Are Medical Expenses Covered Under Workers’ Compensation?

When seeking Workers’ Compensation, the main concern is whether medical expenses will be covered if the worker is found eligible for compensation. In Pennsylvania, medical expenses will be covered or mostly covered if injuries are directly related to an accident that occurred at work. Although this may not be that important to workers who expect to return to work and have medical coverage, the inclusion of medical expenses in Workers’ Compensation benefits are crucial to employees who are unable to return to work due to a workplace injury or illness that occurred which led to their disability.

What Types of Expenses are Covered?

Most medical expenses will be covered, including chiropractic care. Unfortunately, alternative medicine and therapies are generally not covered.

Some of the expenses that are covered under Workers’ Compensation include:

  • Reasonable surgical treatment: Surgery must be related to a workplace injury.
  • Prescription medicine and supplies: Addictive medications have conditions in place.
  • Orthopedic devices and supplies: Under recent case law, this could include a vehicle that is retrofitted to accommodate a wheelchair. Installation of a therapeutic pool in a claimant’s home is not categorized as a medical expense.
  • Physical therapy: Physical therapy is covered.
  • Doctors’ visits: Doctors’ visits will be covered or other healthcare provider visits.
  • Travel expenses: This includes traveling to and from appointments.
  • Hospital treatment: This includes semi-private rooms. Costs will be reimbursed at the prevailing rates.

Medical Bills

If the employee incurs medical bills while the Workers’ Compensation claim is pending, all receipts should be saved. Employees could be reimbursed if the claim is approved by a judge. There are some pharmacies that will fill prescriptions to employees that are waiting for compensation claim approvals, they will be billed later.

Workers’ Compensation is different from a personal injury claim because pain and suffering and other compensatory damages cannot be recovered through Workers’ Compensation insurance. If an employer pays medical bills while the claim is pending, this is not an admission of liability.

Other Benefits

Other benefits that can be recovered through Workers’ Compensation include lost wages, totally disability benefits, and the return to full employment when an employee has fully recovered and is able to perform their job properly.

Media Workers’ Compensation Lawyers at the Law Office of Deborah M. Truscello Assists Those Who Have Sustained Work-Related Injuries or Illnesses

If you have been injured at work or suffer from a work-related illness, you may be eligible for compensation. Our dedicated Media Workers’ Compensation lawyers at the Law Office of Deborah M. Truscello can assist you in your Workers’ Compensation claims and help determine what benefits you are entitled to as a result. Additionally, we can help establish if you qualify for other types of claims for your injuries. Contact us online or call us at 610-892-4940 for a free consultation about your case. Located in Media, Pennsylvania, we also serve clients in Bucks County, Chester County, Delaware County, Lancaster, Montgomery County, Norristown, Reading, West Chester, and throughout the Philadelphia region.