After an injury on the job, you may be wondering whether you can see your own doctor for treatment while having the costs covered by workers’ comp. This is understandable. Many people feel comfortable with and trust their normal doctor, and may be less willing to see another physician chosen by their employer. However, South Carolina law places restrictions on injured and ill workers’ ability to choose their medical provider under workers’ compensation.
Since the workers’ compensation insurance is paying for the treatment, they get to select the doctors you see, or must pre-approve your treatment elsewhere. Getting the insurance to authorize your care can challenging, to say that least. However, our attorneys know how to prove your treatment is a medical necessity and get you the help you need.
Since 1968, the South Carolina workers’ compensation attorneys of Joye Law Firm have been helping injured individuals obtain the benefits they deserve after on-the-job accidents. Our legal team brings a vast amount of legal experience to each case we handle. Our track record of success has been recognized with numerous awards and accolades. . Our Managing Partner Ken Harrell was named Lawyer of the Year for Workers’ Compensation in Charleston by Best Lawyers in America in both 2015 and 2021, and the head of our workers’ compensation department, Matt Jackson, received the award in 2024. You can trust that our firm has the knowledge and resources necessary to pursue the results you deserve.
Contact us for a free case review. A knowledgeable South Carolina workers’ compensation attorney will review your case and explain your rights for receiving treatment.
Does Workers’ Comp Pay for Emergency Room Visits?
Under South Carolina’s workers’ compensation law, your employer or its workers’ compensation insurer has the right to select the medical provider where you receive treatment. Workers’ compensation benefits will cover bills from that provider. Your employer is not required to cover any other medical treatment. That’s true even if you go to see your primary care physician for an initial exam of a possible work injury. However, injured workers are entitled to seek out emergency treatment for a work-related injury or illness from any provider and have that treatment covered by workers’ compensation benefits. If you go to the emergency room following a workplace accident, you need to tell the ER staff that you were injured at work. Having your medical record reflect that you were seeking treatment for a work-related injury will help you pursue workers’ compensation coverage for that ER visit.
Treatment Guidelines and Restrictions While on Workers’ Comp
For ongoing treatment for a work injury or occupational illness, your employer or its workers’ compensation insurer can require you to see a provider they choose or require you to select a provider from a list of approved providers. Only those providers approved by your employer or its insurer can render treatment that will be covered by workers’ compensation benefits.
Requesting a Change in Medical Provider
If you wish to change providers, you can contact your employer or the insurer to request a different provider. If you are denied a switch of providers, you can request a hearing with the South Carolina Workers’ Compensation Commission. You can plead your case for a change of providers to a commissioner, who may order your employer or its insurer to allow you to switch providers.
Mileage Reimbursement for Doctors Appointments
Suppose you’re required to see a provider or seek treatment from a facility where the round-trip distance is greater than 10 miles from your home. In that case, South Carolina workers’ compensation law requires that you be reimbursed for the cost of your transportation at a per-mile rate established by the South Carolina Workers’ Compensation Commission.