Obtaining Worker’s Comp Approval for Medical Care 

Obtaining Workers' Comp Approval for Medical Care Beyond emergency medical care, most tests and procedures for injured employees must be pre-approved by the employer and/or the employer’s physician. Specific pre-approval laws vary from state to state, but the consensus is that most medical care must be approved before it is implemented for the patient, other than medical care that is provided on an emergency basis.

What Do You Need For Workers’ Comp Approval For Medical Care?

Medical care likely to need approval prior to implementation includes but is not limited to:

  • Surgical procedures
  • Extended hospital stays
  • Medications
  • Physical therapy
  • In-home medical care
  • Medical devices

Even if you’re seeing another doctor, you may need your medical care approved by your employer’s physician. Your condition and the proposed treatment will be heavily scrutinized to determine whether or not you actually need the care suggested and if it will provide you with substantial benefit. However, if the proposed medical care does not meet this criterion, it may be denied.

How Can I Be Sure to Get All the Medical Care I Need?

Obtaining a second opinion isn’t reserved solely for your initial injury. You may need multiple second opinions if you are denied medical care under workers’ compensation.

Working with an experienced workers’ compensation legal team is in your best interest, especially when it comes to getting medical procedures, medications, and other treatment approved and covered by workers’ comp. So, contact our office today to learn more.

Obtaining Medical Records

An important thing is to obtain a copy of every medical record related to your injury. This includes emergency medical care provided to you before you were aware of your injury. Keep all of your medical records in a safe file and provide another copy to your legal team. Save receipts for medication, test results, and any notes your doctor made regarding your medical condition.

Contact our experienced workers’ compensation attorneys today to learn more about keeping diligent medical records and how this impacts your claim.

Expenses for Travel and Medications

Workers’ compensation benefits often cover expenses for medications and travel if the employee must go to another hospital or physician’s office to receive specialized treatment. However, it’s important to note that typically medication and travel expenses must be pre-approved.

Pre-Approval for Travel Expenses

If you travel to another hospital or doctor without approval for medical care, you risk receiving no coverage for the visit and any treatment. Travel expenses including gasoline, lodging, and meals might be covered in some circumstances.

Pre-Approval for Medications

Typically, your employer’s physician will need to approve any recommended medications for your injury, beyond those required for emergency care. This is particularly true for medications you are required to take for a significant length of time or even for the rest of your life.

Learn more about getting travel and medication expenses covered under workers’ compensation by calling our law firm today. We can help.

There is no cost or obligation to learn about our services.
We can apply for your benefits on a contingency basis.