An injured worker has the freedom to choose his or her treating physician and may switch from one specialty of care to another without having to seek approval of the employer/insurer. The worker must, however, have permission to switch from one provider to another within the same field of specialty.
While the injured worker has the freedom to select the treating physician, the physician must have approval from the employer/ insurance carrier to continue treatment beyond $750 worth of care unless the care is provided under emergency conditions. However, the withholding of such consent is not to be arbitrary and capricious or without probable cause.
There may come a time when your employer will require you to be examined by a physician of his or her choice. Your failure to submit to any reasonable examination may cause your compensation payments to be temporarily suspended until you do so.
If your physician and your employer's physician do not agree about your medical condition, you may be entitled to an Independent Medical Examination. If you find yourself in this situation, Form LWC-WC 1015 (PDF), Request for Independent Medical Examination, should be completed and forwarded to the Medical Services Section of the Office of Workers' Compensation Administration (OWCA).
All medical bills should be sent to your employer or the insurance carrier. Please do not send bills to OWCA. This will only delay payment.
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