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A guide to workers' compensation in Pennsylvania - Part 2

According to the Pennsylvania Workers Compensation Act, a worker is entitled to compensation in case of job-related injury or illness. As a very first step, an injured worker needs to establish eligibility for seeking workers' compensation benefits.

Workers who are injured or fall ill on the job are entitled to medical care. The employer is responsible for advising an injured worker of his or her rights for compensation and duties to obtain it. The employer must give a written notice to the insurance company when an employee is injured. These rights are enumerated under Section 306(f.1)(1)(i) of the Workers Compensation Act, which says that if a worker suffers an injury, then the worker will be entitled to medical and surgical services.

The injured employee is also entitled to hospital services and treatment, medicine, prostheses and other medical devices for as long as they are required. Even if the worker has not lost any wages, the worker is still entitled to be reimbursed for medical fees at the scheduled rate. However, if treatment is provided outside of Pennsylvania, the worker may be responsible for some fees. A person can also seek their own medical provider, but there are exceptions in situations where organizations require the use of certain medical practitioners affiliated with their medical plans.

If a doctor advises surgery, the employee can seek an additional opinion and payment for a second look will also be made by the company. A worker who receives disability benefits may also provide relevant information directly to the insurer about any entitlement.

Source: State.PA.US, "Workers' Compensation & the Injured Worker," Accessed on Aug. 9, 2014

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