How to Avoid Medical Benefit Denial

Florida Workers’ Compensation Insurance Carriers attempt to delay and deny medical treatment and care. The goal of the carrier is to frustrate injured workers into submission-in that, you give up your claim in exchange for either a nominal amount of money or dismiss it before you receive medical care.  Workplace injuries are painful enough; do not let the Insurance Companies take advantage of you! Call the experienced and trusted Florida Workers’ Compensation attorneys at LaBovick Law Group.

MEDICAL BENEFITS: TOP 3 WAYS TO AVOID DENIAL OF MEDICAL CARE/TREATMENT

  • Make sure you attend all scheduled appointments.
    1. The carrier will deny benefits for non-compliance if you skip appointments. This includes physical therapy, MRI and another type of treatment. Make sure to contact our office to reschedule any appointment you cannot appear at.
  • Tell your authorized treating doctor about any and all previous injuries.
    1. The Workers’ Compensation insurance company may deny benefits if you omit information from your treating physician. Be upfront with your doctor; tell him/her about previous workplace injuries or motor vehicle accidents. The attorney for the insurance company will eventually subpoena your medical records for a comprehensive overview of your medical history. Hiding the past treatment will only lead to a denial of medical care.
    2. We will make sure to object to any request that is irrelevant or overbroad. The Florida Workers’ Compensation attorneys at LaBovick Law Group strive to educate our clients about medical care and the do’s and don’ts when it comes to medical appointments.
  • Do not treat with your “own” doctors and skip Workers’ Compensation appointments.
    1. The Workers’ Compensation carrier will generally schedule your medical appointments with doctors within their network. You may be able to choose a physician in rare instances such as when the carrier fails to provide treatment within a reasonable time. However, DO Not SKIP a scheduled appointment by the insurance company to treat with your own physician. Unfortunately, two negative outcomes may occur:
      1. Your medical benefits may be cut/denied.
      2. You may receive a bill from your physician that the carrier won’t reimburse.

2. The Florida Workers’ Compensation attorneys at the LaBovick Law Group will make sure you receive the best medical treatment possible under the Florida Workers’ Compensation system. Please call us prior to treating with your own physicians.

WHAT YOU CAN DO TO AVOID DENIAL

  • Make sure to attend all appointments scheduled by the insurance company.
  • Answer all of the physicians’ questions regarding your previous treatment related to this workplace accident.
  • Explain in detail the injuries sustained in the workplace accident when initially meeting with the authorized treating doctor.
    1. Do not treat with your own private physician prior to contacting The Florida Workers’ Compensation attorneys at the LaBovick Law Group.
  • Send us all bills and notes regarding ANY treatment you’ve received outside of the Workers’ Compensation system.

CONCLUSION

It’s essential for you to hire an experienced South Florida Workers’ Comp. Lawyer. LaBovick Law Group specializes in advocating for our client’s rights as the leading Workers’ Compensation Attorneys in South Florida. We offer a comprehensive free Initial Consultation. That’s right, we DO NOT CHARGE a penny for an initial consultation. We’ll discuss the potential for settlement and case strategy. It’s essential to attend all medical appointments scheduled by the insurance company. If treatment is not scheduled within a  reasonable time,  DO NOT wait for the Insurance Company to do the right thing, contact LaBovick Law Group, 24/7, 365 days a year. We’re here to fight for you

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Fill out the form or call us at 561-888-8888

Meet your legal team

We fight to win you more

Premises liability

PREMISE LIABILITY

$450,000

James was searching for equipment for painting at Home Depot. In the aisle next to him, there was a worker on a lift stocking the highest shelf. The worker pushed boxes so far across the shelf that they fell off the other edge and hit James in the head. The force almost knocked James unconscious. He sat down and the loud bang got the worker off the ladder to see what fell. When they saw James they offered him a bucket and made a report. James did not recall leaving the store or how he got home. He did not recall much except being at home depot and getting hit in the head. Home Depot told him that it was a small box of dust masks that hurt him. We discovered it was actually a large box of emergency kits that fell off the shelf.

Personal injury

PERSONAL INJURY

$850,000

In this case, our client slipped and fell on water that had accumulated near the hot tubs/showers on the Lido deck of a major cruise line ship. The client suffered torn ligaments to her shoulder that required 2 arthroscopic surgeries. The cruise line took the position that the condition on the floor was open and obvious.

Premises liability

PREMISES LIABILITY

$980,000

Georgia was visiting a friend in the hospital when she walked out of the elevator and into her friend’s room. As soon as she entered the room she slipped on a newly mopped floor without any wet floor sign present. The floor was so wet that Georgia’s entire outfit was soaked. Because of the muted tile floor, the water was invisible. Georgia needed a back operation which was unsuccessful and caused her to slip into a coma. She luckily survived.

Motor vehicle accident

MOTOR VEHICLE ACCIDENT

$1.1 MILLION

AUTOMOBILE REAR END COLLISION

Rodrigo was driving his work truck home when he was rear-ended at a stoplight. Rodrigo needed a fusion of his thoracic spine. A terrible and complex operation. Unfortunately, while Rodrigo was undergoing the spinal operation, one of his children died and he was unable to be with his grieving wife. It was a tragic case that eventually settled.

Bicycle vs car accident

BICYCLE VS CAR ACCIDENT

$1.45 MILLION

David was a teacher at a local high school. He rode his bike to school in the morning and after school would ride another 10 miles for exercise. On a sunny afternoon on his way home an older driver turned right into him as he was riding down the street. He hurt his shoulder and neck and needed two operations. Defendant felt his injury was due to playing football 10 years earlier and would not provide him a fair or reasonable offer.

Car vs commercial truck accident

CAR VS COMMERCIAL TRUCK ACCIDENT

$3.4 MILLION

Joe was driving his 18 wheeler on the Florida Turnpike headed south after a long-haul run.  He was “bobtailing” which means he did not have a cargo trailer on the back of his truck rig.  A drunk driver lost control of his car causing Joe to avoid the accident but drive off the highway and into a canal.  He was injured in the accident but also witnessed a child die when he climbed out of the truck and came to the accident site.  There the injured child was trapped under the car and he was powerless to save the child before it passed.

Auto accident T-Bone

AUTO ACCIDENT T-BONE

$4.5 MILLION

Xao, a Vietnamese immigrant was driving home after work at night to see his pregnant wife. He stopped at a 4-way intersection and looked both ways. He did not see anyone in either direction. As Mr. X when through the intersection he was hit on the passenger side door by a mid-sized black SUV driving without their lights on. Mr. X was catastrophically injured.

Personal injury

PERSONAL INJURY

$8.2 MILLION

This was a hard-fought pedestrian accident case, in which our client was struck by an SUV driven by a teen driver, as they attempted to cross North Military Trail in West Palm Beach, FL. As a result of the accident, our client suffered numerous fractures, partial loss of vision and frontal lobe brain injury that affected his speech, and other personal injuries that required him to be hospitalized for 58 days.

At the time of the accident, our client was a cashier at Walmart and has been unable to return to work.

“This case is the epitome of what we consider part of our Core Culture and broad vision – which is to be Warriors for Justice,” stated Brian LaBovick. “Mr. Jacobus has serious permanent injuries and will continue to fight to regain his life into the foreseeable future. This verdict will allow him to get the professional help he needs to safely navigate the rest of his life.”

Medical malpractice

MEDICAL MALPRACTICE

$15 MILLION

Brain damages child due to medical negligence.  Mother was misdiagnosed upon entry to the hospital while under contractions.  The child was born severely disabled.