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What To Do If You Need Surgery For A Workers’ Compensation Injury?

Posted On: October 07, 2016

Unfortunately, workers’ compensation injuries are all too common and can lead to further pain, treatment costs and delayed recovery, if you do not get help sooner rather than later. Depending on the extent of your injuries, your physician may recommend surgery for your workers’ comp injury relatively quickly after you have sustained the injury itself. Aside from reporting the injury immediately to your employer, you also need to consult with your own medical professionals about whether or not this surgery is in your best interest.

It can also be extremely frustrating if your physician has made you aware of the fact that surgery is necessary or strongly recommended in your case, but the workers’ compensation insurance has denied the claim. Outpatient surgery paid for by workers’ compensation can be extremely different from one state to another, when looking at states that have fixed fee schedules and lower surgery cost for injured workers. Workers’ compensation costs can also be significantly different for common procedures as it relates to Medicare.

States with no workers’ compensation fee schedules had payments up to 150% higher than the median of states with fixed amount fee schedules. It can be extremely difficult to figure out your next steps if a doctor is recommending surgery, but the workers’ compensation insurance carrier is hesitating to move forward with this. Going forward with surgery may be expensive even if you have qualified health insurance.

Unfortunately, getting approved for workers’ compensation benefits is often more difficult than people realize. Those individuals who have sustained a workplace injury in New York may assume that workers’ compensation benefits will pay out relatively quickly because it is clear that the accident happened on the job. Unfortunately, however, this is not always the case. In fact, if the workers’ compensation insurance carrier delays payments of necessary treatments or makes it otherwise difficult for you to be approved for benefits, this can add an additional worry in your life when you already have enough to worry about.

This is why it is strongly recommended that you hire a New York workers’ compensation attorney as soon as possible after you have sustained your injury. In an ideal world, your claim would be approved immediately and you would have no challenges with your employer going forward. Sadly, in reality things do not always look this simple or black and white and this is why you need someone advocating for your best interests. Bear in mind that your employer has interests as far as their insurance rates and the insurance company has a reason to deny or minimize all prospective claims. This means that outside of working with an experienced New York workers’ compensation attorney, you don’t have anyone advocating for your best interests.

Consult with one of our Workers' Compensation Attorneys Right Away!

This is why it is recommended that you hire an attorney you can trust as soon as possible after facing a workplace injury or illness. He or she may be able to tell you more about how the process works and the timelines that you can expect as far as waiting to hear back on approval or denial or your claim and what to do in the event that your claim is denied. Hiring the right New York workers’ compensation attorney may have a significant impact on your understanding of the case and your ability to receive these necessary benefits as soon as possible.

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