SDIC
P.O. Box 1249
North Wales, PA 19454
800-445-6965

EMPLOYEE’S RIGHTS AND DUTIES UNDER SECTION 306(F.1) OF THE PENNSYLVANIA WORKERS’ COMPENSATION ACT

If you are injured while at work and need medical treatment, you are required to visit one of the health care providers on the list designated by your employer.This duty continues for 90 days from the date of your first visit with a provider on that list, or from the date of any emergency treatment, whichever is earlier.

All reasonable and necessary medical treatment and supplies (such as medicines and prosthetics) that you need as a result of the injury will be paid for by the employer if the treatment is prescribed by a designated health care provider during the 90 day period.Charges for treatment and supplies are specified by the Workers’ Compensation Act.You are not responsible for paying any charges that exceed those specified by the Act.

During the 90 day period, you may change from one designated health care provider to another provider on the list, and the treatment will be paid for by the employer.

If the designated health care provider refers you to a non-designated provider, the employer will pay for the treatment by the non-designated provider.

You have the right to obtain emergency medical treatment from a non-designated physician or health care provider.However, any subsequent non-emergency treatment must be provided by a designated health care provider for the remainder of the 90 day period.

If a designated health care provider recommends invasive surgery, you may obtain a second opinion from a health care provider of your choice.Your employer will pay for the cost of this opinion.If this opinion differs from the opinion of the designated health care provider and sets out a specific and detailed course of treatment, you may elect to undergo this treatment.The treatment, however, must be provided by a designated health care provider for 90 days from the date of the visit to the non-designated health care provider.

After the 90 day period has ended, you have the right to seek treatment from any physician or health care provider.Your employer will pay for this treatment if it is reasonable, necessary, and related to your work injury.However, you must notify your employer of treatment by a non-designated health care provider within 5 days of your first visit to this provider.Your employer is not required to pay for treatment by a non-designated health care provider before you give this notice.Once you have given this notice, your employer shall pay for this treatment unless the treatment is found to be unreasonable or unnecessary, or unrelated to your work injury.