Does Workman's Comp Pay for Surgery?

If you have suffered a workplace injury and your doctor recommends surgery, you may wonder: Will workers' compensation cover the cost of my surgery? At Spine and Joint Institute of Milwaukee, we understand how overwhelming this process can be.

Yes — Workers' Comp Can Cover Surgery

In Wisconsin, workers' compensation is required to cover all reasonable and necessary medical treatment for a work-related injury — including surgery. This includes the cost of the procedure, anesthesia, hospital fees, and post-surgical rehabilitation.

The Key Requirement: Medical Necessity

For workers' compensation to cover surgery, the procedure must be deemed medically necessary and directly related to your work injury. This is where comprehensive medical documentation becomes critical.

Dr. Kelly Von-Schilling Worth at Spine and Joint Institute is a litigating physician and forensic expert who builds the medical evidence that proves the necessity of your treatment — including surgical procedures. His documentation is designed to withstand scrutiny from insurance companies and courts.

What If the Insurance Company Denies Your Surgery?

Insurance companies sometimes deny surgical requests, claiming the procedure is not medically necessary or not related to the work injury. If this happens:

• Request a written denial with specific reasons
• Obtain a second medical opinion from a workers' compensation specialist
• File a dispute with the Wisconsin Department of Workforce Development
• Work with a workers' compensation attorney — we can connect you with experienced legal representation

We Continue Treating You Even If Your Claim Is Denied

At Spine and Joint Institute of Milwaukee, we do not abandon our patients when insurance companies push back. We continue your care, document everything, and build the strongest possible case for your benefits.

Call (414) 643-9000 today. Se Habla Español.