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    Workman's comp

    Does workman's comp offer any real actual benefits to anyone? My knee blew out on me at work and I was forced to report it to work and go to the emergency room for it. That's the only time I have seen a real doctor since then. Everytime it's nothing but a nurse practitioner and the "conservative" approach to healing. In others words wait it out and hope it somehow heals on its on. My knee has been hurting for more than a month now and I am seriously considering saying f.u. and going to see the orthopedist that fixed my shoulder tear last year. I am just afraid of what the fallout would be if I did that.

    #2
    Contact the claim’s insurance adjuster and tell them about your concern. They can’t stop you from seeking additional medical treatment but they can refuse to pay if the doctor is outside their network. The adjuster should be able to approve the doctor or direct you to one that they will cover.

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      #3
      I used it once when a finger got smashed in a jailhouse door. Never again. Its not worth the hassle

      Buddy of mine made a claim when an attic ladder broke as he climbed up. WC tried 100 different things before agreeing to surgery a 18 months later. Once he had a surgery the doctor told him it would have been far more successful had he came in sooner.

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        #4
        Go to your regular Ortho and get a diagnosis, if you seriously have an issue that requires surgery or long term problems contact a lawyer right off the bat. It’s sad but you can’t to a dang thing with a worker’s compensation claim without one. I’ve been down that road in 2018 with my personal stuff, I waited way to long before getting a lawyer so don’t screw around like I did. Had they simply fixed what needed fixing they could have saved themselves almost a million dollars in the long run.
        As they say when you play stupid games you win stupid prizes and I guarantee you that you will never in your life deal with a more idiotic ins claim... Their entire existence is based on ride it out and make them give up.

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          #5
          I’ve used workmans comp several times. It’s a process that takes time. You’ve got to “play the game”. If I’m not mistaken, you are allowed to see any physician you want to, by law.

          Comment


            #6
            You have to be squeaky wheel. I did CPR and blew out two disks in my back. Bad. Nerve damage and it was obviously going to need surgery. I was an absolute pain to everyone. Happened 10-8-19- had a multiple level fusion 11-3-20. Everyone said it was very fast treatment. I did PT- had injections - medications- all before getting fixed.

            If you dont want to be a squeaky wheel and you are going to get frustrated with the system itvis going to age you 15 years. Your insurance will probably deny treatment since workers comp is insurance and responsible

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              #7
              I’m gonna admit that I only have an employers perspective, but go see your own orthopedic. If you’re injured, then you need to get it fixed and WC should pay. That being said, and I’m not saying you would, but don’t milk it. When you’re able to get back to work, get back to work. Fraudulent claims is why so many companies take that approach with WC. Truth is, sometimes people can be injured at work and when they are, they need to be taken care of. That’s what WC is for.

              Unfortunately many employees abuse it and many employers do everything to avoid it. It’s a useful tool when used correctly and in both parties’ best interest.

              Good luck.


              Sent from my iPhone using Tapatalk

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                #8
                Originally posted by curtintex View Post
                I’m gonna admit that I only have an employers perspective, but go see your own orthopedic. If you’re injured, then you need to get it fixed and WC should pay. That being said, and I’m not saying you would, but don’t milk it. When you’re able to get back to work, get back to work. Fraudulent claims is why so many companies take that approach with WC. Truth is, sometimes people can be injured at work and when they are, they need to be taken care of. That’s what WC is for.

                Unfortunately many employees abuse it and many employers do everything to avoid it. It’s a useful tool when used correctly and in both parties’ best interest.

                Good luck.


                Sent from my iPhone using Tapatalk
                this pretty much sums it up.

                If you go outside the Workers Comp network you could be hung out to pay those bills. I manage claims for work every day. If I have an employee that isn't getting the treatment needed I am on the phone with the adjuster getting them to speed up the process. Talk to whomever is in charge at your office for managing the claim. If they don't help you then call the adjuster. If they don't help, then get a lawyer. But follow whatever PT and restrictions the doctor gives you.

                You have the right to seek a 2nd opinion and to me it sounds like that is your best bet. I would ask the adjuster to find you another doctor to go see.

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                  #9
                  It’s a joke. I hurt my knee on the job. Not bad but knew something wasn’t right. Three months later I finally saw the orthopedic. He said it didn’t need surgery but the MRI showed some problems and he wanted to do a steroid injection. WC denied the claim. So now four months later it has gotten better but it still isn’t right. I have had people I have had doctors along the way admit to me that WC is designed to give inferior care so that people will just use their private insurance. Keep in mind that once you pay for anything (either yourself or through your insurance) WC is done and you are on your own. Welcome to socialized medicine.

                  Comment


                    #10
                    Originally posted by curtintex View Post
                    I’m gonna admit that I only have an employers perspective, but go see your own orthopedic. If you’re injured, then you need to get it fixed and WC should pay. That being said, and I’m not saying you would, but don’t milk it. When you’re able to get back to work, get back to work. Fraudulent claims is why so many companies take that approach with WC. Truth is, sometimes people can be injured at work and when they are, they need to be taken care of. That’s what WC is for.

                    Unfortunately many employees abuse it and many employers do everything to avoid it. It’s a useful tool when used correctly and in both parties’ best interest.

                    Good luck.


                    Sent from my iPhone using Tapatalk
                    Originally posted by bowhuntertex View Post
                    this pretty much sums it up.

                    If you go outside the Workers Comp network you could be hung out to pay those bills. I manage claims for work every day. If I have an employee that isn't getting the treatment needed I am on the phone with the adjuster getting them to speed up the process. Talk to whomever is in charge at your office for managing the claim. If they don't help you then call the adjuster. If they don't help, then get a lawyer. But follow whatever PT and restrictions the doctor gives you.

                    You have the right to seek a 2nd opinion and to me it sounds like that is your best bet. I would ask the adjuster to find you another doctor to go see.
                    Thank you both for the good advice. I will ride this out till my next appointment and hopefully the physical therapy will help it get better before then. I am not one to try and milk this as I just want to do whatever is the cheapest and best way to get my knee back into working shape for them and me both. If not better by then I will request a 2nd opinion.

                    Comment


                      #11
                      I blew my knee out several years ago at work. Had some severe maniscus tears along with stretched out and torn ligaments. The payed all my bills and ended up getting about 8k for loss of range of motion.

                      Comment


                        #12
                        Originally posted by Horn chaser View Post
                        Does workman's comp offer any real actual benefits to anyone? My knee blew out on me at work and I was forced to report it to work and go to the emergency room for it. That's the only time I have seen a real doctor since then. Everytime it's nothing but a nurse practitioner and the "conservative" approach to healing. In others words wait it out and hope it somehow heals on its on. My knee has been hurting for more than a month now and I am seriously considering saying f.u. and going to see the orthopedist that fixed my shoulder tear last year. I am just afraid of what the fallout would be if I did that.
                        What was the diagnosis in the ER or following visits? CT-scan, MRI, X-Rays? "Blew out a knee" isn't something they put on medical docs or forms. If you had serious damage found or not, the ER would have recommended you follow up with a orthopedic or at least your gp. Do you have medical insurance?

                        Comment


                          #13
                          Originally posted by Sackett View Post
                          What was the diagnosis in the ER or following visits? CT-scan, MRI, X-Rays? "Blew out a knee" isn't something they put on medical docs or forms. If you had serious damage found or not, the ER would have recommended you follow up with a orthopedic or at least your gp. Do you have medical insurance?
                          They done a xray in the ER. Couldn't find anything on it. Listed it as a knee sprain and sent me to see the nurse practitioner the next day where she decided we would go the "conservative route" of fixing it as she put it with no other test as of yet. Basically see if it heals up on its on. I call it blowing out the knee myself since I don't know what to really call it. I was pulling a pallet to the back, took a step when I felt and heard a pop in my knee. Waited a second and tried to put some weight on that leg and nothing but pain. I do have insurance as I was just going to go to the DR the next day and go from there but I was told by the store manager I had to go fill out a report and go through workman's comp. So in all I have only seen a real DR during the trip to the ER that first day.

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