Claims Adjuster cancelled benefits..

[CncrndKid91]

What is the name of your state (only U.S. law)? : Illinois

My father got hurt at work 2 years ago. He has six kids, including me. He was reciving workmen's comp, then it got cancelled because they said his A1C levels were too high. Is that even legal?

 

[justalayman]

what is their justification for their action based on the test levels?

 

[CncrndKid91]

They said that he wasn't coopertating with his doctors, when he has doctors saying otherwise. He has had notes sent to his claims adjuster and whatnot saying he's doing all he can to lower his A1C.

 

[Proserpina]

They said that he wasn't coopertating with his doctors, when he has doctors saying otherwise. He has had notes sent to his claims adjuster and whatnot saying he's doing all he can to lower his A1C.

I'm not seeing how his A1C levels would even be an issue - it's not as if he got diabetes from work.

Am I misunderstanding something? Is the adjuster trying to imply that the blood glucose levels led up to the accident/injury?

(Besides - a brittle diabetic can be the most compliant patient in the world and STILL have an A1C of, for example, 10)

 

[justalayman]

does this have something to do with the work injury? Are they saying the lack of sugar control is exacerbating whatever injury he experienced?

 

[CncrndKid91]

It has nothing to do with the injury. He got hurt on a job two years ago. He's been a diabetic for over 11 years.

 

[Proserpina]

It has nothing to do with the injury. He got hurt on a job two years ago. He's been a diabetic for over 11 years.

Is the adjuster claiming that the levels are preventing a normal course of healing or making the injury worse?

 

[CncrndKid91]

No, he says it's preventing the doctor from doing surgery. His doctor says he's fine for surgery, but the workmen's comp doctor disagrees.

 

[CncrndKid91]

The A1C was the same for the first 2 surgeries he's had as it is now. He just has a different workmen's comp doctor.

 

[justalayman]

so, your fathers doctor is saying a 240 sugar level is fine and nothing needs to be done to reduce it?

 

[Proserpina]

so, your fathers doctor is saying a 240 sugar level is fine and nothing needs to be done to reduce it?

(I used the example of 10 - not OP)

That aside, a brittle diabetic can run the gamut from 48 to 500+ in the same day even if he's following dietary/medical guidelines.

 

[CncrndKid91]

his a1c is 8 and has been for the past 2 years. he's had his rotator cuffs repaired, slap muscle in both shoulders repaired, his muscles & ligaments repaired & the first doctor messed it up. he has to go to a new doctor to get that repaired along with bulging discs and bone spurs in his neck.

 

[ecmst12]

Your dad should get a lawyer.

 

[justalayman]

=Proserpina;2705225](I used the example of 10 - not OP

)I would have sworn I read where the OP posted that.

That aside, a brittle diabetic can run the gamut from 48 to 500+ in the same day even if he's following dietary/medical guidelines.

but the point is; it is inconsistent. From what little I read, there are also other serious problems generally present as well due to the extremes.

 

[Proserpina]

his a1c is 8 and has been for the past 2 years. he's had his rotator cuffs repaired, slap muscle in both shoulders repaired, his muscles & ligaments repaired & the first doctor messed it up. he has to go to a new doctor to get that repaired along with bulging discs and bone spurs in his neck.

So he's averaging around 180? I can understand both doctor's arguments in all honesty.

I think your father should speak with an attorney, ASAP.