How Does MMI Affect Your Workers Comp Claim?

If you’ve already received an MMI determination, your workers’ comp checks will likely stop coming anytime soon unless you challenge the determination. Maximum Medical Improvement (MMI) in workers’ compensation occurs when an injured worker can no longer get better than they already are. MMI can also apply to a worker fully recovering from a work-related injury.

Depending on their disability, some workers may also get an MMI even if they are permanently impaired. For instance, a worker injured his back has finally finished all the prescribed medical treatments. If his back doesn’t hurt anymore and he can get back to work, then he will receive an MMI for making a full recovery.

But even if his back still bothers him, if the medical technology currently available can’t improve his condition, he’ll still receive an MMI. Or if his injuries got him permanently disabled, he’ll receive an MMI with a provision for restrictions.       


In workers’ compensation, MMI stands for Maximum Medical Improvement. This term is used to indicate the point at which an injured worker’s condition has stabilized and is unlikely to improve significantly with further medical treatment.

Reaching MMI suggests that the individual has recovered as much as possible or has reached a plateau in their recovery process. It is an essential milestone in workers’ compensation cases as it can impact the continuation of benefits and the potential transition to permanent disability status if applicable.


You are entitled to workers’ compensation when you are injured at work. Its primary purpose is to ensure you can pay your living and medical expenses while recovering from your injuries. However, your workers’ comp benefits will be terminated when you reach MMI.

Upon reaching MMI, it is presumed that an injured worker won’t need medical treatments anymore. In some cases, reaching MMI means they are ready to return to work. If the injured worker doesn’t need medical treatments and can already earn an income, they don’t need their worker’s comp benefits anymore.

If your MMI has a permanent restriction, you may qualify for permanent disability benefits. The amount depends on your restrictions and whether you can still do any type of work.


In most states, workers injured on the job receive temporary workers’ compensation benefits for up to 2 years. However, depending on the injury, an MMI determination can be obtained even after a few months.

Your treating doctor is the only qualified person to determine if you’ve reached MMI. But their pronouncements will also depend on you. If you tell them it doesn’t hurt anymore or you stop getting treatments, they’ll take it that you’ve already recovered.

However, your employer or insurance company may also request an Independent Medical Examination (IME). This usually happens if they believe you’ve recovered but haven’t yet received an MMI determination.

Another qualified physician will conduct the IME. If this isn’t enough, the Bureau of Workers’ Compensation may also conduct its test. Your temporary workers’ comp benefits will automatically stop if your treating doctor agrees with the IME results. If your doctor disagrees, you can challenge your MMI determination.

The doctor discussed the condition of the woman who has workers' compensation and has already received an MMI determination.


The timeline for workers’ compensation to make an offer after reaching Maximum Medical Improvement (MMI) can vary depending on the specifics of each case. Generally, after MMI is determined, the workers’ compensation system may take a few weeks to several months to evaluate the case, assess the extent of the injury, and calculate any potential settlement or benefits.

It’s recommended to consult with a legal professional familiar with workers’ compensation processes to get a more accurate estimate based on the individual circumstances.


It’s common for employers, insurance companies, and injured workers to disagree on an MMI determination. Since most states require treating doctors to be accredited by your employer, the MMI determination won’t usually be in your favor. If you feel the MMI determination is unfair, you can take your case before a workers’ compensation judge.

This lengthy process can be very confusing if you’re unfamiliar with the law. This is where we can help. We’ve already helped thousands of injured workers in Florida fight for the benefits they rightfully deserve. We can help you fight for yours, too. Call us now for a free consultation.

VICTOR MALCA – Florida Workers Compensation & Social Security Disability Attorney

Victor Malca P.A. has over 27 years of litigation experience in Workers Compensation and Social Security Disability lawsuits. His experience and continued success when fighting for his clients puts him among the most trusted workers’ compensation attorney’s in Florida. He specializes in representing injured workers on compensation benefit cases and disabled individuals claiming lost social security disability benefits.

Book a free consultation today. Our unwavering advocacy for employee rights and privileges are recognized by our past clients across South Florida.

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