An injured worker unreasonably fails or refuses to get medical treatment for his injuries. You should?

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Prepare for the California Self‑Insurance Plans (SIP) Exam with our interactive quiz. Benefit from multiple-choice questions, detailed explanations, and essential tips to enhance your knowledge and succeed in your exam!

Multiple Choice

An injured worker unreasonably fails or refuses to get medical treatment for his injuries. You should?

Explanation:
If an injured worker refuses or unreasonably declines necessary medical treatment, benefits aren’t stopped automatically. The proper approach is to keep paying benefits while you ask the Workers’ Compensation Appeals Board to suspend future payments due to the unreasonable refusal to pursue treatment. The board will evaluate whether the refusal is indeed unreasonable and whether suspending benefits is appropriate, considering medical necessity and any good cause the worker may have for refusing. If the refusal is reasonable or justified, suspension wouldn’t be ordered.

If an injured worker refuses or unreasonably declines necessary medical treatment, benefits aren’t stopped automatically. The proper approach is to keep paying benefits while you ask the Workers’ Compensation Appeals Board to suspend future payments due to the unreasonable refusal to pursue treatment. The board will evaluate whether the refusal is indeed unreasonable and whether suspending benefits is appropriate, considering medical necessity and any good cause the worker may have for refusing. If the refusal is reasonable or justified, suspension wouldn’t be ordered.

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