4123-7-10 Free choice of physician and of other medical services.

(A) This rule pertains to employees of self-insuring employers who do not have a QHP.

Choice of provider for employees of self-insuring employers with a QHP is governed by 4123-6-56 of the Administrative Code.

(B) In claims sustained on or after November 2, 1959, employees of self-insuring employers have free choice to select licensed physicians for treatment, as well as other medical services, including, but not limited to, hospital and nursing services.

In claims sustained prior to November 2, 1959, medical services furnished by the self-insuring employer must be utilized.

(C) Emergency treatment shall not constitute an exercise of free choice of physician.

(D) Once an employee of a self-insuring employer goes to a physician for treatment other than on an emergency basis, the employee is deemed to have made a choice of physician and the employee shall notify the employer of a change of physician.

(1) Change of physician requests shall be made to the self-insuring employer in writing, and shall include the name and address of the new physician and the proposed treatment.

(2) Self-insuring employers shall approve written requests for a change of physician within seven days of receipt.

HISTORY: Eff 1-1-78; 2-14-05

Promulgated Under: 119.03

Statutory Authority: RC 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4123.05, 4123.66

Rule Amplifies: RC 4121.121, 4121.30, 4121.44, 4123.651, 4123.66

R.C. 119.032 review dates: 10/26/2004 and 03/01/2009