Have you been injured in a traffic accident in the state of Illinois? If so, you might find yourself wondering exactly who is responsible for the resulting medical bills. Let’s take a look at what to expect below, and don’t forget that you can reach out to the professionals at Frederick & Hagle for a free consult at 800.642.1227!
First of all, it’s important to understand up front that the responsible party’s insurance company won’t pay for your medical expenses until after your case has been settled. We know that’s not what you want to hear right now, especially if you’re also dealing with lost wages on top of steep medical bills. You need to keep this information in mind, however, so that you understand that your medical expenses will likely be sent to collections if you tell the medical professional in question to “bill” the responsible party’s insurance. You’ll most likely have to pay up front and seek reimbursement after the fact.
With that said, keep in mind that this doesn’t mean insurance won’t cover your bills at all. It just means that you’ll have to pay them before your case is settled and take reimbursement out of the compensation secured on your behalf by an experienced attorney.
Check in with Your Health Insurance
When you go in for medical treatment, make sure to tell the provider that they should bill your health insurance agency. Many of the larger agencies will have special rates with certain facilities, so they’ll end up paying less than you might. Note that you might still be responsible for things like deductibles or the like require upfront payments. Additionally, your health insurance will likely expect their reimbursement to come from any compensation you receive from your injury case.
Many car insurance policies contain a clause with medical payment coverage, also known as medpay. If it is present in your insurance policy, then you’ll likely have a set amount of money they will pay out of pocket. Once they meet that threshold, you’ll have to look elsewhere for expense coverage. This can be a great option to look into before worrying about other payment methods; however, you should keep in mind that this clause is optional. It might not be a solution for you, but it doesn’t hurt to check with your insurance company.
Another option to consider – or one that might be utilized whether you’re aware or not – is that of a “lien.” A lien is put in place to ensure that once you recover compensation, you pay off your medical bills. Some medical establishments will file for a lien on their own and others will enter into that agreement with you in exchange for providing treatment without billing you until your lawsuit has been settled.
For more information about your specific case, reach out to the skilled attorneys at Frederick & Hagle today!
Workers’ compensation claims are notoriously complex to settle fairly. It’s really no surprise, then, that almost anything related to them is seen in a rather negative light. Functional capacity evaluations (FCEs), for example, are often viewed with much mistrust on the part of patients completing them. And while that’s understandable, it’s important to note that there’s nothing inherently bad about the process. Infact, FCEs can work to prove your claim and help you receive the compensation and work restrictions necessary for your health.
What is an FCE?
An FCE is a type of test where patients demonstrate their capacity to do various tasks related to their daily lives and their work lives. It is designed to simulate activities that they might run into in their workplace or during the course of their work day in order to assess how well they can reasonably be expected to perform them. If the patient works as a construction worker, for example, but was injured while working and can no longer use their hands effectively for manual labor, an FCEto determine their exact capacity might be ordered.
These exams are generally overseen by a neutral physician or healthcare specialist who has specific activities they’ll ask patients to complete.
Why do I need an FCE?
If you’ve been injured at work and are in the midst of a workers’ compensation suit, you might wonder why you’re being asked to undergo an FCE in the first place. Keep in mind that,depending upon the injuries in question, the stakes for both you and the business in question could be pretty large. Even specialists might not be able to give a definitive answer about how your injuries would impact you at work, especially if they aren’t familiar with the industry. An FCE, then, is conducted to allow a professional to assess how the injuries you’ve received will impact your ability to do your job.
In addition to the above, keep in mind that an FCE is often highly valued in workers’ compensation cases because they are used by the people hearing or reviewing your claim to determine what accommodations or compensation you should be awarded.
How should I approach an FCE?
Your first instinct might be to try and appear as injured as possible during the examination, but this is not a good option for the long haul. If the exam administrator notices that you’re purposefully not giving your all, they will make note of that in the report and it could significantly negatively impact your case. At the same time, you shouldn’t strain yourself and overexert yourself during the exam. Just give your best effort without straining your ability – that’s all anyone expects.
If you’re facing a workers’compensation claim, it’s important to have experienced attorneys on your side.The professionals at Frederick & Hagle can help! Reach out to us today for a free consultation to see what we think about your case and how we can help.