In Sept 2004 DH's WC case went to court and was settled with the determination that he is 100% disabled. Though not pleased with the monetary results I realize in NJ that it is not arbitrarily set numbers - basically we get what we get.
Since DH's accident the insurance company has been a real pain in the behind-the clerks made decisions based on their feelings as far as payments. It was a constant struggle to get the bi-weekly amount and reimbursement for perscriptions.
The settlement papers signed by the judge are very specific as to what is to get paid:
-Any treatment recommended by Dr X (DH's pain management doctor)
-Any perscriptions relating to his injury and mental stability
-Bi-weekly payments.
Well-Dr X has been trying since before the settlement to get DH approved for an electric stimulator in his back. Insurance Co keeps denying - they even had DH go to "their" doctor again and he wrote a report saying DH is not disabled.
We did get them to pay Walmart for perscriptions so we do not have to get reimbursed however they still refuse to pay for an anti-depressent that was ordered by Dr X.
And-to top it off - they have now stopped paying his bi-weekly checks!
Our attorney has contacted ins co atty and they don't even listen to their atty -refusing to honor court papers. Then this week our atty tried calling ins company and couldn't get a "live" person. Our atty keeps saying we'll have to take them back to court but why is this so hard? Granted the bi-weekly pmts only stopped 2 wks ago but at this time of year every penny counts. But the other stuff has been going on since the beginning.
Is there anything else to be done? (I kind of have a feeling that "this is your life Charlie Brown" and this is the way it will be until forever)
thanks
RA
Since DH's accident the insurance company has been a real pain in the behind-the clerks made decisions based on their feelings as far as payments. It was a constant struggle to get the bi-weekly amount and reimbursement for perscriptions.
The settlement papers signed by the judge are very specific as to what is to get paid:
-Any treatment recommended by Dr X (DH's pain management doctor)
-Any perscriptions relating to his injury and mental stability
-Bi-weekly payments.
Well-Dr X has been trying since before the settlement to get DH approved for an electric stimulator in his back. Insurance Co keeps denying - they even had DH go to "their" doctor again and he wrote a report saying DH is not disabled.
We did get them to pay Walmart for perscriptions so we do not have to get reimbursed however they still refuse to pay for an anti-depressent that was ordered by Dr X.
And-to top it off - they have now stopped paying his bi-weekly checks!
Our attorney has contacted ins co atty and they don't even listen to their atty -refusing to honor court papers. Then this week our atty tried calling ins company and couldn't get a "live" person. Our atty keeps saying we'll have to take them back to court but why is this so hard? Granted the bi-weekly pmts only stopped 2 wks ago but at this time of year every penny counts. But the other stuff has been going on since the beginning.
Is there anything else to be done? (I kind of have a feeling that "this is your life Charlie Brown" and this is the way it will be until forever)
thanks
RA