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What Happens To Medical Bills When Workers’ Comp Is Denied?

  • Owner
  • 09/30/2022

Are you wondering what happens to medical bills when workers comp is denied? Under workers’ compensation PA if your workers’ comp claim is denied, you are responsible for the costs of your medical treatment. Because medical care is often very costly, a denial of medical benefits can prevent people from getting the care that they need. It also means that it is very important that you get an experienced Pennsylvania workers’ compensation lawyer at Pearson Koutcher Law who can take the necessary action to ensure that your medical bills are paid.

What Do I Do If My Workers’ Compensation Is Denied?

If your case is denied, you should contact a lawyer to file a claim petition on your behalf. This will place your case in front of a judge to determine if your injury was work-related. Sometimes insurance companies deny claims simply because they think that injured workers will not fight for their benefits. Do not let them take advantage of you. Contacting a workers comp lawyer PA can help you understand if you have a case, allowing you to make more educated decisions about your health care. If you have a workers’ compensation case, you should continue to treat your injury. While you may be concerned about what happens to medical bills when workers comp is denied, the treatment creates a record showing that you were truly injured. Your Pennsylvania workers’ compensation lawyer at Pearson Koutcher can then fight for your benefits.

What Can I Do While Waiting For My Workers’ Compensation Claim After I Have Opened A Petition?

Hire a good lawyer and continue treating your injury. If your claim was initially denied, but you have filed a claim petition, you can continue to treat your injury. If you are having trouble finding medical providers, Pearson Koutcher Law can refer you to various doctors and specialists to treat your injury. They can also help you talk to your doctors about running a bill until your workers’ compensation claim is accepted. In addition to helping you recover, treating your injury or illness can help prove that you are injured and in need of medical care. It creates a record of diagnoses to show that you sustained a real injury or illness. An experienced lawyer gives you the best chance of winning your claim and getting all your medical bills paid for. If your claim has been denied, immediately contact a Pennsylvania workers’ compensation lawyer at Pearson Koutcher Law.

I Have Health Insurance Do I Still Need Workers’ Compensation PA?

While you might be able to afford the copays on your health insurance, you shouldn’t have to pay them. Workers’ compensation should pay for all your medical care when you are injured at work. Also, sometimes health insurance companies will deny payment for workplace injuries because workers’ compensation should be paying the cost. Your personal health insurance can be an option for paying medical costs if your workers’ compensation is denied, but it is better for you if your workers’ compensation PA claim is accepted.

What Medical Bills Are Covered If My Workers’ Compensation PA Claim Is Accepted?

Even if your workers’ compensation claim is accepted, they may not pay for all medical costs, so it is important to know what is covered. Workers’ compensation can cover a variety of medical costs including physical therapy, chiropractic therapy, medication, surgery, and emergency care as long as they are “reasonable and necessary” medical costs. This can be a little unclear, so if you are unsure if something should be covered, contact a workers’ comp lawyer PA at Pearson Koutcher Law. Even if the type of care is covered, workers’ compensation may refuse to pay if you are not treating with one of their panel physicians. For the first 90 days of a claim, an employer can require employees to treat with physicians on an approved list. This list must be acknowledged by the employee and have at least 6 providers. If the list does not meet all the requirements, then the employee can treat by any doctor of their choosing. Additionally, if a provider from the list recommends surgery, the injured worker can seek a second opinion from any doctor and seek to have it covered by workers’ compensation.

My Workers’ Compensation Claim Was Denied Is There Anything I Can Do To Lower My Healthcare Costs?

If your claim has been denied and the case is not decided in your favor, all hope is not lost. You can try to contact the administrators at your health care provider to see if they can lower the cost or restructure the debt. You should be sure to mention that it was part of a contested workers’ compensation claim. The risk of denial is why it is so important to get experienced legal help. If you are wondering what happens to medical bills when workers comp is denied, you need to be sure to get qualified help because medical costs from denied claims are your responsibility.

More Questions About Medical Bills And Workers’ Compensation?

If you have questions about the medical bills in your case or your case has received an initial denial from the insurance company, contact the experienced lawyers at Pearson Koutcher Law today. Our workers’ compensation PA law firm can help you find providers that will treat your injury and strengthen your case. We will then fight for the benefits that you deserve. If you are in need of a workers’ comp lawyer PA contact Pearson Koutcher Law for a free consultation today.