Hello There, Guest! Login Register
Index    |     Search    |     Members    |     Help

Thread Rating:
  • 0 Vote(s) - 0 Average
  • 1
  • 2
  • 3
  • 4
  • 5
Has anyone successfully moved out of California with lifetime Medical?
(07-14-2017, 04:37 PM)TreadingWater Wrote:
(07-11-2017, 07:25 PM)California_Help Wrote:
(07-11-2017, 06:36 PM)TreadingWater Wrote:
(07-05-2017, 11:29 PM)1171 Wrote: Cal comp & Medicare both have fee schedules and will cut overcharges.
Medical benefits have to be due because of the work injury and also meet objective treatment standards. Carriers are required to enforce those provisions.
You didn't answer about your legal representation......

Yes, I do think you'd benefit by better information as to how the system has to operate.
the DWC website has link to resource material

the guidebook is good for basic information for those with new claims
the physician's guide is a great source for those wanting an advanced understanding of the system.
both are linked at this DWC websiteTreadingWater
(07-05-2017, 11:29 PM)1171 Wrote: Cal comp & Medicare both have fee schedules and will cut overcharges.
Medical benefits have to be due because of the work injury and also meet objective treatment standards.
past research on specific topics can be found here
and here

P.S. $15/month adds up fast over the many years a claim can be open.....
comp laws have to have the support of both the employers and the workers to stay on the books. Injured workers are only one of the stakeholders the legislature has to deal with.
In the mind of politicians as long as injureds and employer complaints cancel each out comp is fine.

Sorry, I am the sole caregiver for my mother with cancer, all the other kids want nothing to do unless its about money.  I do have a lawyer that put my case in a box and offered me it back because he is retiring.  So when I move its going to be up to me to do all the legal-paperwork.   A worker can not miss a day for thirty plus years but once their injured your considered "trash" or basically a nuisance they do not want to pay for.  

All the medications I get are backed by going to three doctors every month, I heard about one IW who fly's back to California every three months to get his medication refills.   While waiting for my doctor I heard someone call in to get seen, they said "we are not taking any new patients, only insurance we accept is Medicare and Workers Compensation, no Blue Cross or Big Carriers because they got ripped off.

Its hard enough to get five minutes with our doctors, imagine trying to get them to RFA our medications.  I read through those links, moving out of State is really hard for someone on WC.  Its been almost 20 years battling this crap, I started my job at 15, had massive amount of weight fall on my back destroying it.  I apologize for not replying sooner, I wish my adjuster would settle the case but they refuse.  Thank you!
Going to 3 doctors a month just to back up what is needed for medication refill sounds tiring. I hop one of them is a good pain management doctor.

If you click the link and see what an RFA form looks like, it is a very simple easy for to fill out. In my opinion, it is not these forms that you will have some problems with, instead it is the medical treatment guidelines expected in the CA work comp system is what your doctors will not want to deal with (out of state doctors). You can look up these guidelines yourself, and I have developed a fairly easy system how to do this. I think you will need to know the guidelines, rational needed for your medications otherwise the insurance company may try to deny them. If you are on Medicare and get a denial through work comp you should be able to use Medicare, just alert them of the denial.

Every state is different as far as what is going on with pain medications.

Thank you so much for being so kind, the adjuster decided to stop my psyche medications "cold turkey" and this is while I am living in California still.  Internet is such a God Send with big heart, kind people like you willing to help out strangers.  Driving to three doctors every month gets the adjuster angry because she writes out a check for $2500 in mileage every year.  The pharmacy I have to get my medications from tells me they are there only to have me drive 30 miles each direction finding no medications.  Should I go to the ER since the adjuster refused filling my psyche and nerve pain medications?
I would recommend calling your doctor and have them page him and ask him if you should go to the ER. If I was going through withdrawals I would go to the ER.

If you have any other insurance you can see if they will cover it. My private insurance covers wo denied treatments.

I do not understand why you would need to drive 30 miles to a pharmacy. CVS for example fills many work comp prescriptions.

I would only recommend going to 3 different doctors if you need to.
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.

Possibly Related Threads...
Thread Author Replies Views Last Post
  W/C wants to buy out Lifetime Medical Babebahn 8 20,855 01-27-2021, 08:50 PM
Last Post: 1171
  California: Release of medical information Form Babebahn 1 1,503 09-21-2020, 11:44 PM
Last Post: 1171
  maryland-settlement and WCMSA lifetime tammy68 4 2,307 05-06-2020, 06:40 PM
Last Post: 1171
  Lifetime medical payout Jerry_Rivera 2 1,895 03-12-2019, 11:04 AM
Last Post: 1171
  Sell my medical rights or keep lifetime care? 138 13 9,830 03-12-2019, 05:19 AM
Last Post: Jerry_Rivera
  California - Lifetime Med - Coverage Terminated spine pain 25 6,495 02-19-2019, 03:18 PM
Last Post: California_Help
  Medical mileage increase for California.... 1171 0 687 01-06-2019, 02:56 PM
Last Post: 1171
  Lifetime pension award plus medical treatment, overseas? Carl1976 1 1,479 09-12-2018, 10:39 AM
Last Post: 1171
  Desperate for answers California IC offered me cash to buy my life medical Sugarpuss44 5 3,830 08-23-2017, 09:29 PM
Last Post: California_Help
  Trying to settle before moving out of state w/o lifetime medical norcalgirl7 3 3,271 07-29-2017, 01:03 AM
Last Post: 1171

Forum Jump:

Browsing: 1 Guest(s)