New Jersey Workers Compensation Pharmacy Benefit Information

Workers’ compensation is a “no-fault” insurance program that provides the following benefits to employees who suffer job-related injuries or illnesses.

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 Medical Benefits
 Temporary Total Benefits
 Permanent Partial Benefits
 Permanent Total Benefits

An employee or their dependents can receive workers’ compensation benefits for an injury arising out of and in the course of employment. The employer or their insurance carrier pays for necessary and reasonable medical treatment, loss of wages during the period of rehabilitation and when documented, benefits for permanent disability.

In the event that a worker is injured while working for an uninsured employer, application for medical and temporary benefits can be made to the Division’s Uninsured Employers Fund (UEF).  For more details, click here: UEF Benefits.

Medical Benefits

All necessary and reasonable medical treatment, prescriptions and hospitalization services related to the work injury are paid by the employer’s insurance carrier or directly by the employer if they are self-insured.

The employer has the right to designate the authorized treating physician for all work related injuries. Only in the situations where the employer inappropriately refuses to provide medical treatment or if an emergency exists, may the injured worker choose the treating physician. In the case of the latter, the injured worker should notify the employer as soon as possible concerning the treatment being received.

What to do if you are injured.

You should notify your employer as soon as possible.   The notice may be given to your supervisor, personnel office, or anyone in authority at your place of business.  The notice does not have to be in writing. If you need medical treatment, a request should be made to your employer as soon as possible.  Under the NJ workers’ compensation law, the employer and/or their insurance carrier can select the physician(s)  to treat injured workers for work-related injuries.

Employer’s Responsibility After an Injury

Once an accident is reported to an employer, they should notify their insurance carrier immediately so that a First Report of Injury can be filed with the State.

The employer’s WC insurance carrier will evaluate the claim and determine if it’s compensable under the WC law. They will contact the injured worker, the employer, and the medical provider to make this assessment. If the claim is accepted, they will direct the injured worker to an authorized medical provider for treatment.  If the time out of work extends beyond 7 days, they will also provide the injured worker temporary disability benefits during the period of rehabilitation.

Within 26 weeks after the worker returns to work or reaches maximum medical improvement, the insurance carrier is required to submit another form to the Division called the Subsequent Report of Injury. A copy of this form is sent to the worker for their review.

About us

Valuecare workers compensation pharmacy workers compensation and auto injury specialty pharmacy

 

  • Worker’s Compensation Services

    • No out-of-pocket charges to get your prescription filled.
      We bill the insurance company directly, eliminating the financial burden and inconvenience to you. You never have to wait for a reimbursement check.
    • No complicated insurance claim forms to complete.
      All you have to do is call your caseworker. We do the rest.
    • No trips to the drug store.
      Valucare promptly delivers your prescriptions at no charge right to your door. No more waiting in line at the drug store.
    • Complete confidentiality.
      Your privacy is our priority. Our caseworkers and pharmacy personnel are trained to handle matters with confidentiality and secure your privacy. We are compliant with all HIPAA laws.
  • Always There Every Step Of The Way

    The last thing that an injured person wants to do is have to visit the pharmacy and incur out of pocket expenses. At Valuecare, we encourage you to rest up and not have to worry about that. If you have a valid Workers Compensation or No-Fault Claim, we will take your claim on assignment, lay out all of the money for you so you pay $0 out of pocket, and deliver right to your doorstep within 24 hours.

  • Benefits Of Our Worker’s Comp Services

    The last thing that an injured person wants to do is have to visit the pharmacy and incur out of pocket expenses. At Valuecare, we encourage you to rest up and not have to worry about that. If you have a valid Workers Compensation or No-Fault Claim, we will take your claim on assignment, lay out all of the money for you so you pay $0 out of pocket, and deliver right to your doorstep within 24 hours.

  • Providing Prescription Relief At No Cost To You

    You are injured in an automobile accident. The last thing you need to worry about is out of pocket expenses for your prescription drugs. Valuecare No Fault Pharmacy Services takes care of that for you. You have the right to choose your pharmacy. The same insurance company which pays for your medical care and physical therapy will also pay for prescription drug coverage. Valuecare can provide you with all of your medication, delivered right to your door, with no worries and no hassles.

  • You pay nothing

    We serve our patients with quality and compassionate care. We are always just one phone call away. Our patient care representatives and pharmacists are available to answer any questions or concerns you may have. We work with your physician and coordinate all of your pharmacy needs. You pay nothing.

  • Teamwork

    We understand your needs. We can work with your physician, therapist and even your attorney to make sure all of your pharmacy needs are met. Valuecare is always a team player and always on your side.

  • Valuecare Works on Behalf of the Injured Worker, Taking Care of All Prescription Needs

    1. You Enroll
        • By Phone: Toll-Free 800-360-7902
        • By Fax: 347-846-0406

      How to Refer Your Workers’ Compensation Patients

    2. We Call You
      • A pharmacy representative will contact you to:
        • Complete your enrollment
        • Help coordinate and set up your prescriptions
    3. We Call Them
      • Our trained and licensed staff calls your insurance carrier to:
        • Verify your claim is active and approved
        • Handle claim reviews and reimbursement
    4. We Deliver
      • We’ll call you to schedule your first delivery, which will arrive same day or overnight direct to your door with no out-of-pocket expenses on active and approved claims.
    5. We Take Care Of You
      • We send your refills automatically and as prescribed – no reordering is necessary.
      • We bill the insurance company directly for all your medication costs.
      • We’ll work with your legal counsel to resolve any difficulty with your claim.
  • How can Valuecare help ?

    The last thing that an injured person wants to do is have to visit the pharmacy and incur out of pocket expenses. At Valuecare, we encourage you to rest up and not have to worry about that. If you have a valid Workers Compensation or No-Fault Claim, we will take your claim on assignment, lay out all of the money for you so you pay $0 out of pocket, and deliver right to your doorstep within 24 hours.

  • Advantages For Attorneys

    The last thing that an injured person wants to do is have to visit the pharmacy and incur out of pocket expenses. At Valuecare, we encourage you to rest up and not have to worry about that. If you have a valid Workers Compensation or No-Fault Claim, we will take your claim on assignment, lay out all of the money for you so you pay $0 out of pocket, and deliver right to your doorstep within 24 hours.

  • How we Service you

    The last thing that an injured person wants to do is have to visit the pharmacy and incur out of pocket expenses. At Valuecare, we encourage you to rest up and not have to worry about that. If you have a valid Workers Compensation or No-Fault Claim, we will take your claim on assignment, lay out all of the money for you so you pay $0 out of pocket, and deliver right to your doorstep within 24 hours.

We Accept prescriptions from the following Workers’ compensation companies:

ACE AMERICAN INSURANCE COMPANY|ACIG INSURANCE COMPANY|ADVANTAGE WORKERS COMPENSATION INSURANCE COMPANY|AIG PROPERTY CASUALTY COMPANY|ALASKA NATIONAL INSURANCE COMPANY|ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY|AMERICAN ALTERNATIVE INSURANCE CORPORATION|AMERICAN AUTOMOBILE INSURANCE COMPANY|AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA|AMERICAN ECONOMY INSURANCE COMPANY|AMERICAN FAMILY HOME INSURANCE COMPANY|AMERICAN FIRE AND CASUALTY COMPANY|AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY|AMERICAN HOME ASSURANCE COMPANY|AMERICAN INSURANCE COMPANY|AMERICAN INTERSTATE INSURANCE COMPANY|AMERICAN MODERN HOME INSURANCE COMPANY|AMERICAN STATES INSURANCE COMPANY|AMERICAN ZURICH INSURANCE COMPANY|AMERISURE MUTUAL INSURANCE COMPANY|AMGUARD INSURANCE COMPANY|ARCH INSURANCE COMPANY|ARGONAUT INSURANCE COMPANY|ARGONAUT INSURANCE COMPANY|ARROWOOD INDEMNITY COMPANY|ASSOCIATED INDEMNITY CORPORATION|ASSURANCE COMPANY OF AMERICA|ATLANTIC SPECIALTY INSURANCE COMPANY|BENCHMARK INSURANCE COMPANY|BERKLEY NATIONAL INSURANCE COMPANY|CALIFORNIA CASUALTY INDEMNITY EXCHANGE|CALIFORNIA INSURANCE COMPANY|CARE WEST INSURANCE COMPANY|CHUBB INDEMNITY INSURANCE COMPANY|CHURCH MUTUAL INSURANCE COMPANY|CINCINNATI CASUALTY COMPANY|CINCINNATI INSURANCE COMPANY|CITIZENS INSURANCE COMPANY OF AMERICA|CIVIC PROPERTY