Obtaining immediate and ongoing treatment by a workers comp doctor is necessary for all workers hurt in Ohio. After a workplace accident, going to see a medical professional you do not know or have any past history with can add to your stress. You may be wondering, “Does my employer and its workers comp insurance company really get to choose what doctor I see for my claim?”The work injury attorneys at Larrimer & Larrimer, LLC have helped injured employees across Ohio effectively handle their workers compensation cases for almost a century. Founded in 1929, we have grown into a law firm recognized for its dedication to helping workers receive the workers compensation, SSI and SSDI benefits they need. If you have been injured or left disabled after a work accident, we want to help.
The good news is that within some limits, injured Ohio workers do have the right to choose the workers comp doctors and treatments they think are best for them.
Under the Ohio Employers and Health Partnership Program (HPP), injured workers can pick a doctor of their choosing. However, workers must find an Ohio Bureau of Workers’ Compensation (BWC) certified doctor.
The Ohio Bureau of Workers’ Compensation website has a lookup search feature to find BWC certified doctors near you. Make sure when you call to schedule a doctor appointment to confirm the doctor is BWC certified. Workers unable to find a doctor in their area should contact the BWC for options.
Injured workers also have the right to change doctors. However, in some circumstances, you must provide notification to your employer or managed care organization handling your case that you would like to change doctors.
When in doubt, check with the BWC and MCO before seeing a different doctor than the one you visited for your initial work injury treatment.
To make sure you are not personally responsible for your treatment costs, all workers hurt on the job must have their medical bills go through the correct channels. Medical bills are handled by managed care organizations (MCOs). MCOs are responsible for managing the following for injured workers:
The billing process in workers comp cases can be confusing because the medical bills change hands between three different parties before being paid. After a worker receives treatment:
In the event you personally get a bill, immediately contact your BWC certified doctor and specify that the medical treatment you received was for a work injury. Advise the medical provider to send any bills to the MCO managing your claim.
Many injuries require prescription medications to ensure a speedy recovery. The BWC’s Pharmacy Benefits Manager (PBM) is responsible for handling drug billing information. Pharmacists should send bills directly to the PBM.
In the event an injured worker pays for prescriptions with cash and the bill for the medication is not sent to the PBM, the worker must have the pharmacist fill out an Outpatient Medication Invoice (also known as Form C-17).
Remember: Workers comp claims are not handled by your health insurance company. The BWC will not reimburse injured workers for co-payments made through private health insurance companies.
Unfortunately, employers, workers comp insurance companies and MCOs can present obstacles to injured workers. These private organizations are primarily interested in saving money, which means they may attempt to minimize the costs associated with your care by denying workers comp payments and arguing that you are not injured or disabled and therefore not entitled to benefits.
Many workers are unaware of what their rights are under the Ohio workers comp system, and these companies bet on this. Our Columbus workers comp attorneys can fight to ensure you receive the care you need to return to work and recover. We will guide you through the workers comp process to make sure you receive the maximum amount of benefits you deserve.
“I am very blessed to have found this firm. They have made sure that I have received all the compensation possible related to my claim. This is the firm I would recommend to my own family members and anyone else in need of legal representation due to work related injuries.”
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