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Your Rights Regarding Medical Treatment after a Work Injury

It’s common knowledge in New York that, in the event of a work-related injury, you have a right to seek medical attention and have the costs covered by the workers’ compensation insurance provider. You will likely be required to undergo a physical examination by a physician chosen by the insurer, but you can also get care from your own doctor. However, your physician must follow certain guidelines established in 2010 by the state of New York.

The New York Workers’ Compensation Medical Treatment Guidelines

The guidelines set forth in 2010 address treatment of the most common types of work-related injuries, such as neck, back, shoulder and knee trauma. Additional guidelines covering carpal tunnel syndrome and ongoing maintenance for physical therapy, occupational therapy and certain types of chiropractic care were issued in 2013.

Though you are generally entitled to reimbursement or payment of all “reasonable and necessary” medical expenses, certain types of procedures require specific authorization from the insurer. If you undergo treatment without appropriate authorizations, you may be personally responsible for the costs. As a general rule, pre-authorization is not necessary, but must be obtained in specific situations, including the use of certain types of stimulators, grafts, implantations, transplants and replacements.

It’s important to understand, though, that the medical guidelines are generally not applicable in situations where an injured worker needs emergency medical care. They only apply to ongoing types of care.

Your Rights Regarding Medical Treatment after a Work Injury

Experienced NYC | Queens | Bronx | Brooklyn Workers’ Compensation Lawyers

At Pyrros & Serres LLP, we provide comprehensive counsel to people with workers’ compensation and Social Security disability claims in Brooklyn, Queens, the Bronx and across the greater New York City metropolitan area. Because of our reputation for effective advocacy, many of our new clients come to us as referrals from clients and other lawyers.

To learn more about the full scope of our practice, see our practice area overview page.

Pyrros & Serres LLP

Bronx | NYC | Brooklyn | Queens Workers’ Compensation Attorneys

About The Author

Picture of Michael Serres, ESQ.

Michael Serres, ESQ.

Michael Serres, ESQ. is a reputed Workers’ Compensation Lawyer in Astoria, Queens, NY. He graduated from St. John’s University School of Law in 1989. Mr. Serres was admitted to practice law in New York State in 1990 and is admitted in the Federal District Courts for the Southern and the Eastern Districts of New York. He has served on the Board of Directors of the Workers’ Compensation Bar Association and is currently serving on the Board of Directors of the Queens County Bar Association.