If you’ve been injured on the job in Washington State, you likely have questions about the medical care provided under the Labor and Industries (L&I) system.
One important question is whether you can choose your own doctor, especially if need an Independent Medical Examination (IME). Understanding your rights when it comes to medical providers is crucial for ensuring you get the fair and complete benefits you deserve.
As your trusted workers’ compensation attorney in Lewis County, Solan & Solan, PS wants to clarify your rights when working with the Department of Labor & Industries (L&I).
Choosing Your Own Doctor
Under Washington State’s L&I rules, you have the right to choose your own doctor as long as they are within the L&I network. This means you’re not limited to a single physician picked by the insurer. Explore the L&I provider directory to find doctors qualified to treat your specific injuries.
Requesting a Second Medical Opinion
There are scenarios where you are uncertain about the diagnosis or the recommended treatment plan. In such cases, Washington State’s L&I system permits you to seek a second opinion from another network provider. This is not only your right but a beneficial step to ensure all aspects of your injury are thoroughly evaluated.
Changing Medical Providers
While you have some choice regarding your doctor, there are limits. Here’s what you need to know:
- Valid Reasons: You can typically change doctors if you have concerns about the quality of care, difficulties communicating with your current provider, or if you move to a new location.
- The Process: You must notify L&I of any changes to your chosen medical provider. This is often done through a formal request process online.
While you have the right to change medical providers, it’s important to understand that there are circumstances where L&I might deny your request. For instance, a change request with an inconvenient location of the provider – may lead to denial.
Receiving an Independent Medical Exam Report
The doctor who conducted your IME will create a detailed report. This report outlines their observations, assessment of your injury or condition, opinions on your current treatment, and their recommendations for future care. The IME report will be sent to your self-insured employer, or L&I, and your doctor.
Carefully examine the IME report, especially if it disagrees with your primary care provider. An experienced workers’ compensation attorney is essential, especially if the IME report negatively impacts your case. They can analyze the report, point out inconsistencies, and help you explore options.
Negotiating the L&I system can be extremely complex. At Solan & Solan, PS, our experienced workers’ compensation attorney in Lewis County is committed to protecting your rights and getting you the maximum benefits you’re entitled to. Contact us today to schedule your free consultation.
