Suffering a workplace injury is stressful enough without having to worry about medical treatment. One of the first questions injured workers usually ask is whether they can see their own doctor for a workers’ compensation claim.
While it may seem logical to visit a trusted physician, New Jersey law has specific workers’ compensation requirements about who provides medical care. Understanding these regulations can help you navigate your claim and ensure you receive the treatment you need.
Employer control over medical treatment
Generally, employers and their workers’ compensation insurance carriers have the right to choose the treating physician. This means that if you file a workers’ compensation claim, your employer or their insurer will direct you to an approved medical provider.
If you seek treatment from a doctor outside of the list of approved doctors without prior authorization, your medical expenses may not be covered.
Exceptions to the rule
There are situations where you may be able to see your own doctor. If your employer denies your claim, you have the right to seek medical treatment independently and later petition for reimbursement. Additionally, in an emergency, you can receive immediate care from any provider without jeopardizing your claim.
Requesting a change in doctors
If you are unhappy with the care provided by the employer-approved physician, you can request to see another doctor. However, this requires approval from the insurance carrier or a judge in the New Jersey Division of Workers’ Compensation.
Understanding your rights regarding medical treatment is crucial for a successful workers’ compensation claim and your well-being. If you have concerns about your medical care, a legal representative can help you explore your options and protect your benefits.