Riverside Medical Benefits Claims Lawyers
Fighting for Injured and Disabled Workers in Riverside to Get the Workers’ Compensation Benefits They Deserve
When you are injured on the job in California, you are entitled to workers’ compensation benefits. Your employer’s workers’ comp plan is intended to cover your medical expenses for your work-related injuries, in addition to a portion of your lost income for any missed days at work and other benefits including disability and job placement. If your employer or their workers’ comp plan refuses to cover your health care after a workplace injury, you need a passionate workers’ comp medical benefits attorney in your corner to ensure you get the medical care you need.
At Ochoa & Calderon, our dedicated California workers’ compensation attorneys have over 25 years of combined experience helping injured workers get the medical care and benefits they are owed after an on-the-job injury. Whether you are temporarily or permanently disabled, or whether you are simply trying to get medical care so that you can return to work, Ochoa & Calderon is here to help you get the financial benefits you are owed.
Dealing With Disputed Claims
Workers’ comp coverage is like any other form of health insurance, in that there may be limitations on the type of treatments you can obtain. Additionally, like any other insurance provider, your workers’ comp insurer is on the lookout for any reason to deny your claims and limit your coverage in order to protect its own bottom line. At Ochoa & Calderon, our workers’ comp medical benefits legal team will help you get the coverage you need, including assistance for:
- Denial of coverage for medications or medical equipment
- Seeking authorization for a second opinion
- Access to the appropriate medical specialists
- Denial of specific treatment as “experimental” or “medically unnecessary”
- Denial of coverage for diagnostic testing such as MRIs or X-rays
- Denial of coverage for ongoing treatment such as physical therapy
- Appealing coverage denials
Can You Choose Your Own Doctor After a Workplace Injury?
When you file for workers’ comp, the plan administrator will typically assign you either a particular doctor or a list of doctors within the employer’s medical provider network (MPN). Unless you predesignated your physician, you will be relegated to a physician of their choice.
California workers can, however, “predesignate” a personal physician for the treatment of work-related injuries. If you let your employer know before any workplace injury or illness that you would like to use your own doctor, you can seek treatment from that doctor after your workplace accident. You need to satisfy certain administrative and legal requirements, including: (a) your physician must agree to be your workplace injury treating physician; (b) the physician must have previously acted as your primary care physician; (c) you must have your own health insurance; and (d) you notify your employer in writing about your pre-designated physician before the injury occurs.
A seasoned workers’ comp attorney can help you predesignate the attorney of your choice so that you get the medical care you need from a trusted family physician in the event of a workplace injury.
Coverage for All Types of Workplace Illness and Injuries
California law guarantees you workers’ comp protection after any work-related injury or illness. Some conditions can be more difficult to prove than others, especially if a condition manifests after a long period of time. At Ochoa & Calderon, our workers’ comp team will help you recover benefits for:
- Impact injuries and accidents, such as slip & falls or car accidents
- Disease caused by exposure to harmful chemicals, such as asbestos or benzene
- Overuse, repetitive motion, and other cumulative injuries, such as carpal tunnel or back and knee problems
Whatever the nature of your illness or injury, we are here to help. We will investigate your claim and help you demonstrate that your injury occurred on the job or in connection with your workplace duties. We will not stand by while your workers’ comp insurer tries to claim that your injury arose from non-work conduct or exposure. At Ochoa & Calderon, we have spent over 25 years developing our workers’ comp practice, dealing with employers, insurers, and healthcare providers. We know all the employer’s tricks and employee’s strategies, and we know how to get you the maximum benefits you deserve.
Our Riverside Workers’ Comp Medical Benefits Lawyers Are Ready to Help You Get the Medical Care and Financial Compensation You Are Owed
For help getting benefits after an on-the-job injury or workplace illness, call Ochoa & Calderon to discuss your case with a seasoned and effective California workers’ comp lawyer. Call 951-901-4444 in Riverside or 844-401-0750 toll-free throughout Southern California.