Denied Medical Treatment in a Maryland Workers’ Compensation Case? Here’s What You Can Do

A work injury is stressful enough on its own. Workers’ compensation benefits in Maryland are there to help, but when your employer’s insurer denies the medical treatment you need, it can feel like the system is working against you.

Unfortunately, medical claim denials and treatment disputes are common in workers’ compensation cases, but insurers don’t always get the final word. Our experienced Maryland workers’ compensation attorney helps you fight back and explains your options for dealing with denied medical benefits.

Why Insurers Deny Medical Treatment in Maryland Workers’ Compensation Claims

Insurance companies deny medical treatment requests and other workers’ compensation benefits in Maryland for a variety of reasons, many of which aren’t legitimate. Fortunately, you have the right to appeal their decision, and understanding why a denial happened is the first step toward challenging it.

When insurers deny the medical care you need, it can feel devastating. However, under Maryland Workers’ Compensation Commission (WCC) guidelines, injured workers have the right to dispute denied medical treatment and request a hearing before a commissioner. Common situations in which this can happen include:

• The insurer argues the treatment is not medically necessary.
• They are insisting your injury is unrelated to your job duties or happened somewhere else.
• Your employer disputes that the accident happened the way you described.
• The requested treatment falls outside what the insurer considers standard care.
• The insurer requires an independent medical examination before approving treatment.

A denial based on any of these reasons can be challenged. The key is acting quickly and understanding your rights under state law.

How To Fight Denied Maryland Workers’ Comp Medical Benefits

When an insurer refuses to authorize medical care, the Maryland Workers’ Compensation Act provides important protections. It gives you the right to appeal their decision and have a commissioner review the evidence. To protect yourself throughout this process, take these steps:

• Request the denial in writing and review the specific reason given.
• Ask your treating physician to document why the treatment is medically necessary.
• File a claim for disputed medical benefits with the Maryland Workers’ Compensation Commission.
• Attend all scheduled medical visits and follow your current care plan.
• Consult an experienced Maryland workers’ compensation attorney before the hearing.

Time matters in these situations. Maryland has strict deadlines for disputing workers’ comp decisions, and missing them can cost you the benefits you need.

Don’t Let a Denial Stop Your Recovery. Contact Our Maryland Workers’ Compensation Attorney Today.

When on-the-job injuries in Maryland happen, don’t let denied medical care derail your road to recovery. At Berman, Sobin, Gross, Feldman & Darby LLP, we know how to challenge insurance company decisions and fight for the maximum amount of benefits Maryland injured workers are entitled to and deserve.

If you are facing treatment delays or denials after being hurt on the job, call or contact our office online today. Request a consultation to have our experienced Maryland workers’ compensation attorney review your case and help you take the next step.

Source:

mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gle&section=9-627&enactments=false