When you sustain a work-related injury, a claimant is entitled to seek treatment from the physician of their choice. However, the injured worker should ensure that they inform the physician that they are seeking treatment for a work-related injury at the time of making the initial appointment. Some physicians do not accept patients who are seeking treatment for a work-related injury. Some physicians do not accept workers’ compensation patients because the WCC has established a Medical Fee Guide, which must be accepted and followed by physicians. If you are unable to locate a physician who has accepted the Medical Fee Guide, you may should talk to your workers’ compensation attorney for suggestions on a provider in your area.
Once you are able to locate a physician who accepts the WCC Medical Fee Guide, you should be sure to inform the physician of all of the details of your work-related accident to ensure that the accident is well documented. Ideally, at this point, you will have spoken with your workers’ compensation attorney for advice on your claim and what to watch out for.
If you are already seeing a physician for your work-related injury, normally, you should not change providers unless there is concern over poor quality of care or a real need to seek a second opinion as to treatment options. This is to ensure that a consistent medical “track” is established.
Medical bills are paid by the insurer per the Medical Fee Guide and the medical providers who treat workers’ compensation patients must accept this amount. The claimant will not be responsible for any balance.