{"id":4426,"date":"2016-07-11T16:38:18","date_gmt":"2016-07-11T16:38:18","guid":{"rendered":"https:\/\/justworkcomplawcom.bigscoots-staging.com\/4426\/be-wary-of-independent-medical-evaluations\/"},"modified":"2016-07-11T16:38:18","modified_gmt":"2016-07-11T16:38:18","slug":"desconfie-de-las-evaluaciones-medicas-independientes","status":"publish","type":"post","link":"https:\/\/justworkcomplaw.com\/es\/sin-categoria\/desconfie-de-las-evaluaciones-medicas-independientes\/","title":{"rendered":"Desconf\u00ede de las evaluaciones m\u00e9dicas \u2018independientes"},"content":{"rendered":"

Uno de los problemas del proceso de compensaci\u00f3n de los trabajadores que m\u00e1s me molesta son las llamadas evaluaciones m\u00e9dicas \u2018independientes\u2019 y las cl\u00ednicas de trabajo.<\/p>\n

Probablemente adivine lo que eso significa, y puede que usted mismo haya pasado por una despu\u00e9s de una lesi\u00f3n laboral. Pero si no es as\u00ed, d\u00e9jame contarte lo que ocurre en una de estas \u2018evaluaciones\u2019.\u2019<\/p>\n

Espero que entiendas por qu\u00e9 debes seguir siempre tus instintos y no dar nunca nada por sentado.<\/p>\n

Medicina deshonesta<\/h2>\n

Uno de nuestros clientes recientes (le llamaremos Dave) tuvo un feo accidente en el trabajo. Le explot\u00f3 un cristal en la cara y se hizo un buen corte. <\/p>\n

Los cortes se curar\u00edan, pero lo que preocupaba a nuestro cliente era que el ojo derecho le molestaba mucho. A Dave le preocupaba que tuviera peque\u00f1os fragmentos de cristal en el ojo, as\u00ed que le pidi\u00f3 al m\u00e9dico que lo comprobara.<\/p>\n

Despu\u00e9s de lesionarse, la compa\u00f1\u00eda de seguros quiere una opini\u00f3n m\u00e9dica profesional de un m\u00e9dico que le ayude a responder a 3 grandes preguntas:<\/p>\n

    \n
  1. \u00bfSomos responsables econ\u00f3micos del accidente?<\/li>\n
  2. \u00bfTenemos que pagar alg\u00fan tratamiento posterior o los salarios perdidos?<\/li>\n
  3. \u00bfDebemos alg\u00fan dinero por incapacidad permanente o parcial?<\/li>\n<\/ol>\n

    Por supuesto, la compa\u00f1\u00eda de seguros espera que el m\u00e9dico responda NO a las tres preguntas.<\/p>\n

    Su modelo de negocio se basa en pagar el menor n\u00famero posible de prestaciones, a tu costa.<\/p>\n

    De todos modos, Dave no ten\u00eda ni idea de que este \u2018profesional m\u00e9dico\u2019 al que le hab\u00eda remitido la compa\u00f1\u00eda de seguros probablemente tambi\u00e9n ten\u00eda una gran raz\u00f3n para decir NO. Muchos de estos m\u00e9dicos tienden a repetir el negocio de las remisiones del seguro: recomiendan que no se paguen m\u00e1s prestaciones y, a cambio, la compa\u00f1\u00eda de seguros sigue envi\u00e1ndoles pacientes desventurados.<\/p>\n

    No acepte un NO por respuesta<\/h2>\n

    El m\u00e9dico b\u00e1sicamente le dijo a Dave que estaba bien y le envi\u00f3 a casa con un tubito de pomada para el ojo.<\/p>\n

    Pasaron un par de d\u00edas, pero el ojo no mejor\u00f3. De hecho, empeor\u00f3. Dave sab\u00eda que algo iba mal, as\u00ed que volvi\u00f3 al mismo m\u00e9dico (autorizado por el seguro). Esta vez, se fue a casa con unas gotas para los ojos.<\/p>\n

    Al final de la primera semana, Dave estaba harto. Le dol\u00eda el ojo las 24 horas del d\u00eda. Pidi\u00f3 cita con su m\u00e9dico de cabecera, que enseguida se dio cuenta de que ten\u00eda un peque\u00f1o fragmento de cristal clavado en el ojo.<\/p>\n

    Pero probablemente ya lo hayas adivinado.<\/p>\n

    Francamente, toda esta historia me parece repugnante. Aqu\u00ed tenemos a una compa\u00f1\u00eda de seguros muy taca\u00f1a en connivencia con un m\u00e9dico para negar a un hombre inocente y herido el dinero que necesita para curarse. Y lo que es peor, est\u00e1n poniendo su salud en peligro al mentir descaradamente.<\/p>\n

    Por suerte, Dave se neg\u00f3 a aceptar un NO por respuesta. Armado con la opini\u00f3n de un m\u00e9dico honesto, acudi\u00f3 a nosotros en busca de ayuda. Me alegra decir que arreglamos todo el l\u00edo y que la vista de Dave no ha empeorado.<\/p>\n

    No te enfades, busca ayuda<\/h2>\n

    El objetivo del juego es frustrarte -a veces con mentiras y enga\u00f1os- hasta que est\u00e9s tan agotado y cansado que tires la toalla y pagues t\u00fa mismo las facturas m\u00e9dicas.<\/p>\n

    Aunque la compa\u00f1\u00eda de seguros sepa sin lugar a dudas que debe pagar, seguir\u00e1 jugando a estos juegos si cree que puede salirse con la suya. Seguir\u00e1n envi\u00e1ndote a esas cl\u00ednicas de trabajo, dirigidas por m\u00e9dicos (en realidad, enfermeros o auxiliares m\u00e9dicos, la mayor\u00eda de las veces) que necesitan mantener contenta a la compa\u00f1\u00eda de seguros.<\/p>\n

    Contentar a la compa\u00f1\u00eda de seguros significa minimizar la gravedad de su lesi\u00f3n y darle el tratamiento m\u00e1s barato disponible.<\/p>\n

    \u00bfY adivina qu\u00e9 ocurre cuando el seguro se cansa de pagar tu tratamiento o se niega en redondo a pagarlo? Te env\u00edan a una supuesta \u2018evaluaci\u00f3n m\u00e9dica independiente\u2019, donde la m\u00e1xima prioridad del m\u00e9dico es:<\/p>\n

      \n
    • Dar al perito una excusa para cerrar tu siniestro porque \u201cno est\u00e1s realmente herido\u201d;<\/li>\n
    • Y darle al ajustador una excusa para cerrar tu reclamo porque \u201ctu lesi\u00f3n no fue causada por el trabajo, es una lesi\u00f3n preexistente\u201d.\u201d<\/li>\n<\/ul>\n

      Por eso debe acudir a su m\u00e9dico, un profesional en quien pueda confiar. Su m\u00e9dico es la primera y mejor l\u00ednea de defensa que tiene cuando se busca seguro de compensaci\u00f3n de trabajadores. Mientras que usted puede ser obligado a ver a un m\u00e9dico de la cl\u00ednica de trabajo al menos una vez, luchar por su derecho a visitar a un m\u00e9dico de su elecci\u00f3n<\/strong>, uno que tenga en cuenta tus mejores intereses.<\/p>\n

      Pero si usted ya ha sido a trav\u00e9s de un IME y dijo que su lesi\u00f3n no est\u00e1 cubierta por el seguro, queremos hablar. Hemos defendido con \u00e9xito a muchas personas cuyos m\u00e9dicos IME afirm\u00f3 que no ten\u00edan lesiones, incluso los casos de las compa\u00f1\u00edas de seguros ya hab\u00edan cerrado de golpe.<\/p>\n

      Dicho esto, no te compliques la vida con las reclamaciones de indemnizaci\u00f3n por accidente laboral. Si te lesionas en el trabajo, busca primero la opini\u00f3n de tu propio m\u00e9dico y ah\u00f3rrate dolores de cabeza despu\u00e9s.<\/p>","protected":false},"excerpt":{"rendered":"

      Uno de los problemas del proceso de indemnizaci\u00f3n de los trabajadores que m\u00e1s me molesta son las llamadas \u2018evaluaciones m\u00e9dicas independientes\u2019.\u2019<\/p>\n

      Probablemente adivine lo que eso significa, y puede que usted mismo haya pasado por una despu\u00e9s de una lesi\u00f3n laboral. Pero si no es as\u00ed, d\u00e9jame contarte lo que ocurre en una de estas \u2018evaluaciones\u2019.\u2019<\/p>","protected":false},"author":284645,"featured_media":4127,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4426","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nBe Wary of 'Independent' Medical Evaluations<\/title>\n<meta name=\"description\" content=\"One of the issues with the workers comp process that really grinds my gears are these so-called 'independent medical evaluations.' 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But if not, let me tell you what goes on at one of these 'evaluations.'","og_url":"https:\/\/justworkcomplaw.com\/es\/sin-categoria\/desconfie-de-las-evaluaciones-medicas-independientes\/","og_site_name":"Just Work Comp Law","article_publisher":"https:\/\/www.facebook.com\/DavisSanchezLawFirm","article_published_time":"2016-07-11T16:38:18+00:00","og_image":[{"width":1000,"height":500,"url":"https:\/\/justworkcomplaw.com\/wp-content\/uploads\/2025\/11\/independantmedical.jpg","type":"image\/jpeg"}],"author":"edgardo","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"edgardo","Tiempo de lectura":"4 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/#article","isPartOf":{"@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/"},"author":{"name":"edgardo","@id":"https:\/\/justworkcomplaw.com\/#\/schema\/person\/7a91db55a8d171bc598316f40124ab47"},"headline":"Be Wary of ‘Independent’ Medical Evaluations","datePublished":"2016-07-11T16:38:18+00:00","mainEntityOfPage":{"@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/"},"wordCount":822,"commentCount":0,"publisher":{"@id":"https:\/\/justworkcomplaw.com\/#organization"},"image":{"@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/#primaryimage"},"thumbnailUrl":"https:\/\/justworkcomplaw.com\/wp-content\/uploads\/2025\/11\/independantmedical.jpg","articleSection":["Uncategorized"],"inLanguage":"es","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/","url":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/","name":"Desconf\u00ede de las evaluaciones m\u00e9dicas 'independientes","isPartOf":{"@id":"https:\/\/justworkcomplaw.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/#primaryimage"},"image":{"@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/#primaryimage"},"thumbnailUrl":"https:\/\/justworkcomplaw.com\/wp-content\/uploads\/2025\/11\/independantmedical.jpg","datePublished":"2016-07-11T16:38:18+00:00","description":"Uno de los problemas del proceso de compensaci\u00f3n de los trabajadores que m\u00e1s me molesta son las llamadas 'evaluaciones m\u00e9dicas independientes'. Seguramente se imagina lo que significa y puede que usted mismo haya pasado por una despu\u00e9s de sufrir una lesi\u00f3n laboral. Pero si no es as\u00ed, d\u00e9jame que te cuente lo que pasa en una de estas 'evaluaciones'.'","breadcrumb":{"@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/#primaryimage","url":"https:\/\/justworkcomplaw.com\/wp-content\/uploads\/2025\/11\/independantmedical.jpg","contentUrl":"https:\/\/justworkcomplaw.com\/wp-content\/uploads\/2025\/11\/independantmedical.jpg","width":1000,"height":500},{"@type":"BreadcrumbList","@id":"https:\/\/justworkcomplaw.com\/uncategorized\/be-wary-of-independent-medical-evaluations\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/justworkcomplaw.com\/"},{"@type":"ListItem","position":2,"name":"Be Wary of ‘Independent’ Medical Evaluations"}]},{"@type":"WebSite","@id":"https:\/\/justworkcomplaw.com\/#website","url":"https:\/\/justworkcomplaw.com\/","name":"Just Work Comp Law","description":"","publisher":{"@id":"https:\/\/justworkcomplaw.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/justworkcomplaw.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/justworkcomplaw.com\/#organization","name":"%%sitename%%","url":"https:\/\/justworkcomplaw.com\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/justworkcomplaw.com\/#\/schema\/logo\/image\/","url":"https:\/\/justworkcomplaw.com\/wp-content\/uploads\/2025\/10\/logo.png","contentUrl":"https:\/\/justworkcomplaw.com\/wp-content\/uploads\/2025\/10\/logo.png","width":788,"height":433,"caption":"%%sitename%%"},"image":{"@id":"https:\/\/justworkcomplaw.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/DavisSanchezLawFirm","https:\/\/api.whatsapp.com\/send\/?phone=13853153695&text&type=phone_number&app_absent=0","https:\/\/www.youtube.com\/user\/DavisSanchezLaw\/videos"]},{"@type":"Person","@id":"https:\/\/justworkcomplaw.com\/#\/schema\/person\/7a91db55a8d171bc598316f40124ab47","name":"edgardo","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/justworkcomplaw.com\/wp-content\/litespeed\/avatar\/15b455fb28ef365883e2b778ef6f5885.jpg?ver=1779818071","url":"https:\/\/justworkcomplaw.com\/wp-content\/litespeed\/avatar\/15b455fb28ef365883e2b778ef6f5885.jpg?ver=1779818071","contentUrl":"https:\/\/justworkcomplaw.com\/wp-content\/litespeed\/avatar\/15b455fb28ef365883e2b778ef6f5885.jpg?ver=1779818071","caption":"edgardo"},"url":"https:\/\/justworkcomplaw.com\/es\/author\/edgardo\/"}]}},"jetpack_featured_media_url":"https:\/\/justworkcomplaw.com\/wp-content\/uploads\/2025\/11\/independantmedical.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/posts\/4426","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/users\/284645"}],"replies":[{"embeddable":true,"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/comments?post=4426"}],"version-history":[{"count":0,"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/posts\/4426\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/media\/4127"}],"wp:attachment":[{"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/media?parent=4426"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/categories?post=4426"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/justworkcomplaw.com\/es\/wp-json\/wp\/v2\/tags?post=4426"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}