IL Dept of Insurance Releases Approved Preferred Provider List for Workers Compensation
The IL Dept of Insurance recently released the 3 companies that have been approved under the new PPP provisions of the WC Act.
Remember, if your employer has a “PPP”, they must notify you in writing as soon as you report your injury. They must also provide a list of doctors and other providers who are approved by the PPP.
• Your first “doctor choice” will then be to use the PPP. If the first PPP doctor you choose does not meet your needs, you may choose a second doctor from within the PPP network.
• You still have the right to refuse or “opt out” of the PPP network, and see a doctor of your own choosing. This shouldbe done in writing. However, once you do so, you will only have one chance to choose your own doctor – so choose wisely!
• Preferred Provider Programs are brand-new in Illinois, but some ground rules do exist: Your employer’s PPP must beapproved by the Illinois Department of Insurance. It must include an adequate number and variety of providers, located reasonably close to your home and available to treat your injuries. It can negotiate prices with doctors, but it must not give the doctors any “economic incentives” to deny workers appropriate medical care.
• We can help you navigate this new “PPP” territory, and protect your right to quality medical care.
The current list of approved providers can be found at the Illinois Dept of Insurance website.
Finally, if your employer does not have an approved PPP that meets the requirements above, then you still have two doctor choices – just as you did under the previous law. The employer cannot force you to use the doctor or company clinic they prefer.
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