Q: Injured in 2013, no longer w/company. I have a Doc for my injury, but company joined network. Do I have to switch?
I left company in 2014, they switched to network in 2017. Do I have to switch to network doc (Concentra or CareNow are my options)?
A: I'm not 100% on this answer, but I believe you will need to switch to the network doctor. You can have the Carrier send you the website to search out which doctors are in network. You might try calling the Division of Workers Compensation in Austin to speak to someone that deals with the networks. A problem you may have is locating a doctor that would be willing to take on a claim that is so old. If there are no network doctors willing to treat you, you can ask for an out-of-network exception from the network administrator. You would need to discuss this with your adjuster. If you have been treating with your doctor since 2013, you should ask the workers' compensation adjuster if they would be willing to make an out-of-network exception. Good Luck.
Roy Lee Warren agrees with this answer
A:
I am not 100% either on this question. I agree you should call DWC, and speak with an ombudsman or lawyer for injured workers at DWC. You can look on the website posted below:
http://www.tdi.texas.gov/hmo/mcqa/glossary.html
Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.
The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.
Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.
