How can you get workman's comp to pay for the surgery you need from your work injury?

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You've had a serious injury at work and you need surgery.

How do you handle that - workman's compensation is too slow.  If your doctor says you need surgery, and you trust him and feel that you need the surgery he recommended, here's what may happen.

The workman's comp adjuster can still deny the surgery.  She may have you see one of the insurance doctors - and you know what they will say.  Or she will have a utilization review, where some doctor you've never seen, who usually isn't even a surgeon, reviews only some of your medical records and says you don't need surgery for your work injury.

You need to request a hearing the minute that adjuster denies the surgery or sets you up to see an insurance doctor - don't wait.

Because there is already delay built into the workers comp system and the best way to force them to authorize the surgery you need is to force the issue (at least that's how we do it for the people we work with). 

If you have health insurance, they may be able to pay for the surgery you need once it's been denied by workers comp, but there are a number of factors to consider with that - and you're welcome to call us so you can get answers to specific questions on that.

Frank R. Kearney, Attorney-at-Law
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Experienced DC Workers' Comp, Long Term Disability & Accident Lawyer