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Is it legal for a Orthopedic surgeon to refuse care because I have a Workman's comp lawyer?
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Is it legal for a Orthopedic surgeon to refuse care because I have a Workman's comp lawyer?

Back in January I fell at work and my PCP referred me to an Orthopedic Surgeon. I had an appt scheduled and the surgeon's office called me and canceled the appt when they found out I have a Workman's Comp lawyer.

Is this legal in PA?


    




michr
Rating
workers comp like Medicare has limits (allowable) for what medical providers may be paid for services they render. some doctors simply won't work knowing what they will be paid is limited.
many doctors refuse numerous types of insurance because they don't agree with the payment scale....

however the employer is required to provide you a list of doctors you can chose from and if you decide you don't want to use those doctors you may chose your own. that does not mean every doctor has to accept workers comp insurance payment.
doctors are allowed to decide who they will treat (as long as it is a non-emergency) and what insurance companies they will deal with.

for knowledge of how the system works:
http://www.dli.state.pa.us/landi/cwp/view.asp?a=138&q=220671
for assistance:
http://www.dli.state.pa.us/landi/cwp/view.asp?a=334&q=220685


Cubs Girl
Yes, they can refuse . Some surgeons do not want to deal with WC.


LadyCatherine
Rating
how do they know you have a lawyer..?

find a different doctor but don't tell them you have a lawyer..


jobbend
Rating
Did your PCP not know your injury was covered under Workers Comp? Think of Workers Comp as a separate HMO. There are doctors that work within that association, and others that don't. If your PCP referred you to a doctor that won't work with Workers Comp insurance, then I'd be talking to your PCP to let them know what's up and asking for another referral.

It's doubtful that this is it's illegal.





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