What Neck Injury Medical Treatment Does Workers Compensation Cover?
If you suffer a serious neck injury at work, you need to make sure you get good workers compensation medical treatment. A serious neck injury can limit your ability to work. Making sure you get good treatment should improve your chances of recovering and returning to work.
In addition to affecting your ability to work, a serious neck injury can cause you pain and put you at risk of permanent impairment. Some types of neck injuries even put you at risk of paralysis.
How do you get the treatment you need through workers compensation so that you can have a good recovery? I will discuss the answer to that question and many others in this article.
One of the primary benefits of Georgia workers compensation is payment for medical treatment and testing. The workers compensation insurance company should pay for reasonable and necessary medical treatment that you need for your work injury.
When you suffer a neck injury, you will probably want to make sure you treat with a doctor who specializes in treatment of the neck. It is likely that this doctor will be an orthopedic surgeon.
There are other types of doctors other than orthopedic surgeons that may specialize in treatment of neck injuries. Some of these doctors include:
- Pain management specialists
Often, you can check online to find out if the particular doctor you see specializes in treatment of neck injuries. This will allow you to make sure you are seeing a neck specialist.
How do I get to a workers compensation doctor who specializes in neck injuries?
Unfortunately, you will probably not be able to pick any workers compensation doctor you want for treatment. Georgia workers compensation has rules about which doctors you can see after an injury.
The starting point is that your employer is supposed to have either a panel of physicians or a WC/MCO. Both a panel of physicians and a WC/MCO are lists of workers compensation doctors. 90% or more of employers use a panel of physicians.
When you suffer an injury at work, you can select a doctor off of your employers list to serve as your authorized treating physician (ATP). Your authorized treating physician is your primary workers compensation doctor.
Hopefully, you can select a good neck doctor off of your employer’s list. But, the list may not have a good neck doctor. Fortunately, Georgia law allows your authorized treating physician to refer you to a specialist if needed. So, you may need to select a doctor off the list who is not a neck specialist and then ask that doctor to refer you to a neck specialist.
One more thing – there are some situations where you can pick any doctor you want for your authorized treating physician. Them main examples of this situation include:
- When the workers compensation insurance company denies (controverts) your claim
- If the employer does not follow certain rules about how posting and explaining the panel of physicians
What neck injury medical treatment does Georgia workers compensation cover?
The basic rule is that Georgia workers compensation covers reasonable and necessary medical treatment with authorized doctors that is related to your work injury. If you break down that rule, you can see that there are three parts of making sure your medical treatment is covered:
Your treatment is with an authorized doctor
I discussed this above. Georgia workers compensation has rules requiring your doctor to be an authorized medical provider.
Your authorized treating physician is always an authorized doctor. Your authorized doctor’s referral to a specialist makes that specialist an authorized referral doctor.
You do not have to demonstrate that the treatment is guaranteed to work. Treatment can be reasonable even if it does not work all the time.
The main problem you need to watch out for are experimental or nonscientific treatments. For example, treating with a witchdoctor to repair the herniated disc in your neck would likely not be reasonable and necessary treatment.
The treatment is related to your work injury
The work injury needs to have caused or accelerated the need for the medical treatment. It is important to remember that Georgia’s workers compensation law covers aggravations of preexisting conditions. So, the insurance company may have to pay for neck surgery even if you had a preexisting neck condition.
How do I get workers compensation to approve the medical treatment my doctor has recommended?
Unfortunately, getting approval for medical treatment is often a big problem in workers compensation claims. Doctors often will not move forward with providing the treatment they recommend until the insurance company has authorized it.
There are some tips and forms that you or an attorney can use to try to get your treatment approved. I discuss some of the different ways to get medical treatment approved in this article.
Like many other Georgia workers compensation benefits, the right to workers compensation medical treatment is limited in almost all workers compensation cases. If you suffered your work injury after June 30, 2013, you only have 400 weeks to get medical treatment for your injury (unless your injury qualifies for a catastrophic designation).
Georgia’s workers compensation law has many tricky deadlines that can prevent you from receiving the benefits you should. Find out about a few more of them by reading this article.
What if I have other questions about Georgia workers compensation?
Having a better understanding of Georgia workers compensation law can improve the chances that you get the benefits you should. I write articles on our PerkinsLawTalk to provide helpful information to people who are suffering with workers compensation injuries.
Often, some question that you have is not covered in an article. Or, you may just need to know how the particular facts of your case will interact with Georgia’s laws. I provide free consultations in workers compensation cases to help answer these questions.
To learn more about how a free workers compensation consultation works, just read this short article. If you decide you want to set up a consultation, it is easy to do and only takes a few minutes. You can either call our office at (770) 214-8885 or complete and submit this consultation request form.
Jason Perkins is an attorney who specializes in representing injured workers. He regularly blogs about Georgia’s workers’ compensation system and issues that are important to injured workers and their families.
You can subscribe to his Georgia Workers Compensation channel on YouTube.