Workers Compensation Medical Benefits are one of the main benefits of the Minnesota Workers Compensation Act. The Minnesota Workers’ Compensation Act specifically requires an employer’s workers’ compensation insurer to pay for an employee’s medical treatment that is necessary to treat a work injury.
First Treatment after an Injury
If you are injured at work, you have a right to seek medical treatment immediately. You do not have to finish your shift or wait until you get home. In addition, you have a right to choose where you initially treat. Some employers have a clinic on the worksite or a contract with a local clinic to treat their employees. If you wish to treat there initially, that is fine, but you have a choice. Do not believe that this employer-approved clinic is the “only” clinic where you can treat.
Who picks my treating doctor—me or the insurance company?
Under the MN work comp system, employees have a right to choose a doctor to treat them. You do not have to treat with a doctor who the workers’ compensation insurance company designates. The insurer must pay your doctor for this treatment; the insurer cannot claim the doctor is “out of network” or other excuse that medical insurers use.
Second Opinions
Under the Minnesota Workers’ Compensation Act, an employer may require an employee to get an opinion from a different doctor if the employee’s treating doctor has recommended a non-emergency surgery. This is called a “second opinion.” It is not allowed if the employee requires emergency surgery.
Independent Medical Exams
An injured employee must submit to an examination with a doctor picked by the employer and its workers’ compensation insurer if one is requested by the employer and its workers’ compensation insurer. This is typically called an “Independent Medical Examination,” but we who represent employees call them “Adverse Medical Examinations” because the so-called independent doctor’s opinion is typically adverse to your treating doctor’s opinion.
The Independent Medical Examiner is not hired to treat an employee. He is only hired to examine the employee and any medical records. After the exam, the doctor will write a report summarizing his examination and stating his findings and conclusions.
The Minnesota Workers Compensation Act does not limit an Independent Medical Exam to a one-time exam. The statute states that an examination may take place at the employer’s request at reasonable times after an initial independent medical exam. The issue of what constitutes “reasonable times” thereafter is a fact question that is decided on a case-by-case basis.
The employer must pay an employee’s reasonable travel expenses incurred attending the exam including mileage, parking, and, if necessary, lodging and meals. The employee must also pay the employee for any lost wages resulting from attending the exam. If you were injured on the job please contact us and one of our Minnesota work comp attorneys will help explain your rights.