The California Department of Industrial Relations reported that there were 683,502 First Reports of Injuries (FROIs) from employers in 2021 alone. If you are one of the many people who need workers’ comp you may find yourself in a situation where your benefits are coming to an end before you are ready to return to work.
Approach the situation from a defense standpoint and explore the steps you can take to protect your rights and interests.
Assessing your current condition
The first step is to assess your current medical condition accurately. If you still require treatment or therapy to improve your health, it is essential to document this information effectively. Maintaining open and honest communication with your treating physician helps provide a comprehensive understanding of your ongoing medical needs.
In certain cases, obtaining a second opinion from a qualified and impartial medical professional can strengthen your defense by providing an alternative perspective. This can be instrumental in advocating for your ongoing need for treatment.
Requesting a reevaluation
You have the right to request a reevaluation of your medical condition. Contact the claims administrator handling your case and express your concerns, providing any supporting medical documentation that validates your continued need for treatment or therapy.
Appealing the decision
If you receive a denial of your request for continued benefits or your workers’ comp runs out without sufficient consideration of your condition, you have the right to appeal the decision. California’s workers’ compensation system provides an appeals process that allows you to challenge adverse decisions and present your case to an administrative law judge.
By understanding your rights and taking proactive steps, you can protect your interests and work towards securing the continued benefits you require.