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  1. #1
    Join Date
    Nov 2016
    Posts
    1

    Default Below the Knee Amputation

    I have a scheduled right below the knee amputation in Mid October. It seems as if my adjuster thinks that making my house wheel chair accessible and modifications needed is not there responsibility and are offering absolutely no help. I thought these mods where medically necessary? Adjuster is stating these mods are temporary and wont be needed till after I have this amputation. This makes no sense how do they expect me to get into my house with no ramps and wont be able to use my own restroom or shower. I am curious if anyone here has dealt with anything like this? I am working with an Ombudsman but I am also looking to see if anyone knows where medically necessary rules or regulations are on the workers comp DWC site. Any help in this matter is appreciated..
    Thanks, Mike

  2. #2
    Join Date
    Oct 1971
    Posts
    4,988

    Default Re: Below the Knee Amputation

    mjob2206
    I thought these mods where medically necessary? Adjuster is stating these mods are temporary and wont be needed till after I have this amputation.
    What you "think" is irrelevant - You'll need a write up from your doctor stating the medical necessity of such modifications.

    They won't approve anything without a written request from your doctor, ask if he'll write up the request.
    At this point, you need to consult and retain a lawyer - this is just the first bump in the long road ahead.
    Don't waste time arguing with anyone - hire a lawyer, let him deal with it.

    Tony
    Moderator Responses are based on my personal bias, experience and research - They do not represent the views of the admin nor may be accepted in the legal community, always consult an attorney.

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