Las compañías de seguros no deberían decidir sobre su tratamiento médico.
No podríamos estar más de acuerdo. Cualquier persona razonable puede ver que si un médico prescribe un tratamiento, a menos que pueda demostrarse que ese tratamiento no es razonable, entonces la compañía de seguros debe autorizarlo. Pero la carga de la prueba debe recaer en la compañía de seguros, no en el paciente ni en el médico que lo prescribe.
Es cierto que hay personas fraudulentas que intentan conseguir medicamentos con receta y médicos caprichosos que recetan en exceso o son corruptos. Pero creemos que no es la norma. Deben existir parámetros claros que impidan que una persona reciba un determinado tipo de tratamiento, y seguramente no deben decidirlo revisiones de utilización o exámenes médicos "independientes".
Debido a las leyes locas como ERISA, las compañías de seguros tienen demasiado poder cuando se trata de autorizar su tratamiento médico y el pago de su reclamo. Con una legislación tan sesgada a favor de las compañías de seguros, los reclamantes que tienen una reclamación de incapacidad a largo plazo podría estar fuera de suerte cuando se trata de apelar una reclamación denegada. Cualquiera que tenga posibilidades de ganar su reclamación basándose en el "expediente administrativo" sólo podrá hacerlo con un abogado experimentado a su lado.
Abogado con experiencia en accidentes de trabajo, incapacidad a largo plazo y accidentes en DC,
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Historia de éxito
Thanks, Mr. Nawal, but Keep the Kidney!
January 20, 2026I owe the people of Donahoe Kearney a kidney. They’re the best and only law firm you should go to for anything related to workers’ compensation law.
As someone who has never navigated the legal system before, I was initially very nervous and apprehensive about the process. Despite it all, Paul remained incredibly responsive, knowledgeable, and patient. I couldn’t have asked for a better paralegal for my case.
They recovered several months of back pay and ensured that the medical treatment for my work injury would be covered. I can’t thank them enough for the peace of mind they’ve provided me, and I wish I could give more than five stars.
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Historia de éxito
Thanks, Mr. Nawal, but Keep the Kidney!
January 20, 2026I owe the people of Donahoe Kearney a kidney. They’re the best and only law firm you should go to for anything related to workers’ compensation law.
As someone who has never navigated the legal system before, I was initially very nervous and apprehensive about the process. Despite it all, Paul remained incredibly responsive, knowledgeable, and patient. I couldn’t have asked for a better paralegal for my case.
They recovered several months of back pay and ensured that the medical treatment for my work injury would be covered. I can’t thank them enough for the peace of mind they’ve provided me, and I wish I could give more than five stars.
-
Historia de éxito
Thanks, Mr. Nawal, but Keep the Kidney!
January 20, 2026I owe the people of Donahoe Kearney a kidney. They’re the best and only law firm you should go to for anything related to workers’ compensation law.
As someone who has never navigated the legal system before, I was initially very nervous and apprehensive about the process. Despite it all, Paul remained incredibly responsive, knowledgeable, and patient. I couldn’t have asked for a better paralegal for my case.
They recovered several months of back pay and ensured that the medical treatment for my work injury would be covered. I can’t thank them enough for the peace of mind they’ve provided me, and I wish I could give more than five stars.
Proteja sus derechos: La guía definitiva para la Compensación de Trabajadores de D.C.
Le enviaremos un libro real en el correo - Descubre la verdad sobre DC Compensación a los Trabajadores
