Injuries sustained on the job create challenges for those affected. Sometimes, they need time away from work to heal. Occasionally, they may need significant medical interventions. Some work injuries are minor and may simply require a cast or some stitches. Treatment costs are minimal, and the worker can often return to their job with accommodations during their recovery.
Other worker injuries are more serious and may require significant treatment, as well as a leave of absence from work. Workers’ compensation benefits can cover treatment expenses ranging from physical therapy costs to surgical expenses. Employees can rely on benefits for all of their care expenses, as there are no patient responsibility costs, such as coinsurance.
However, a physician must determine that the treatment is necessary and likely to succeed. Workers must follow the treatment plan provided by the doctor overseeing their care. In some cases, injured professionals do not agree with the treatment plan established by the physician managing their treatment. What happens when there is a disagreement about treatment?
A second opinion could be necessary
As a general rule, patients have the right to question a doctor’s judgment and talk to another health care professional. In many cases, those seeking a second opinion must pay out of pocket for a review by a medical professional unaffiliated with the doctor overseeing their care.
That is often true during a workers’ compensation claim as well. Most of the time, workers’ compensation does not automatically pay for a second opinion over a treatment dispute. The only scenario where coverage for a second opinion is certain is when the doctor recommends surgery, but the patient questions the need for an operation.
In some cases, seeking a second opinion is the best path forward. Injured employees receiving workers’ compensation generally need to follow medical instructions or risk the loss of their benefits. When they want to pursue different treatment options, they need a physician’s support.
Consulting with a workers’ compensation lawyer can help those facing complex claims and controversies regarding the care for a work injury. An attorney can manage workers’ compensation claims paperwork and help ensure that an injured worker knows their rights, and knows how to exercise those rights effectively.