Illinois workers' compensation medical bills
A new client came to us after having had one surgery for his knee from a work injury. After months of therapy it wasn't getting better and his doctor suggested that he have an additional surgery based on a review of a MRI.
As is their right, the insurance company sent this worker to an independent medical examination (IME) with a doctor of their choosing. Quite often these are hired guns, but many of these doctors are honest as was this one. In fact the doctor in his report said that he agreed 100% that the worker needed a new surgery and that it was related to the work injury.
Seems pretty obvious that the insurance company should pay for this surgery and the worker can get better, right? Well apparently the insurance adjuster felt that he should do more therapy first so even though two orthopedic surgeons agreed surgery was needed, the adjuster put her medical "expertise" above them.
Should he just sit there and get screwed? NO!!! Not only can we get the surgery ordered by an Illinois Workers' Compensation Commission Arbitrator, but we can find out how much the surgery costs and the insurance company should have to pay a 50% penalty to our client. In other words, if the surgery is going to cost $50,000, they should pay this guy $25,000 because their behavior is so unreasonable.
If you are hurt and the evidence is on your side the system will protect you. You just have to proceed forward.
We are workers' compensation attorneys that help people with Illinois work injuries anywhere in IL via our statewide network of attorneys. Contact Us and we will answer your questions or find the right lawyer for your situation.