Independent Medical Examinations (IME)
What is an independent medical examination?
by a physician, other than the worker’s attending physician, upon the request
of the insurer.
Why did the insurer schedule the independent
Generally, an insurer
will schedule an IME to obtain an independent medical opinion to address a number
of issues, including what caused your injury, treatment options, work
restrictions, and medically stationary status.
Will the insurer notify me when an IME is scheduled?
insurer will provide you written notice at least 10 days before the
examination. The notice must advise you of the date, time, and place of the
examination, along with the name of the medical provider or facility and the
purpose of the examination.
Will the insurer reimburse me for my lost wages to
attend the IME?
insurer is required to reimburse you for net lost wages for the time you were
required to miss work to attend the examination if time-loss benefits are not
When attending an IME what other out-of-pocket
expenses are reimbursable?
must reimburse you for the reasonable cost of public transportation or mileage
when using a private vehicle. In addition, when necessary, the reasonable cost
of child care, meals, lodging, and other related services.
You must submit
a written request for reimbursement, with supporting documentation, for net
lost wages or other out-of-pocket expenses.
Am I required to attend the IME?
Yes. You must
attend the independent medical examination if one is scheduled. Failure to
attend medical appointments may result in the suspension or loss of your
What if I can’t attend or have a scheduling
contact your claims examiner immediately if you are not able to attend or have
a conflict. If you have questions about your rights or responsibilities, you can
contact our office for information and assistance.