Illinois shoulder injury screwed up by insurance company

We got a call from a guy that hurt his shoulder while lifting a patient at the hospital he works at. He did all of the right things. He was honest. He got medical care right away. Reported the injury to his supervisor. He actually went to their doctor right away. That doctor recommended that he get a MRI and said he probably tore his rotator cuff. This was four months ago. He?s still waiting for that MRI.

What happened is the insurance company assigned a nurse manager to the case. She didn?t like the MRI recommendation and got the case assigned to a new doctor at the company clinic who hasn?t ordered the test. See, MRI?s are expensive and the company clinic depends on the insurance company and employer for business. So everyone was happy to play ball and screw the worker because you know, it?s just his arm.

The bad news is that he?s been in pain and it?s possible that the delay in getting the right care will screw up his arm or lead to a surgery that could have been avoided.

The good news is that he has the right to stop seeing their doctor and go see an independent, reputable doctor that will look out for his best interests.

I can?t imagine that a MRI won?t be ordered and there would be no basis for the insurance company to deny paying for it. So now that he?s been told his rights, he?s on his way to making a medical recovery. And shouldn?t everyone involved want that? You?d think that they would, but the reality is that the only person you can count on to look out for your health is you.

As someone who tore their rotator cuff, I know a little about this injury and I?m optimistic that our caller can still make a good recovery. But I?d have felt a lot better for him if they took good care of him from the beginning. He did all the right things. They did everything wrong.

We are workers' compensation attorneys who help people with Illinois work injuries anywhere in IL via our statewide network of attorneys.?Contact us?and we will answer your questions or find the right lawyer for your situation.

7/29/12

Source: http://www.illinoisworkerscomplaw.com/2012/07/articles/repetitive-trauma/illinois-shoulder-injury-screwed-up-by-insurance-company/

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