Many EEOICPA White Card holders assume they must see a doctor who is a registered DOL (Department of Labor) provider who bills the DOL directly. While that is one option, it is not the only option.
In states where DOL-specific providers are limited, using your current provider can be a helpful and convenient alternative. It can also feel more comfortable to stick with a provider you already know.
We'll go through how it works, but let's answer some common questions first.
DOL-specific providers are set up to bill the DOL directly for your visits. They are familiar with DOL required paperwork and billing processes.
As with most government programs, the complexity of the required paperwork and unfamiliarity with billing processes in working with the DOL may cause physicians to limit their engagement with DOL patients. While Medicare and Medicaid are also government programs, they are large insurance-style programs with standardized provider enrollment processes, established billing systems and predictable reimbursement workflows. Most physician offices, hospitals, and pharmacies submit those claims every day.
Medicare and Medicaid are like major highways that healthcare providers drive on every day. EEOICPA is a smaller road with different signage, rules, and paperwork. The destination is still payment, but far fewer offices know the route or are willing to navigate it.
Insurance
Use your existing insurance (whether that’s Medicare, Medicaid or another provider) to cover the visit with your current physician.
The visit is treated like any standard follow-up appointment.
Paperwork
To designate themselves as your treating physician on behalf of the Department of Labor (DOL), your doctor will sign required paperwork:
DOL-specific documents
Letter of Medical Necessity (LOMN)
The signed forms allow the DOL's Medical Benefits Examiner (MBE) to access your office visit notes and verify your physician’s credentials through their National Provider Identifier (NPI) number.
Note: The paperwork your current physician will need to sign does not require them to enroll in any programs, nor does it require them to jump through any bureaucratic hoops. It is simply a signature on a government document.
Billing
You pay the co-pay out of pocket like usual
Your physician will bill your existing insurance provider
The visit is billed as a regular follow-up appointment
Your existing insurance provider (Medicare, Medicaid or other) pays the bill accordingly
The DOL does not need to be involved in or billed for the visit at all
Co-pay Reimbursement
Since your current provider is billing your existing insurance company instead of billing the DOL, you will still be responsible for paying your providers’ co-pay rate for each visit.
There is a co-pay reimbursement process available through paperwork submission
Note: Because of the extensive paperwork required for co-pay reimbursement, it may not be worth the time and effort to get your refund.
The tradeoff for the cost of an appointment co-pay is being able to keep seeing your current treating physician, and the physician not having to bill the DOL directly.
It comes down to whether you want to bill the DOL for your visit or not. If you don't, your current doctor, your current insurance, and your current routine don't have to change, so long as your doctor is willing to sign the necessary documents.
If you would rather avoid the co-pay and see a dedicated DOL provider, please read our blog:
How Do I Find a Doctor that Accepts DOL White Cards?
Have questions about what you should do? Contact our team of experts for a free case review! Reach us at (866) 286-6426 or click below:
You can talk to your physician directly
Your Trusted Ally nursing team can reach out to the physician on your behalf
Your Trusted Ally Community Outreach Executive can contact your provider and discuss them signing on as your DOL treating physician
Our team is happy to connect with your current physician and explain the needed paperwork, what signing the DOL documents means for your physician, and what medical testing needs to take place to meet EEOICPA program requirements.
Because prescriptions can be much more expensive than appointment co-pays, it is recommended to bill the DOL for your needed medications through your White Card. Your current non-DOL physician can assist you with signing off and submitting prescriptions.
How to use your White Card to cover medications and prescriptions:
The medication must be tied to an approved condition on your card
Your provider must sign off on the prescription
Your current non-DOL provider must first sign the required paperwork designating them as your treating physician for the DOL as outlined above
The prescription must be submitted to a DOL-approved pharmacy
These pharmacies are set up to bill the DOL directly for covered medications
Your prescription and its cost will be covered by your White Card
Note: DOL-participating pharmacies are not as common as standard pharmacies, but they do exist. Trusted Ally works with pharmacy partners who are equipped to handle medications through EEOICPA, so ask your care team for guidance on where to send your local prescriptions.
Yes, and as of October 2026, over $27 billion has been paid in total settlements and medical bills paid.
Official source
U.S. Department of Labor (OWCP) — EEOICPA Program Statistics
If you or a loved one worked in the nuclear or uranium industries and became sick, you may be entitled to compensation of up to $400,000 plus free medical care in the comfort of your own home.
Your pathway to care starts with Trusted Ally Home Care. Get started today and let us guide you through the process of receiving the care you or a loved one deserves.
A: Yes. EEOICPA White Card holders can continue seeing their current non-DOL physician. This can be a convenient option if DOL providers are limited in your area. Your doctor must be willing to sign the required paperwork to support your EEOICPA care needs.
A: With the option described here, your physician bills your existing insurance for a regular follow-up appointment, and you pay your usual co-pay. Your physician also completes the required DOL paperwork. The DOL is not billed directly for the office visit.
A: No. Under this arrangement, your current physician does not need to enroll in a DOL billing program to sign the required medical documents. They can continue billing your existing insurance while providing paperwork that supports your EEOICPA care.
A: Your physician will need to sign the required DOL-specific documents and a Letter of Medical Necessity (LOMN). These documents allow the DOL’s Medical Benefits Examiner (MBE) to access your office visit notes and verify your physician’s credentials using their National Provider Identifier (NPI).
A: Yes. A co-pay reimbursement process is available through paperwork submission. Because completing the paperwork can take time and effort, you may want to weigh the amount of your co-pay against the work involved in requesting reimbursement.
A: Some physicians are unfamiliar with DOL billing procedures or concerned about the required paperwork. A provider who does not want to bill the DOL directly may still be willing to see you through your existing insurance and sign the documents needed to support your EEOICPA care.
A: Yes. Your current non-DOL physician can help with prescriptions after signing the required paperwork designating them as your treating physician for DOL purposes. The medication must relate to an approved condition on your White Card, and the prescription must be sent to a DOL-approved pharmacy.
Confirm that the medication treats an approved condition on your card.
Have your physician complete the required treating-physician paperwork.
Have your physician sign off on the prescription.
Send the prescription to a DOL-approved pharmacy that bills the DOL directly.
Ask your Trusted Ally care team for help coordinating with your physician and finding a participating pharmacy.
Yes. Under the arrangement described here, your current physician can bill your existing insurance for office visits while a DOL-approved pharmacy bills the DOL for covered prescriptions. Your physician must complete the required paperwork, and the medications must relate to an approved condition on your White Card.
A: Your Trusted Ally nursing team or Community Outreach Executive can contact your physician to explain the required documents, discuss what signing them means, and help coordinate medical testing needed for EEOICPA program requirements. Your care team can also provide guidance on participating pharmacies.
Have questions about using your EEOICPA White Card with your current doctor? Call Trusted Ally Home Care at (866) 286-6426 for a free case review.