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When employees suffer a work-related injury, they must receive the right medical treatment for recovery. California’s workers’ compensation system ensures that injured workers receive necessary medical care at no personal cost. However, many workers struggle to understand exactly what treatments are covered, how to request medical care, and what to do if their treatment is denied.
At Mehlhop & Vogt Law Offices, we have spent decades helping injured workers in Sacramento and Northern California secure the medical care and benefits they deserve. Below, we break down what medical treatment workers’ compensation covers, how to get approved care, and what steps to take if your treatment request is denied.
A workplace injury can happen at any time, often requiring immediate medical attention. California workers’ compensation provides emergency and urgent care coverage to ensure injured employees receive the treatment they need without delay.
If you have questions about emergency treatment and claim procedures, visit our Workers’ Compensation page for more information.
Workers’ compensation covers all reasonable and necessary doctor visits for work-related injuries. After reporting your injury, a treating physician will manage your medical care.
In California, your employer or insurance company may require you to see a doctor within their Medical Provider Network (MPN). However, in some cases, you may have the right to pre-designate your personal physician. Learn more about how to choose a doctor on our FAQs page.
For serious injuries requiring hospitalization or surgery, workers’ compensation fully covers necessary treatments when medically appropriate.
If you face delays or denials for a recommended surgery, contact us for assistance. We can help appeal a denial and ensure your workers’ comp medical benefits remain protected.
Recovering from a workplace injury often requires physical therapy or rehabilitation services to regain mobility and strength. Workers’ compensation covers physical therapy, but your treating physician must prescribe it, and utilization review (UR) approval is required.
Understanding your right to rehabilitation services is crucial. If your physical therapy has been denied or reduced, we can assist in challenging the decision.
Workers’ compensation covers medications necessary for pain management and recovery when prescribed by an authorized workers’ comp doctor.
If you face difficulties filling a workers’ comp prescription or obtaining necessary medical supplies, reach out to us for support.
In specific cases, workers’ compensation covers alternative treatments when they are medically necessary and approved.
If you believe alternative treatments would benefit your recovery, discuss options with your doctor and legal counsel to pursue approval.
California recognizes that workplace injuries can lead to psychological distress. Workers’ compensation may cover mental health treatment, particularly in cases involving:
However, mental health treatment often requires additional medical documentation and approval. If your claim is denied, we can help you file an appeal.
For severely injured workers, in-home medical care may be necessary for daily assistance. Workers’ compensation can cover:
If you or a loved one needs home health care after a work injury, reach out to ensure proper medical care and assistance.
Navigating California’s workers’ compensation system can feel overwhelming, especially when it comes to accessing medical treatment. While the law guarantees medical benefits for work-related injuries, following the right steps ensures that you receive timely care. Understanding your rights and using the correct procedures will help you avoid delays or denials.
The first step to obtaining workers’ comp medical benefits involves reporting your injury to your employer as soon as possible. California law requires injured workers to notify their employer within 30 days to remain eligible for benefits.
After filing your claim, you have the right to receive medical treatment while your case is under review. California law requires insurance to authorize up to $10,000 in medical treatment while a claim is pending.
If you need help filing a claim or securing medical care, visit our Workers’ Compensation page for more guidance.
Your primary treating physician (PTP) plays a critical role in your recovery. This doctor diagnoses your condition, oversees treatment, and determines work restrictions or disability status. However, your ability to choose a doctor depends on your employer’s insurance policy.
If you are unsure whether you can switch doctors or feel that you are not receiving proper care, consult an experienced workers’ comp attorney. Visit our FAQs page for answers to common concerns about medical treatment.
Not all medical treatments receive automatic approval under California workers’ compensation. Before undergoing certain procedures, taking prescribed medications, or receiving therapy, your doctor must submit a treatment request for approval. This process is known as utilization review (UR).
If your treatment request faces unnecessary delays or has been denied, you should seek legal assistance. Our attorneys can ensure that you receive the treatment you need. Learn more about our legal team on our Our Firm page.
Requesting medical treatment through California workers’ compensation can be frustrating. However, you don’t have to go through it alone. If you are experiencing delays, denials, or difficulty accessing quality care, we are ready to help.
At Mehlhop & Vogt Law Offices, we fight for injured workers across Sacramento and Northern California to ensure they receive proper medical treatment, wage replacement, and all the benefits they deserve.
Need help with a workers’ comp medical claim? Contact us today for a free consultation: Contact Us.
Even though California workers’ compensation covers necessary medical treatment for job-related injuries, insurance companies often deny treatment requests due to strict approval guidelines, utilization review (UR) procedures, or disputes over medical necessity. If your treatment has been denied, you still have options to fight for the care you need.
A denied treatment request doesn’t mean your case is over. In many situations, medical care is denied due to procedural issues or insurance company tactics aimed at minimizing costs. You need to understand why a denial happened before taking the next steps. Common reasons include:
Denials often happen because insurance companies prioritize cost-saving over worker recovery. However, workers’ compensation law gives you the right to appeal.
If Utilization Review (UR) denies or modifies your treatment request, you can challenge the decision through an Independent Medical Review (IMR). Following these steps will help you fight for the care you need.
After a denial, the insurance company must send a written notice explaining why they rejected the request. You should examine this letter closely and note:
Understanding the denial reason will help you prepare a stronger case.
California allows injured workers to appeal treatment denials by requesting an Independent Medical Review (IMR) through the California Division of Workers’ Compensation (DWC). A neutral medical expert will review your case to determine if the requested treatment is necessary.
IMR appeals often succeed when strong medical evidence supports the claim. If you need help filing an IMR request, we can guide you through the process.
A well-documented medical history improves the chances of winning an appeal. If your treatment was denied due to insufficient documentation, consider the following:
Stronger documentation makes it harder for the insurance company to justify a denial.
If appeals and documentation haven’t resolved the issue, an experienced workers’ compensation attorney can challenge the denial in court. Many injured workers struggle to get the medical treatment they deserve because insurance companies focus on saving money instead of providing care.
Our legal team can:
Insurance companies often delay, deny, or reduce medical care to limit their costs. Many injured workers don’t realize they have the right to challenge these decisions. When you hire an attorney, you increase your chances of receiving the medical care you deserve.
At Mehlhop & Vogt Law Offices, we have helped countless injured workers successfully challenge medical treatment denials. We know the tactics insurance companies use, and we fight aggressively to ensure our clients get the medical care they need.
If your medical treatment for a work injury has been denied, don’t wait—take action now. The longer you wait, the harder it becomes to overturn a denial and access the care you need.
At Mehlhop & Vogt Law Offices, we fight for injured workers in Sacramento and Northern California to ensure they receive proper medical treatment, wage replacement, and all the benefits they deserve.
Need help with a workers’ comp medical claim? Contact us today for a free consultation: Contact Us.
There was excellent communication. If I didn’t understand something, Adam explained it. I was informed of what to be expected as the case was moving along. Very satisfied with the service.
I am very pleased with the services provided by Mehlhop & Vogt. The firm knows what they are doing and gets stuff done! I always felt respected and cared for. Adam always answered my questions right away and with great detail.
I liked the way Mr. Mehlhop handled my case, he was very professional at all times. I feel like he did the best he could considering my wages.
California workers compensation benefits are increasing in 2025, bringing better financial support for injured employees. If you’ve been hurt on the job, understanding these updates will help you secure the compensation you deserve. Changes in temporary disability benefits, permanent disability benefits, and cost-of-living adjustments (COLA) will impact how much injured workers receive during recovery.
Temporary disability (TD) benefits replace lost wages for employees who cannot work due to a job-related injury. In 2025, TD payments will increase to reflect higher wages and inflation. These updates ensure fair compensation for injured workers.
Workers receiving temporary disability benefits should check their updated rates. If you’re unsure about your payments, our workers’ compensation attorneys can review your claim.
Workers with lasting impairments from workplace injuries may qualify for permanent disability (PD) benefits. California has adjusted these benefits for 2025 to provide fair compensation for long-term income loss.
Key updates include:
If your disability rating has changed, you might receive different payments. Our legal team at Mehlhop & Vogt Law Offices can help you understand these adjustments.
Workers receiving long-term or life pension benefits will also see increased payments due to Cost-of-Living Adjustments (COLA). These changes prevent inflation from reducing the real value of workers’ comp benefits over time.
Key updates include:
If you receive permanent total disability benefits or a life pension, review your payment schedule to confirm the correct adjustments. Our legal team can assist you in ensuring your benefits are accurate.
With higher temporary and permanent disability benefits, injured workers will have better financial security during recovery. However, insurance companies may try to minimize payouts or delay benefits. If you suspect your benefits are incorrect, contact us for a free consultation. We can help you fight for the compensation you deserve.
California’s workers’ compensation laws are changing in 2025, and these updates could significantly impact your claim. With higher temporary and permanent disability benefits, injured workers have more financial protection. However, securing the full compensation you deserve isn’t always easy. Insurance companies may delay payments, dispute disability ratings, or attempt to minimize your claim.
If you’re dealing with a workers’ compensation claim or your benefits have been denied, don’t navigate the system alone. Our experienced workers’ compensation attorneys at Mehlhop & Vogt Law Offices are here to help. We have been fighting for injured workers in Sacramento and Northern California since 1987, ensuring they receive the medical care and financial support they deserve.
Call us today at 916-930-9675 for a free consultation. You can also visit our office or schedule a virtual consultation. There are no fees unless we win your case.
Don’t let an insurance company dictate your future. If you need help with your workers’ compensation claim, contact us now and take the first step toward securing your benefits.
There was excellent communication. If I didn’t understand something, Adam explained it. I was informed of what to be expected as the case was moving along. Very satisfied with the service.
I am very pleased with the services provided by Mehlhop & Vogt. The firm knows what they are doing and gets stuff done! I always felt respected and cared for. Adam always answered my questions right away and with great detail.
I liked the way Mr. Mehlhop handled my case, he was very professional at all times. I feel like he did the best he could considering my wages.
If you’ve been injured on the job, securing workers’ compensation benefits is essential to covering lost wages and medical expenses. Starting January 1, 2025, the Temporary Total Disability (TTD) rates in California have increased to better reflect the rising cost of living. Understanding these changes is critical if you’re currently receiving benefits or planning to file a claim.
At Mehlhop & Vogt Law Offices, we have been helping injured workers in Sacramento since 1987. If you need assistance navigating your claim, our team is here to help.
The California Department of Industrial Relations (DIR) recently announced adjustments to TTD benefits, which provide wage replacement for employees who cannot work due to a job-related injury. The updated rates are as follows:
These changes ensure that injured workers receive financial support that aligns with current wage trends.
If you have questions about how these updates affect your claim, visit our Workers’ Compensation page for more information.
California law ties temporary disability benefits to the State Average Weekly Wage (SAWW). For the 12-month period ending March 31, 2024, the SAWW increased by 3.78%, triggering an automatic increase in workers’ compensation benefits.
This adjustment impacts all injured workers receiving temporary disability payments in 2025. If you need legal guidance regarding your benefits, our attorneys Bart L. Mehlhop and Adam D. Vogt are available to discuss your options.
TTD benefits are designed to replace two-thirds (66.67%) of your average weekly earnings before your injury. However, California sets minimum and maximum limits on the amount you can receive.
Here’s how the new rates are determined:
Minimum TTD Rate Calculation:
Maximum TTD Rate Calculation:
If you’re unsure whether your current disability payments reflect the new rates, our FAQs section provides additional clarity.
If you’re currently receiving temporary disability benefits, the increase in TTD rates may result in higher payments in 2025. If your injury occurred before January 1, 2025, but your disability payments continue into the new year, your benefits may be adjusted automatically.
However, not all claims are updated correctly. If you’re experiencing delays or discrepancies in your payments, our firm can help you determine whether further legal action is necessary. We have successfully handled a wide range of cases, which you can explore on our Cases We Handle page.
Workers’ compensation laws are constantly evolving, and it’s essential to stay informed about your rights and benefits. If you have questions about your disability payments or need assistance with a workers’ comp claim, we’re here to help.
At Mehlhop & Vogt Law Offices, we have been advocating for injured workers in Sacramento for over 30 years. Whether you’re filing a new claim, facing a denied claim, or dealing with delays in your benefits, we can fight for the compensation you deserve.
Visit our Our Firm page to learn more about our team, or check out our Testimonials to hear from past clients.
Contact us today at (916) 930-9675 for a free consultation:
We handle workers’ compensation claims throughout Sacramento and Northern California. Se habla español.
Have you been seriously injured on the job in Sacramento? Mehlhop & Vogt Law Offices is here to help. As experienced Sacramento workers compensation attorneys, we understand the challenges you face and are ready to provide the expert legal support you need. Don’t navigate this alone; call us at (916) 930-9675 and let’s ensure your rights are fully protected.
There was excellent communication. If I didn’t understand something, Adam explained it. I was informed of what to be expected as the case was moving along. Very satisfied with the service.
I am very pleased with the services provided by Mehlhop & Vogt. The firm knows what they are doing and gets stuff done! I always felt respected and cared for. Adam always answered my questions right away and with great detail.
I liked the way Mr. Mehlhop handled my case, he was very professional at all times. I feel like he did the best he could considering my wages.
Injured at work? Mehlhop & Vogt Law Offices, trusted Sacramento workers’ compensation attorneys, offer expert guidance to secure the benefits you deserve.
Dealing with a workplace injury or illness can be challenging. While many employees trust their employers to handle their workers’ compensation claims, the hurdles presented by insurers and companies can be significant. Our dedicated Sacramento workers’ compensation lawyers are here to support and guide you through it.
At Mehlhop & Vogt Law Offices, our team is committed to guiding you every step of the way in the workers’ compensation claim process. Whether you’re looking to begin your claim, worried about your eligibility, confused about your rights, or struggling with a rejected or stalled claim, we are prepared to help. No matter where you are in the process, our experienced legal professionals in Sacramento are dedicated to achieving the positive resolution you deserve.
Our team of attorneys is dedicated to advocating for workers who have sustained injuries in the workplace, encompassing those hurt in construction mishaps, industrial incidents, and employees across various sectors afflicted by work-related injuries or illnesses. Securing workers’ compensation is our primary goal, but we also meticulously examine each case to identify possibilities for third-party negligence lawsuits or potential Social Security Disability Insurance claims.
We proficiently manage a diverse range of workers’ compensation claims, such as:
Mehlhop & Vogt Law Offices has been exclusively devoted to workers’ compensation in the Sacramento area since 1987. The Board of Legal Specialization of the State Bar of California has granted Mr. Mehlhop certified specialist status in this area of the law.
Our firm’s enduring success is a testament to the personal and meticulous attention each case receives. We go beyond merely informing you about the process and case updates; we craft a bespoke legal strategy to address your unique situation. Our Sacramento-based legal experts also coordinate directly with healthcare providers to secure necessary medical documentation, aiming to achieve a resolution that meets your satisfaction.
In the event of sustaining an injury at your place of employment, it’s essential to adhere to these steps:
Having the services of an experienced Sacramento workers compensation attorney is crucial for navigating your claim with the expertise and backing necessary during such a challenging period. Without the guidance of a specialized lawyer, you might not receive the full benefits you’re entitled to.
Mehlhop & Vogt Law Offices specialize in workers’ compensation law, assisting injured employees in Sacramento since 1987. Certified experts in California law, they handle claims for injuries, illnesses, and disputes, including denied claims and third-party negligence. With a focus on personal attention and comprehensive strategies, the firm ensures clients navigate the complex legal process effectively.
The top workplace injuries include overexertion, slips, and machinery entanglements, underscoring the importance of safety practices. For those injured, immediate reporting, seeking approved medical care, and consulting experienced attorneys are vital steps to secure compensation.
For expert legal support, contact Mehlhop & Vogt Law Offices at (916) 930-9675.
Have you been seriously injured on the job in Sacramento? Mehlhop & Vogt Law Offices is here to help. As experienced Sacramento workers compensation attorneys, we understand the challenges you face and are ready to provide the expert legal support you need. Don’t navigate this alone; call us at (916) 930-9675 and let’s ensure your rights are fully protected.
There was excellent communication. If I didn’t understand something, Adam explained it. I was informed of what to be expected as the case was moving along. Very satisfied with the service.
I am very pleased with the services provided by Mehlhop & Vogt. The firm knows what they are doing and gets stuff done! I always felt respected and cared for. Adam always answered my questions right away and with great detail.
I liked the way Mr. Mehlhop handled my case, he was very professional at all times. I feel like he did the best he could considering my wages.
Injured at work? Mehlhop & Vogt Law Offices, Sacramento’s trusted workers’ compensation attorneys, offer expert guidance to secure the benefits you deserve.
Workers’ compensation is financial compensation for an injury an employee gets during work. Getting injured on the job can be a tricky legal process in getting the proper compensation you deserve and requires the expertise of a Sacramento workers compensation attorney.
Work-related injuries vary, such as:
Workers’ compensation is a form of insurance that a company pays for to protect their workers. Unlike other insurance, there is no amount of money deducted in paychecks for workers’ compensation – the employer is obligated to pay for it as a part of doing business. In the state of California, this insurance has five basic benefits:
Unfortunately, under California law it is not required for independent contractors to be covered under the workers’ compensation of the company for which they work. As there is no exact definition of “independent contractor,” it can be difficult to determine if someone is an actual employee or an independent contractor.
When the person paying the worker behaves in the following ways, the court is likely to consider an employer/employee relationship:
Have you suffered a serious work injury? Contact workers’ compensation attorney at Mehlhop & Vogt Law Offices for FREE consultation about your California workers compensation claim benefits. Give us a call at (916) 930-9675 to speak with a Sacramento workers compensation attorney today.
Filing a workers’ compensation claim in California can seem overwhelming, but understanding the process makes it easier to secure the benefits you deserve. The first and most important step is to report your injury or illness to your employer as soon as possible. California law requires that injuries be reported within 30 days to avoid delays or denial of benefits. Once you report your injury, your employer must provide you with the DWC 1 Claim Form within one working day. This form is crucial for initiating your claim, and you’ll need to fill out the “Employee” section with details such as the date, location, and nature of your injury before returning it to your employer.
After submitting the form, it’s important to seek medical treatment right away. Your employer is required to authorize medical care within one working day after receiving your completed form. In most cases, you’ll need to visit a doctor within your employer’s approved network unless you have predesignated a physician. Prompt medical attention not only ensures your health but also creates a record that supports your claim. Once your employer has your completed form, they must send it to their workers’ compensation insurance carrier, officially starting the claims process.
The insurance company will assign a claims administrator to evaluate your case. They have 14 days to accept or deny your claim, although they may request additional information during this period. If your claim is approved, you may begin receiving temporary disability benefits if your injury prevents you from working. These benefits provide partial wage replacement while you recover or until your doctor determines you’ve reached maximum medical improvement.
In cases where a claim is denied or there’s a disagreement about benefits, you have the right to file a petition with the Workers’ Compensation Appeals Board (WCAB). Resolving disputes may require mediation or hearings, and having an experienced workers’ compensation attorney can be invaluable in ensuring your rights are protected. Once your treatment is complete, you may qualify for permanent disability compensation, job displacement assistance, or a settlement. Settlements can be structured as a lump-sum payment or continued payments over time, depending on your needs.
Navigating the workers’ compensation process can be complex, but with the right knowledge and support, you can secure the benefits you need to recover and move forward. If you’ve been injured at work, contacting a skilled workers’ compensation attorney can provide the guidance you need to successfully handle your claim.
Mehlhop & Vogt Law Offices specialize in workers’ compensation law, assisting injured employees in Sacramento since 1987. Certified experts in California law, they handle claims for injuries, illnesses, and disputes, including denied claims and third-party negligence. With a focus on personal attention and comprehensive strategies, the firm ensures clients navigate the complex legal process effectively.
The top workplace injuries include overexertion, slips, and machinery entanglements, underscoring the importance of safety practices. For those injured, immediate reporting, seeking approved medical care, and consulting experienced attorneys are vital steps to secure compensation.
For expert legal support, contact Sacramento Workers Compensation Attorney at Mehlhop & Vogt Law Offices at (916) 930-9675.
Have you suffered a serious work injury? Contact a Sacramento workers compensation lawyer at the Mehlhop & Vogt Law Offices for FREE consultation about your California workers compensation claim benefits. We’ve been helping injured workers since 1987 and are certified by the State Bar of California.
Give us a call at (916) 930-9675 to speak with a Sacramento Workers Compensation Lawyer Today.
There was excellent communication. If I didn’t understand something, Adam explained it. I was informed of what to be expected as the case was moving along. Very satisfied with the service.
I am very pleased with the services provided by Mehlhop & Vogt. The firm knows what they are doing and gets stuff done! I always felt respected and cared for. Adam always answered my questions right away and with great detail.
I liked the way Mr. Mehlhop handled my case, he was very professional at all times. I feel like he did the best he could considering my wages.