I have received information that informs me how to get health care under my employer’s workers’ compensation insurance. Click to view the Network Information.
If I am hurt on the job and live in a service area described in this packet, I understand that:
- I must choose a treating doctor from the list of doctors in the network. Or, I may ask my HMO primary care physician to agree to serve as my treating doctor. If I select my HMO primary care physician as my treating doctor, I will call Texas Mutual Insurance Company at (844) 867-2338 to notify them of my choice.
- I must go to my treating doctor for all health care for my injury. If I need a specialist, my treating doctor will refer me to a specialist. If I need emergency care, I may go anywhere.
Texas Mutual will pay the treating doctor and other network providers for the treatment for my compensable injury.
- I may have to pay the bill if I get health care from someone other than a network doctor without prior network approval.
Knowingly making a false workers’ compensation claim may lead to a criminal investigation that could result in criminal penalties such as fines and imprisonment.