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What Is the Workers’ Compensation Process in Pennsylvania?

When you experience an illness related to your job or an injury at work, you can file a workers’ compensation claim in Pennsylvania. Most employers must have workers’ compensation insurance that covers the cost of your medical bills, lost wages and other associated expenses.

Review the process of filing for workers’ compensation if you or a family member has an injury or illness that stems from the job site.

Notification

Tell your employer about your injury or diagnosis as soon as possible. The company has a legal requirement to file a claim with their workers’ compensation provider. Depending on the extent of your injury or illness, you may qualify for benefits that include:

  • Payment for lost wages if your doctor says you must temporarily or permanently discontinue your job duties
  • Medical expenses, including the cost of treatments, medications, therapy and other reasonable care
  • One-time benefits for loss of a body part, serious and permanent disfigurement, or loss of hearing or sight

Delaying the process of reporting your claim can impact your ability to receive benefits.

Medical care

Your employer can post a list of six or more approved health care providers to see for treatment in a workers’ compensation case. In the absence of this posting, you can see the health care provider of your choice to get treatment for your injury or illness. After your benefits begin, your employer can request an appointment with an independent medical examiner.

The state workers’ compensation program covers most Pennsylvania employees. You can file an appeal if the insurance company denies your claim after a work illness or injury.

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