We will fund the treatment, care and support provided it is related to your injuries sustained in the motor vehicle accident and is necessary and reasonable, in accordance with the Lifetime Support Scheme Rules (LSS Rules).
We will fund the costs of necessary and reasonable treatment, care and support for injuries related to your motor vehicle injury.
Examples include but are not limited to:
- medical treatment costs (e.g. doctor’s appointments, pharmaceuticals, surgery, scans, specialist appointments and X-rays)
- dental treatment
- rehabilitation (e.g. physiotherapy, occupational and speech therapy)
- ambulance transportation
- respite care
- attendant care and support services (e.g. personal care and domestic services)
- aids and equipment (e.g. wheelchairs, mobility aids, adjustable beds, respiratory equipment and communication devices)
- education and vocational training
- home, vehicle and workplace modifications.
- transport costs
- counselling for family members related to your motor vehicle accident injuries
- transitional accommodation.
It is important to discuss with your Service Planner any treatment, care and support requests you may have. This ensures funding is pre-approved as the LSA may be unable to fund services if they are not pre-approved.
The above examples are outlined in the Motor Vehicle Accidents (Lifetime Support Scheme) Act 2013 (SA) and the LSS Rules. Further information is outlined in the What is Necessary and Reasonable Treatment, Care and Support and Understanding the LSA Decision Making Process Information Sheets.
The LSA is unable to fund treatment, care and support in certain circumstances. Examples include but are not limited to:
- medical services, medications, equipment and other services associated with injuries not related to the motor vehicle accident
- experimental or non-established treatment
- the loss of wages or employee benefits
- in-hospital expenses (e.g. TV hire, newspapers, magazines)
- inpatient or outpatient rehabilitation expenses (e.g. food, laundry, newspapers, magazines, TV hire)
- purchase of a house or car
- rent or bond for rental properties
- mortgage or insurance premiums
- items lost or damaged in the motor vehicle accident
- legal costs
- assistance to keep your business open (e.g. funding temporary staff to perform your duties)
- services that replace parental responsibilities (e.g. the supervision of a young child)
- general items (e.g. groceries, utility bills, standard furniture, clothing, footwear/runners (not orthoses, not modified), linen, household appliances, whitegoods).
If you have a request that is unable to be funded by the LSS, your Service Planner will support you to facilitate access to available services that may be more appropriate.
We will fund necessary and reasonable treatment, care and support that is related to your motor vehicle accident injury, in accordance with the LSS Rules.
The LSS Rules determine what can be funded by the LSA. Your Service Planner will consider the following factors:
- benefit to the participant
- appropriateness of the service
- appropriateness of the provider
- cost effectiveness
- relationship of the services to the injuries sustained in the motor vehicle accident.
The LSS Rules also outlines what can be funded against specific areas of treatment, care and support, such as:
- treatment and rehabilitation
- support, attendant care and domestic services
- home modifications and accommodation
- motor vehicle modifications
- artificial limb services
- education support services
- vocational support services.
‘Person-centred’ at its heart requires strong relationships. It means breaking down barriers and building trust. The relationship and conversations between you, your support network and our team is essential to the person-centred experience.
We understand that you will play an active role in planning your service delivery. Our Service Planners will work with you to understand what is important in your rehabilitation journey and will assist you with:
- choice of service provider
- monitor your progress towards personal goals and outcomes to enhance your quality of life
- opportunities to take part and contribute to your social and economic life.