Quick Hits: Do injured workers receive prescription coverage under Workers’ Compensation?

Yes, injured workers are entitled to prescription coverage, supplies and services.  Any Workers' Compensation Lawyer in Montgomery County can assist you in this matter.  

Quick Hits: What is” Partial Disability” in a Workers’ Compensation case?

The injured worker is considered partially disabled if a medical exam determines that he/she is less than 50% disabled.  The worker can remain partially disabled for up to 500 weeks.  It is possible to have your rating changed to total disability if a medical exam determines that you are at least 50% disabled. 

Quick Hits: How are medical bills paid under Workers’ Compensation?

Doctors and hospitals submit their bills directly to the employer’s insurance company.  The injured worker is never required to make any payment.

What is Alternative Dispute Resolution?

Either the injured worker or the employer can file a petition with the Office of Adjudication when there is a dispute over benefits.  A workers’ compensation judge schedules a hearing unless he/she deems otherwise.  You can also request an informal conference. Forms for an informal conference can be obtained from the Bureau of Workers’ Compensation Claims Information Hotline at 800-482-2383.

What is an Independent Medical Exam (IME)?

Employers and their insurance companies can require an injured worker to submit to a medical exam conducted by a physician of their choosing.  These physicians most often side with the employer in determining if a true injury occurred or that the injury is debilitating.  An injured worker would be wise to consult with an attorney prior to the exam to discuss his/her legal options. 

Quick hits: Can decisions of a Workers’ Compensation Judge be appealed?

Yes, decisions can be appealed to the Workers’ Compensation Appeal Board and possibly to the Commonwealth of PA court.  

What is a lump sum benefit in a Workers’ Compensation claim?

Employers sometimes offer an injured worker a lump sum payment in order to minimize payments to workers going forward.  The decision to accept a lump sum is very serious and requires the advice of an attorney who is a Montgomery County Worker's Comp lawyer who can advise you if the amount is fair.  

The amount of the lump sum is based on several factors such as the nature and extent of the injury, the age of the injured worker, the educational history and past employment record and the cost of continued medical care.  When you accept a lump sum payment you forego any right to future benefits .The agreement must be approved by a Judge.  The process of settling a workers’ compensation case is  known as “Compromise and Release”.

I cannot stress how important it is for you to have a professional review your case and make sure you are not losing money!