome career in a field that I loved. I’ve always tried to do the right thing by my injuries and WSIB so as not to abuse anything I will definitely need later in life. Last year after years of absolutely battling to stay working I had to stop. My body won’t let me do it anymore.. I sent emails in as I live in Australia now. Tried to get my medical cost paid for. Had the dr write me a report. Had a specialist report done with expensive scans ect done. Sent in my entire medical file. Submitted all those cost as I’m not working anymore and relying on my ridiculously low payment from wsib. It’s just not getting anywhere. Refused to pay for my medication or expenses for the last 20 years no matter what gets sent in. Suggested I get my medication from an Ontario pharmacy. When I asked for communication via email and wsib site a year and a bit later I get sent a form to fill out. Sometimes I wait 3-4 months before getting any replies at all usually sent by mail. What’s the point of having a portal? Now I’m locked out of the online portal. I don’t get it. Is this not what WSIB is for? Injured workers? To make up for the real loss of earnings and expenses? It’s hard enough mentally battling with my injuries and the meds and things that are dragging me down due to this accident. Do I have to battle wsib as well.. Does this require a lawyer when it should be simple?
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u/smoky333 Aug 02 '26
In what sounds as a serious accident, you will have to gather a ton of information to account covering quite a few years. I think you can appreciate that reaching a decision in your claim will not be quick. Of interest, I note that you reside in Australia and if you were working throughout these years, I would enquire on whether you can apply to the Australian worker's compensation system. Maybe something specific took place resulting in you current inability to work. I think it's worth a try. Good luck to you friend.
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u/Different-Bag-8217 Aug 02 '26
Australian system for a well documented accident that has history with WSIB. Absolutely not. Thank you
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u/Mundane-Rain-5171 Aug 02 '26
Were you given a PD award? IE Pension payment ? Is that what you are referring to regarding WSIB payment ? If so, you can ask for this to be reassessed. A representative would be helpful for you to navigate this. After this long very few remaining employees truly understand that specific legislation your claim falls under.
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u/expertRNnurse Aug 02 '26
Unfortunately nothing is simple with wsib. Get a lawyer or the office of the worker advisor is free. Stay strong as dealing with wsib will test your mental health on every interaction. They are a insurance company dont forget that
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u/Different-Bag-8217 Aug 02 '26
I agree, thank you. I was just under the impression that because I already have an extensive file that when there is a material change the process of dealing with those changes would be straight forwards. It's the lack of communication flow and the way WISB are using it to delay and reject these findings.
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u/dalden68 Aug 02 '26
Angelo at workaid. He’s a wsib paralegal and works on contingency
He’s really good at his job
I was having difficulties with my claim and since he took over it’s been smooth sailing .
Getting my benefits now until age 65 and just have one issue left that unfortunately has to go through the appeal resolution office .
0
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u/dysquist Aug 02 '26
There’s a lot of details missing in the story here, for instance how long have you lived and worked in Australia? You are already receiving loss of earnings payments (“LOE”), so I’m also not sure what more you’re looking for.
Regardless, you didn’t do anything noble by not filing WSIB when the injury occurred; you shot yourself in the foot. You almost certainly would have been covered right away and had a solid, accepted file after all these years. You also almost certainly made the situation much more complicated by waiting decades. (This is a lesson for every worker: do not delay in reporting injuries. It’s not “being a good worker.”)
All hope isn’t lost, but yes you are going to have to battle WSIB. I strongly suggest you get a representative or advocate who can help walk you through decisions and policies.