Can I Use My Doctor For My Workers Compensation Claim?

If you have suffered a work injury, you may be concerned about what workers comp doctors you have to use. You may be facing extensive medical problems and be very concerned about the type of care and treatment you are going to get. Many people hope to use their own doctor because they are comfortable with that doctor and have a history with him or her. In some cases, this is OK, but in other situations, you are more limited as to which physicians you can use if you hope to get full reimbursement for medical bills.

Choosing Workers Comp Doctors

The precise rules for choosing workers comp doctors vary depending on the state and even from employer to employer. In some cases:

  • You can have your primary medical treatment do most of your treatment. You may have to submit medical bills to be reimbursed or you may have to undergo an examination by an independent physician to prove the nature of your disability
  • You may be able to choose your physician from a list of providers approved by your employer.
  • You may be required to visit a specific physician that works with your employer for any and all of your medical needs, from treatment for your injuries to examinations to determine the nature of your disability
  • You may be able to switch doctors any time you choose, or you may need to obtain special permission to switch doctors and be limited in the number of times that you are permitted to make a change

Regardless of which option applies in your case, one thing is the same regarding all workers comp doctors: the doctors must be reasonably qualified. If your employer attempts to require you to visit a physician who is providing sub-standard care in order for you to be covered, then you need to contact the workers compensation board in your state for help or assistance in dealing with the problem.

It is very important that you understand the specific rules that apply to your state and your situation. Failure to comply with the requirements or seeing a physician without approval or permission can result in your claim for reimbursement for medical bills being denied or delayed.

Getting Help

When you have suffered a workers compensation injury, it is advisable to consult with an experienced attorney who handles workers comp cases. He can help you to understand the specific laws in your state and can help you to take steps to ensure you get the best medical care you can without jeopardizing your workers comp claim or your right to be reimbursed for medical costs.

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