What Is Reasonable Or Appropriate Medical Care To The Insurance Company?

It is difficult to define with precision what constitutes “reasonable” or “appropriate” medical care. Both TMS and ECT are not without their detractors and any insurer that cuts-off benefits solely on the basis of a claimant’s decision to seek alternative treatments should proceed with caution. That being said, the insurance company may take a refusal to undergo treatment as a basis for terminating disability benefits. If benefits are terminated as a result of a claimant’s refusal to undergo treatment being recommended by his or her specialist, legal advice should be obtained to determine the chances of success in proceeding with legal action.