Independent Medical Evaluations (IMEs) Explained
| Question | Substance Use Disorders IME | Spinal Cord Injury IME |
|---|---|---|
| What is the focus of the IME? | Substance abuse history, treatment, and impact on functioning | Assessment of physical impairment and functional limitations resulting from a spinal cord injury |
| Which medical conditions do these IMEs assess? | Substance use disorders | Spinal cord injuries |
| What are the main objectives of these IMEs? | To evaluate the severity and impact of substance use disorders on an individual’s daily life, work, and relationships | To determine the extent of physical impairment and functional limitations resulting from a spinal cord injury |
| Who typically requests these IMEs? | Insurance companies, attorneys, employers, or government agencies involved in legal or disability claims related to substance abuse | Insurance companies, attorneys, employers, or government agencies involved in legal or disability claims related to spinal cord injuries |
| What professionals conduct these IMEs? | Psychiatrists, addiction specialists, or psychologists | Neurologists, orthopedic specialists, or rehabilitation medicine physicians |
| How long does the IME typically take? | Varies depending on the complexity of the case, but usually a few hours | Varies depending on the complexity of the case, but usually a few hours to a whole day |
| What does the IME report include? | Assessment of the individual’s substance abuse history, treatment, current functioning, and recommendations for further treatment or rehabilitation | Evaluation of the physical impairments, functional limitations, prognosis, and recommendations for medical management or rehabilitation services |
| What are the factors considered during the IME? | Patterns of substance use, medical and psychiatric history, treatment records, and any impact on social and occupational functioning | Physical examination, diagnostic tests, medical history, imaging studies, and functional assessments to determine the level of impairment and disability |
| Are these IMEs covered by insurance? | Most insurance plans cover substance use disorders IMEs, but coverage may vary | Most insurance plans cover spinal cord injury IMEs, but coverage may vary |
| What is the cost of these IMEs? | The cost depends on various factors such as the complexity of the case, healthcare provider fees, and any additional tests or assessments required | The cost depends on various factors such as the complexity of the case, healthcare provider fees, and any additional tests or assessments required |