Can I choose my own doctor for a workers’ compensation claim?
Like many things in life, the answer to this question depends. In most cases, you have at least some say in choosing the doctor that treats you for a workers’ compensation claim, but your employer may be able to influence that decision.
Workers’ compensation benefits are provided by insurance paid for by your employer. Your employer wants to ensure you receive sufficient care to get you back to work as soon as is possible. This is not only because hopefully the employer relies on the work that you perform for them and they in general care about your well being, but also because usually the longer you are out on a workers’ compensation claim, the more expensive it is to the insurance carrier. As the employer wants to keep their insurance premiums to a minimum, it is in your employer’s best interest to get you back to work as soon as is possible. Therefore, your employer has an interest in the physician providing for your care.
Likewise, the insurance company has a stake in which doctor provides for your care. The insurance company is the one that is paying the expenses related to your workers’ compensation claim. This can include lost wages, doctor bills, prescription medication, and indirect expenses related to your care such as travel to get to and from your medical treatments. Therefore, the insurance company also wants to get you well and back to work as soon as is possible to minimize their expense.
Because of the interest the employer and insurance company have in your medical care while being treated for a workers’ compensation-related illness or injury, the laws that govern your treatment may allow them to influence the doctor chosen. Other factors must also be considered that can affect who is allowed to provide your treatment. These factors include but may not be limited to the following:
• The state where you live
The way each state provides for a physician in dealing with a workers’ compensation claim varies widely, because each state is allowed to set their own laws that govern workers’ compensation. Some state laws require that you be allowed to choose your own doctor for a workers’ compensation claim immediately, whereas other states may not have this requirement. In either case, your employer may ask that you obtain a second opinion from another doctor or your employer could petition the Workers’ Compensation Office for your state to have you see a different physician depending on the circumstances of your injury or the prognosis for your recovery.
Depending on the type of care plan offered by your employer and if allowed by state law, your employer’s workers’ compensation plan may require that you initially see a doctor from a list of doctors maintained by your employer or the insurance carrier for your employer’s workers’ compensation. Usually this requirement is for a limited period of time—perhaps as little as 10 days or 1 month—after which you can see a doctor of your choosing.
Even if you can choose your own physician, there are limits as to who you can choose. Because of the interest your employer and the insurance carrier have in you receiving appropriate care, your doctor must be one that is in good standing in terms of having a current license to practice medicine in your state. In addition, he must be trained to address the type of injury or illness you have. As you can see from the information above, the doctor you can use to treat your workers’ compensation injury or illness varies by state law, care plan, and other factors. Therefore, you should speak with your employer or the Workers’ Compensation Office of your state to confirm your options for choosing your own physician related to a workers’ compensation injury or illness. If you do not believe you are being allowed to exercise your available options or otherwise believe you are not being treated within what the state laws allow for your claim, you should speak with a workers’ compensation attorney.
If you complete the short form below, your case will be referred to a workers’ compensation attorney who can speak with you about your specific situation. This attorney will be familiar with the laws within your state, so you will receive the right answer for you. This initial consultation is free of charge, does not obligate you to anything further, and is 100% confidential from your employer and their workers’ compensation insurance carrier. Therefore, please take this opportunity to get help with your workers’ compensation claim today.• The care plan offered by your employer
• The specialty of the doctor and the type of work injury
How can I get help with my workers’ compensation claim?
