Workers’ Compensation Medical Benefits

Workers’ compensation was designed to protect employees who get injured at work. To qualify for workers’ compensation, you must prove that you are/were an employee performing your job, and suffered an injury while doing so. Under Ohio law, if you have a valid workers’ compensation claim, you are entitled to medical benefits to pay for the medical bills and treatments related to your injury.

With workers’ compensation, the need for the expensive process of ligation is eliminated. However, if you’ve suffered from an injury while on the job, you still need the help of one of our certified Ohio workers’ compensation lawyers at Kademenos, Wisehart, Hines, Dolyk & Wright Co. LPA. Attorneys Adrienne Hines and Victor Kademenos can guide you through the process of filing a claim and ensure you get the most from your medical benefits.

Call us today at (419) 625-7770 for a free consultation.

How Workers’ Compensation Medical Benefits Work

Once you receive approval of your workers’ compensation claim, the doctors and other medical professionals who provided you with treatment for your injuries will be required to submit their bills to the managed care organization (MCO) that your employer has selected. After the MCO has thoroughly reviewed the bills, the Ohio Bureau of Workers’ Compensation will pay them.

Workers’ compensation medical benefits cover prescription drugs in addition to medical treatment. In the event that prescription medication is needed to treat your work injury, you must let the pharmacist know that the prescription is covered by workers’ compensation. When you do, they will bill the MCO rather than you.
It’s important to keep in mind that if you fill your prescription prior to when your claim has been approved, you will need to pay for it out-of-pocket. You should be reimbursed after your claim is approved.

Avoid using your health insurance to pay for your prescriptions since co-payments cannot be reimbursed through workers’ compensation. In addition, opt for medical personnel that are a part of the MCO selected by your employer.

Why Consulting Workman’s Comp Lawyers is Essential

With so many complex laws that govern the Ohio workers’ compensation system, you need workers’ comp lawyers who understand how the system works and can help you fight for all of the compensation you may deserve.

Unlike a Bureau of Workers’ Compensation case worker who does not have your best interests in mind, a workers’ comp lawyer will inform you of exactly which benefits you are eligible for and can help you file a claim or appeal a denial. This way, you won’t have to worry about the high cost of your medical bills and prescription medications. You can simply focus on recovering and getting back to work while workman’s comp lawyers take care of the legalities of your situation.

It’s imperative to seek legal representation shortly after your injury because you only have two years from the date your injury occurred to file a claim and receive medical benefits.