In Oregon, insurance companies have the ability to limit the choice of doctors to a panel, but the worker has the right to choose a physician within that panel. Quite frankly, in Oregon, most doctors try to avoid workers compensation claims because they are so difficult for the doctor. The doctor gets bombarded by the insurance company, the adjuster, the managed care organization, the claimant’s lawyer if the matter goes into litigation, and a defense lawyer. Doctors are required by their managed care contracts to provide information to the insurance company and to be available to answer questions. Again, most doctors simply won’t put up with that, and as a consequence, in Oregon at least, it can be difficult to find a doctor.
I watched the two videos linked above, and I don’t think Oregon has anything this extreme, but many of my clients experience significant difficulties in getting appropriate care.