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SCI Claims

Proving Spinal Cord Injury Claims: The Evidence That Wins

SCI cases live or die on the quality of the damages model. Insurance companies challenge every cost projection — we build cases with evidence they can't dismantle.

Key Takeaways

  • Life care plans are non-negotiable: Without a comprehensive year-by-year cost projection, insurance companies will systematically undervalue future damages
  • ASIA classification drives everything: The neurological exam that defines your injury level and completeness is the foundation of the entire case
  • Expert coordination matters: SCI cases require physiatrists, economists, vocational experts, and life care planners working together

Building the SCI Damages Case

Spinal cord injury cases are the most evidence-intensive personal injury claims in the legal system. The damages model must persuade a jury (or an insurance adjuster facing trial) that your lifetime costs are real, reasonable, and supported by objective data. Every element — from the initial neurological exam to the final economic projection — must be airtight.

Insurance companies hire teams of experts to challenge every line of the life care plan. They argue that you'll recover more than expected, that attendant care hours are excessive, that equipment can be obtained cheaper, and that your earning capacity isn't as diminished as claimed. Winning an SCI case means out-preparing them at every level.

$5M+

Lifetime costs for high cervical injuries

6-10

Expert witnesses in a typical SCI case

12-18 mo

To reach maximum medical improvement

The Life Care Plan: Your Case's Foundation

The life care plan is the single most important document in an SCI case. Prepared by a physiatrist or certified life care planner, it projects every cost over your remaining lifetime:

Medical Care Projections

  • • Physician visits and specialist care
  • • Medications (lifetime)
  • • Re-hospitalization for complications
  • • Urological management
  • • Respiratory therapy (cervical injuries)

Equipment & Modifications

  • • Motorized wheelchairs ($30,000+ each, replaced every 5 years)
  • • Home modifications ($100,000+)
  • • Vehicle modifications ($20,000–$80,000)
  • • Ceiling track lift systems
  • • Adaptive technology

Attendant Care

  • • Hours per day required (8, 16, or 24)
  • • Skill level (aide vs. LPN vs. RN)
  • • Oklahoma hourly rates ($18–$35/hr)
  • • Annual cost projections ($128,000+ for 16 hrs/day)
  • • Present value over life expectancy

Therapy & Rehabilitation

  • • Physical therapy (ongoing)
  • • Occupational therapy
  • • Psychological counseling
  • • Pain management programs
  • • Vocational rehabilitation

The Expert Team We Assemble

SCI cases are won by the quality of your expert team. We coordinate multiple specialists who each address a critical element of the damages model:

1

Treating Physiatrist

A rehabilitation medicine specialist who conducts the ASIA examination, manages ongoing treatment, and prepares or reviews the life care plan. Their testimony establishes the medical foundation for all future cost projections.

2

Certified Life Care Planner

Translates medical needs into a year-by-year cost model covering every category: medical visits, equipment, modifications, attendant care, and therapy. This document is the backbone of your damages presentation.

3

Forensic Economist

Calculates the present value of lifetime medical costs and lost earning capacity. Applies medical inflation rates, discount rates, and life expectancy data to convert future costs into a single number the jury can understand.

4

Vocational Rehabilitation Expert

Assesses your post-injury employment capabilities, projects residual earning capacity, and quantifies the gap between what you would have earned and what you can earn now.

5

Neurologist / Neurosurgeon

Provides independent confirmation of the injury mechanism, neurological findings, and prognosis. Critical for cases where the defense challenges the treating physician's conclusions.

How Insurance Companies Fight SCI Claims

The stakes in SCI cases are enormous — which means insurance companies fight harder. Here are their favorite tactics and how we counter them:

"The life care plan is inflated — they won't need all that care"

Our Response: Our life care plans are prepared by board-certified physiatrists and certified life care planners using published cost data and treatment guidelines. Every line is medically justified and defensible.

"The patient will recover more function than projected"

Our Response: We document the ASIA classification at maximum medical improvement, supported by serial neurological examinations showing stable deficits. The medical literature on SCI recovery rates refutes overly optimistic projections.

"They can still work — earning capacity isn't that diminished"

Our Response: Our vocational rehabilitation expert conducts a transferable skills analysis showing exactly which jobs the victim can and cannot perform, and the statistical reality that SCI patients face dramatically reduced employment rates and earnings.

"We'll offer a quick settlement to avoid the expense of litigation"

Our Response: Early settlements before MMI are reached leave millions on the table. We never settle an SCI case until the life care plan is complete and the full lifetime cost is documented.

Frequently Asked Questions

The American Spinal Injury Association (ASIA) Impairment Scale classifies SCI severity from A (complete injury, no motor or sensory function below injury level) to E (normal function). This classification directly impacts your case value because it defines your functional limitations, care needs, and earning capacity. Insurance companies will scrutinize the ASIA grade — we ensure your neurological evaluation is thorough and accurately documented.
A life care plan is a comprehensive, year-by-year projection of every medical need, equipment purchase, home modification, attendant care cost, and therapeutic service you will require for the rest of your life. Prepared by a physiatrist or certified life care planner, it is the single most important document in an SCI case. Without one, the jury is left guessing about future costs — and insurance companies exploit that uncertainty.
A forensic economist takes the life care plan's year-by-year cost projections, applies medical inflation rates (which exceed general inflation), adjusts for your remaining life expectancy, and calculates the present value — the lump sum needed today to fund all future care. This requires specialized expertise because small changes in assumptions can swing the number by hundreds of thousands of dollars.
Insurance companies routinely hire 'independent' medical examiners who downgrade injury severity or claim more recovery than is realistic. We counter this by ensuring your treating physiatrist conducts a thorough ASIA examination with proper documentation, and by retaining our own independent neurological expert who can testify about the examination's findings and the IME's shortcomings.

Build the Damages Case That Wins

SCI claims require the right experts and meticulous evidence. We assemble the medical and economic team needed to document every dollar of lifetime compensation.

No Fee Unless We Win

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