Workers Comp in MA denial of a procedure.?

Question

I had an accident while working in 2001. I have serve pain to where I should I should have a knee replacement, but since I have been in the hospital for a high temperature and infection about 6 times it is to dangerous to have a replacement. My pain doctor wants to do a nerve block but the company denied his request. What can I do now?

lucy · Accepted Answer

You need to talk to a WC lawyer about your rights period.  If you have a lawyer, talk to him, since that is what you have hired him for. 

You are high risk due to the infections and fever.  There are so many questions that none of us can answer since we do not have your medical records, injury etc to see why they have denied the nerve block.  For the type of pain meds you are taking, your only consideration might be to pay yourself or have your health insurance pay for. 

good luck

? · Answer

Are you on Medicaid?  If your doctor says you medically need a motorized wheelchair, you should be able to get one. 

Forget about Workers Comp unless they are still paying for your treatments?  If you were working, you still could have gotten the group insurance at work to pay for your procedure?  Did you go on Cobra?

What about Medicare?  What about the Massachusetts state health plan - did they deny you coverage for the procedure?

Anonymous · Answer

Have the nerve block, and have your health insurance pay for it, or pay for it yourself.   Then hire an attorney to get the $$ back.

If you ONLY want to have a procedure done, if someone ELSE is paying for it, how necessary is it after all?

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Workers Comp in MA denial of a procedure.?

3 Answers