Q: My workmans comp insurance stopped paying for my physical therapy. My own doctor says I need more. It's a torn Achilles
I had surgery for the torn Achilles tendon, and when therapy began it was fine at first, then became sporadic, due to the insurance not approving it on time, and being unavailable when I called & left messages, and my calls were never returned. After I got approval to return to work, they ignored my doctors request for approval of physical therapy, and my calls, from Christmas until 3/6/19, when I received a letter that they would not pay for any more physical therapy.
A: It sounds like you don't have a lawyer. Seriously, find a lawyer who practices in the field of workers' compensation immediately. He or she will run interference for you with the insurance company and may well be able to get them to approve your therapy. Even if not, he or she will know how to proceed before the Workers' Compensation Commission to maximize your benefits. You want a knight in shining armor who knows what to do fighting on your behalf when you face the insurance company.
A: You are being generally ignored just like all injured workers who represent themselves. If you needed PT 4-5 months ago, it is unlikely that it will help now. Hire an attorney who is experienced in these matters. We would be happy to provide a consult without cost or obligation.
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