If medical care has been denied, as always, first seek a competent, experienced workers’ compensation lawyer. A lawyer might take your case on a contingency fee basis and provide a free case evaluation or free consultation. If you can’t find legal help, and if you have a lifetime medical award and the insurance adjuster has refused to authorize medical care for treatment that is related to your work injury, you should demand a hearing before the Virginia Workers’ Compensation Commission. Make sure you get a copy of the note from your doctor or treatment provider that says you require medical care and get copy to the workers’ compensation commission. Call the Commission at 877-664-2566 and ask them how to request a hearing. Usually, a simple letter to them asking for a hearing. Again, make sure you send them any medical notes or records that support your claim.