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C and R, then need lumbar surgery -is private insurance strict?
#3
I have seen injured workers close out their claims and immediately use their private insurance. This does not mean all insurance companies are doing this... but I recommend to check with your private insurance If you have Medicare that is a different story. I recommend talking to your attorney about this. He should know if his clients are having a problem with private insurance after a C&R.

As you are aware the current UR and IMR system is horrible to get treatment, especially if your doctor is not appealing the denials (very few are). I highly recommend to get out of this horrid system and get yourself a good doctor in private insurance who will provide you with a lot of physical therapy.

There is not a lot of money in the work comp system as far as reimbursement for how badely injured patients have become from what I have seen. If your injury is after 1/1/2013 and your employer will not take you back you will be eligible for additional money via voucher. In my opinion returning to work is a better deal than these vouchers. I hope you can return to your previous job.
I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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RE: C and R, then need lumbar surgery -is private insurance strict? - California_Help - 08-12-2016, 10:48 PM

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