what to do if insurance turns down treatments

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terrya56

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I injured my shoulder in 11/07 at work. The insurance has been very good up until now. I have been seeing their doctor and he is recommending surgery based on symptoms and MRI study. I have been informed however from someone high up in the company that the insurance company reviewer very seldom approves surgery for anything.
At this time I am on modified duty and not allowed to use the arm at all. I am worried that he will refuse surgery.

What action can I take at that point to get the treatment I need?

Thank you,
 
If the reviewer denies the treatment, you should hire an attorney to have the company pay for the surgery that is affecting your ability to perform your duties.
 
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