When can injured workers request a second opinion?

On Behalf of | Nov 19, 2024 | Workers' Compensation

Getting hurt at work can lead to a number of frustrating challenges. People may miss days or even weeks of work. They may require expensive medical care to recover from their work injuries. Most employees are aware of workers’ compensation benefits. They know their employers must cooperate with the state workers’ compensation program and provide them with coverage during their employment. Workers with injuries or job-acquired medical conditions may qualify for medical benefits and disability benefits.

Medical coverage can provide full payment for all necessary treatment expenses. Disability benefits can replace lost wages or help offset lost earning potential. The doctor overseeing a worker’s care has a lot of authority in a worker’s compensation claim. Can a worker who disagrees with the physician overseeing their treatment request a second opinion?

Second opinions are often available

In theory, medical patients always have the option of seeking a second opinion. The main concern is whether workers’ compensation pays for that evaluation or not. Not all requests for second opinions receive immediate approval.

Typically, workers have the best chances of a successful request after a doctor recommends invasive treatment, such as surgery. A second opinion might lead to lower-cost medical treatment options, which makes it beneficial for the employer and insurance company.

In scenarios where a worker disagrees with the doctor’s determination about their treatment or recovery, eligibility for a second opinion can be a bit more complex. In theory, the worker should have the right to request a second opinion, and workers’ compensation can pay for that evaluation. However, if they dispute that they are able to return to work or that they have achieved maximum medical improvement, they may find that the business entities involved in the claim are less than supportive.

Those facing a potentially contentious workers’ compensation matter often need the assistance of someone familiar with the law. Attorneys can help injured workers assert themselves and may be able to secure approval for second opinions in cases where there are questions about treatment plans or return to work orders.

Having the right assistance can make it easier for employees to get appropriate medical care when navigating a workers’ compensation claim. Those who require a second opinion may need help navigating the red tape associated with a benefits claim, and there’s no shame in that.