16
Dec 2016
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Delays in Treatment Show Workers’ Comp Insurers Don’t Care About Rhode Island Workers

Workers’ compensation insurers are paid premiums by employers to provide coverage if an employee gets hurt on-the-job. Unfortunately, some of these insurers seem to care more about making money than they do about fulfilling their obligations. Workers who get hurt are suffering greatly because insurers are stretching out the time it takes them to pay for medical care, sometimes even outright denying care that should be covered. backache-1620045

Since insurers are focused only on their bottom line, injured workers need to make sure they have an advocate to help them deal with workers’ comp insurance companies. If you are hurt on-the-job and are struggling to get medical care bills paid for by an insurance company, you need to have a legal advocate on your side.

Workers’ Comp Insurers Causing Unnecessary Delays in Work Injury Treatment 

NBC reported recently on the difficulties that injured workers are having getting their treatments covered by workers’ comp. Workers’ compensation insurance is supposed to pay for all necessary medical care arising out of work injuries.

There are times when care must be approved for it to be paid for. This is an especially big issue for employees who have serious and complex work-related illnesses or injuries or for employees who need ongoing treatment for medical conditions that developed over a long period of time.

Workers are submitting requests to try to get care, and some of these requests either go unanswered for months or end with a denial of legitimate care. According to one survey of physicians who treat workers’ comp patients, more than half said their patients had experienced denials of coverage for care considered medically necessary, including both diagnostic services and actual treatment. A bigger percentage of physicians, 67 percent, said delays and other problems had occurred when trying to get workers’ comp to pay for patient care.

Not only does this practice of delaying and denying end up causing workers to linger in pain, but it can also end up causing workers to get worse. Some workers told NBC about deteriorating body parts due to delays in treatment. Others reported longer recovery periods before they could get back to work. Since ongoing disability benefits have to be paid if it takes longer for an employee to go back to work, insurers are not doing themselves any favors by causing injured employees to have to draw out their recovery period.

Injured employees should get all of the care deemed medically necessary in an efficient and timely manner so they can recover and get back to work. When insurers fail to keep the promise to cover workers that they made by accepting premiums, they should be held accountable by the injured employees whose health is being compromised by insurance industry shenanigans. An experienced attorney can provide assistance in trying to get benefits paid as needed.

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