If I Suggest A Referral Doctor’s Name To My Current Doctor Does That Break The Chain Of Referral?

Under the Illinois Worker’s Compensation Act, if there is no “Preferred Provider Program” in place with your employer, then you are entitled to two choices of doctor. What this really means is that you are entitled to have two “chains” of doctors. As long as there is a referral from doctor to the next you stay within that chain. If you go outside these two choices then the Employer is no longer liable for your medical care even if it is related to the work injury. So what happens in the instance when you know what doctor you want to see on referral and you suggest that name to your current treating doctor for his or her referral? Does that mean it is not a referral anymore but another choice under the Act?

The simple answer to that question is no. As long as there is a referral to see the other doctor, then it will not count as another choice. A recent case that was affirmed by the Appellate Court of Illinois expressed this idea that the law does not reference where the name of the referral doctor came from, the law simply requires that the treating doctor make the referral to that doctor.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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