Tort Law

What to Do When the Insurance Company Sends You to Their Doctor

Discover your rights when an insurance company sends you to their doctor after a claim, and learn how to protect your interests

Understanding the Insurance Company's Motive

When an insurance company sends you to their doctor, it's essential to understand their motive. The insurance company's primary goal is to minimize their financial liability, and their doctor's evaluation may be biased towards achieving this objective.

As a claimant, you have the right to a fair and unbiased medical evaluation. However, the insurance company's doctor may not always have your best interests at heart, and their report can significantly impact the outcome of your claim.

Preparing for the Independent Medical Examination

Before attending the independent medical examination, it's crucial to prepare yourself. Make sure to bring all relevant medical records and documentation, including test results, diagnoses, and treatment plans.

Be honest and transparent about your symptoms and medical history, but also be cautious not to provide more information than necessary. Remember, the insurance company's doctor is not your primary care physician, and their role is to evaluate your condition in relation to the claim.

Your Rights During the Medical Examination

During the medical examination, you have the right to be treated with dignity and respect. You also have the right to ask questions and seek clarification on any concerns you may have.

If you feel uncomfortable or unsure about any aspect of the examination, don't hesitate to speak up. You can also request a chaperone or a family member to be present during the examination, if necessary.

What to Expect After the Medical Examination

After the medical examination, the insurance company's doctor will typically submit a report to the insurance company. This report can have a significant impact on the outcome of your claim, so it's essential to obtain a copy of the report and review it carefully.

If you disagree with the report or feel that it's inaccurate, you can dispute the findings and provide additional evidence to support your claim. It's also essential to follow up with your primary care physician and ensure that your treatment plan is not affected by the insurance company's doctor's report.

Seeking Professional Help

If you're unsure about any aspect of the insurance company's medical examination or feel that your rights are being compromised, it's essential to seek professional help. A qualified insurance lawyer can guide you through the process and ensure that your interests are protected.

An experienced insurance lawyer can also help you navigate the complexities of the claims process, negotiate with the insurance company, and advocate on your behalf to ensure that you receive a fair and just outcome.

Frequently Asked Questions

What is the purpose of an independent medical examination?

The purpose of an independent medical examination is to evaluate your condition and provide an objective assessment of your injuries or illnesses in relation to the claim.

Can I refuse to attend an independent medical examination?

While you can refuse to attend an independent medical examination, it may negatively impact your claim, and the insurance company may use your refusal as a reason to deny or delay your claim.

How long does an independent medical examination typically take?

The length of an independent medical examination can vary depending on the complexity of your condition and the type of examination required, but it usually takes between 30 minutes to several hours.

Can I bring a family member or friend to the independent medical examination?

Yes, you can bring a family member or friend to the independent medical examination for support, but it's essential to inform the insurance company's doctor in advance and ensure that it's acceptable.

What should I do if I disagree with the independent medical examination report?

If you disagree with the independent medical examination report, you should dispute the findings and provide additional evidence to support your claim, and consider seeking professional help from an insurance lawyer.

How can an insurance lawyer help me with an independent medical examination?

An insurance lawyer can guide you through the process, ensure that your rights are protected, and advocate on your behalf to ensure that you receive a fair and just outcome.