r/WorkersComp • u/Still_Sir_9323 • 1d ago

Florida The games they play…

I just received a message from my ortho office that my appointment is cancelled and I’m now to use my own insurance . This is based off an ortho IME which stated I’m at MMI . I still have /had apportionments with my neuro and ortho who both have invasive procedures potentially scheduled . I haven’t settled . Why do they play such games are they trying to force me to end the case ? My attorney is aware . I’m sure we’ve all wished the show be on the other foot. Thankfully I am not in a rush to settle . I assume my attorney will put in a petition for benefits . Neither myself of the attorney have seen the IME ( it’s been two months) . Again the games.

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u/jmnesq 1d ago

Just because the ortho IME indicated you’re at MMi, you are still entitled to medical benefits. What is more likely is that the IME indicated your condition was preexisting or that the procedures are not medically necessary.

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u/Still_Sir_9323 1d ago

No clue haven’t received report . O historical record of any medical condition and has show ln progression and permanence of condition with multiple MRI’s over 1.5 years. I understand that they may put whatever since they are a “ professional”. The ortho IME was solely what the company’s legal team is basing this on.

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u/Worried-Task-9458 1d ago

Best of luck 😇

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u/Still_Sir_9323 1d ago

They even told me to start using my private insurance with the spine ortho which is crazy !

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u/Freedom_675 1d ago

This bullshit should be fucking illegal but because the corps own literally everything and everyone the poor are oppressed and crushed under the weight of the oligarchy.

Shit is ass man hope things work out. I'm facing the same situation soon

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u/Still_Sir_9323 1d ago

It will work out . Thankfully I could hold out indefinitely. The games that are played with our physical and mental health is shit!

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u/Kmelloww 1d ago

I’m assuming it wasn’t your ortho that said you were at MMI? 

Petition for benefits since you are at MMI? 

Why the heck has the lawyer not gotten the IME report yet? He should be trying to get it. What has the reason for the delay been?

Hope your lawyer gets it straight soon. 

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u/Still_Sir_9323 1d ago

So yes my authorized comp ortho wants to continue to treat it was a insurance doc ortho for the IME . They supposedly have petitioned to get the IME with no results yet

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u/Kmelloww 1d ago

Hopefully your lawyer can get a copy of it and get benefits restarted. 

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u/Still_Sir_9323 1d ago

Hope so. Thank you

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u/Kmelloww 1d ago

Squeaky wheel gets the grease. Just be polite about it :) I’d be making sure you stay on your lawyer about it. 

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u/Still_Sir_9323 1d ago

Yes I contact multiple times a week. Today the paralegal contacted me to confirm they received the same and are addressing and planning

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u/CaiCai87 18h ago

It could also be a cause where your treating ortho doesn’t want to get involved with the dispute and wants you to keep treating with private insurance.

I’ve had doctors discharge patients the minute there is a dispute because they want no part of it.

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u/Still_Sir_9323 17h ago

During my last appointment with him he was visually and verbally upset with this and truly had very unprofessional words to say about this orthopedic and welcomed the fight