Can I Choose My Own Surgeon for Workers' Comp in Illinois?

Written by Lily Escorcia, workers' compensation specialist at WIN Injury Network

Quick Answer: Yes. Under Illinois law (820 ILCS 305/8), injured workers have the right to choose their own treating physician, including their surgeon. Your employer may designate the first choice, but you have the right to make a second choice entirely on your own.

One of the most important — and most misunderstood — rights in Illinois workers' compensation is your right to choose your own doctor. Many employers tell injured workers they must see the company doctor. That's only partially true.

The Illinois "Two-Physician Rule"

Under 820 ILCS 305/8(a), you have the right to make two physician choices during your workers' comp case. Your employer can designate the first choice (their preferred doctor). But you always have the right to a second, completely independent physician choice — including a specialist or surgeon of your choosing.

Why Your Physician Choice Matters

Company doctors are not always objective. They're often paid by or have relationships with the insurance carrier. An independent physician who focuses on treating injured workers — not managing insurer costs — may recommend surgery when the company doctor says to "wait and see."

How to Exercise Your Right

Notify your employer in writing that you are exercising your right to a second physician choice. This triggers your right to treat with any licensed physician in Illinois at the employer's expense.

WIN's Medical Network

WIN Injury Network maintains a network of independent physicians who specialize in treating work injuries. These doctors understand workers' comp law, provide thorough documentation, and are not beholden to insurance carriers.

Frequently Asked Questions

Does my employer have to pay for my chosen surgeon?
Yes. Once you exercise your second physician choice under 820 ILCS 305/8(a), the employer must pay for treatment by that physician.
Can I change doctors during my workers' comp case?
You are allowed two physician choices total. After that, you need IWCC approval to change treating physicians.
What if the company doctor says I don't need surgery?
Exercise your second physician choice immediately. An independent surgeon's recommendation carries equal weight — and often more credibility — in IWCC proceedings.
Can I choose a specialist instead of a general practitioner?
Yes. You can choose any licensed physician, including an orthopedic surgeon, spine specialist, or other specialist relevant to your injury.
What is the difference between an IME and a treating physician?
An IME physician examines you once and provides an opinion. Your treating physician manages your ongoing care and has the primary authority to recommend surgery.

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