If you have been involved in a workplace accident, under the Workers’ Compensation Law you have the right to obtain medical treatment and prescription medications consistent with the Board’s treatment guidelines. If an insurance carrier refuses to cover your treatment or prescription medication, you need to be able to turn to an attorney you can trust to help you obtain the care you need. The workers’ compensation attorneys at Lipsitz Green Scime Cambria will work as quickly as possible to reinstate your insurance coverage of prescriptions if your coverage has been denied.
Insurance company requirements and prescription denial
When you suffer a work-related injury or illness, insurance carriers can designate which pharmacies you are allowed to use to fill prescriptions. Insurers are required to notify you of this designation and tell you in writing exactly which pharmacies you can use, as well as how to fill and refill prescriptions. The pharmacies that the insurance provider approves must be a reasonable distance from you or have mail order, but obtaining the necessary medication can still be difficult under these restrictions. In addition, insurance carriers may attempt to controvert your claim in order to avoid paying for treatment and prescriptions at all.
Insurance carriers can attempt to deny covering your work injury related prescription for several reasons, including:
If the treatment or prescription medication is not consistent with the medical treatment guidelines
If the medical provider has not provided sufficient evidence that the treatment or prescription medication is related to your injury
Attorneys helping you recover your prescriptions
If insurance carriers have denied your claim for a prescription, turn to the attorneys at Lipsitz Green Scime Cambria. Since the firm’s founding, it has been dedicated to fighting on behalf of injured workers. The workers’ compensation attorneys at Lipsitz Green Scime Cambria have the experience and compassion to guide you through the complexities of workers’ compensation and insurance coverage in order to ensure that you get all the benefits you’re entitled to. Contact the workers’ compensation attorneys at Lipsitz Green Scime Cambria today for help navigating insurance claims and other workers’ compensation benefits.