As someone going through this maze of insurance forms, long drives and denial of service. I felt a need to share this with others that are facing this in the State of California. You could lose everything while waiting for help. This shouldn't happen to people that get hurt while on the job. I broke my wrist, back and neck at work May 6th 2017. I have had a QME and the insurance company carrier has denied the doctors recommendations. And so I wait, and wait and wait.
Injured workers in California often wait months or even years to receive the medical evaluations required to get needed treatment, and in some cases to determine how disabled they are as a result of the injury.
The reason? The state lacks enough physicians signed up with the state’s program to serve as experts.
That’s among the findings of a first-ever state audit of California’s Division of Workers’ Compensation, which noted that the state has not increased the pay schedule for expert doctors, known as Qualified Medical Evaluators, in 13 years.
“It’s affecting real workers, and if something is not being done correctly, they need to fix it,” said Democratic Assemblywoman Blanca Rubio of Baldwin Park. She requested the audit as a member of the Joint Committee on Legislative Audit, which will hold a hearing on the findings Tuesday. “But if it doesn’t get fixed, then we can step in and fix it. The department needs to take it seriously.”
Read more from Elizebeth Aguilera at CalMatters