Workers Compensation Pharmacy in Pennsylvania

Pennsylvania Injured Workers Prescription Benefit Information

It may not be easy to find a Workers Compensation Pharmacy in Pennsylvania willing to bill your workers’ compensation insurance company directly.  Furthermore, many pharmacies that do not specialize in Workers Compensation in Pennsylvania refuse to fill prescription orders unless payment has been pre-approved. If your claim has been denied and you have no health insurance, only a specialty workers’ comp pharmacy will fill your prescriptions while your case is pending.  In order to obtain medication, call Valuecare pharmacy at (800) 360-2600.  Valuecare pharmacy is Workers Compensation Pharmacy specializes to provide prescriptions under Pennsylvania worker compensation.   In Pennsylvania,  the laws protect patient choice and allow the injured patient to choose their Workers Comp Pharmacy.

Call Us Now (800) 360-0279

How To Fill Your Prescription Under Pennsylvania Workers’ Compensation:

  1. Medications filling: You are entitled to get the drugs needed for work-related injury or disease under the Pennsylvania Workers Compensation. However, it is important to note that the law allows those who are insured to choose pharmacies that you will be able to fill your prescription.
WHAT CAN I DO WHEN IT IS DIFFICULT TO GET A PRESCRIPTION FILLED OR I AM HAVING PROBLEMS WITH THE PHARMACY WHERE I GET MY WORKERS’ COMPENSATION MEDICATION?
  1. In Pennsylvania, an injured worker has the right to select a pharmacy or pharmacist.  Pennsylvania law prohibits interference with your right to choose a pharmacy or pharmacist. However, a pharmacy is not required to participate in the workers’ compensation program. If at any time, you become dissatisfied with your pharmacy or pharmacist’s services, you can seek another pharmacy to fill your prescriptions.
  2. Insurance carriers contradict claims: under Pennsylvania Workers Compensation, an insurance company or self-insured employer does not have to pay for your prescription drugs or medical care if they have challenged the claim. If your claim is recognized as work-related, then the carrier or self-insured employer will have to pay for medical treatment and medicines. In the event that your claim is controversial and assigned the pharmacy will not fill their prescriptions, they are able to use a pharmacy of their choice.
  3. At Valuecare Pharmacy, our biggest concern is you. We take the financial burden off the process of prescription medications and deliver to your doorstep with no problems. We have full knowledge of the process of Pennsylvania Workers Compensation and work with all parties both your claim to ensure you are getting the treatment you need.
  4. Your Current Prescriptions: Your insurance company cannot stop receiving the medications you are currently taking. Under the Pennsylvania Workers’ Compensation, insurance companies may not decide what prescriptions you are allowed to take. If an insurance company refuses to pay for a specific drug your doctor has prescribed for your illness or injury related to work, then the Workers’ Compensation Board will make a decision in the dispute.

Pennsylvania Workers Compensation Prescription Benefit Information

WHAT KIND OF MEDICAL TREATMENT CAN I GET UNDER PENNSYLVANIA WORKER COMPENSATION BENEFITS?

If you sustain a job injury or a work-related illness, the Pennsylvania Workers’ Compensation Act, or Act, provides for your medical expenses and, in the event you are unable to work, wage-loss compensation benefits until you’re able to go back to work. Additionally, death benefits for work-related deaths are paid to your dependent survivors.

Benefits are paid by private insurance companies (also includes third-party administrators) or the State Workers’ Insurance Fund (a state-run workers’ compensation insurance carrier) self-insured employers.

Employers are responsible for advising workers of their rights and duties under Section 306(f.1)(1)(i) of the Pennsylvania Workers’ Compensation Act. The written notice of these rights and duties is to be provided to the employee at the time of injury or as soon after the injury as is practicable.

In the event of a work-related illness or injury, you are entitled, if covered under the Act, to the payment of related reasonable surgical and medical services rendered by a physician or other healthcare provider.

Medicine, supplies, hospital treatment and services, orthopedic appliances and prostheses are also covered for as long as they are needed. (To assure payment of medical services, see Choice of Doctor.) Even if you have lost no time from work, health care costs for a work-related injury or illness are payable at the fee schedule rate. However, an employee may not be charged the difference between the health care provider’s charge and the amount paid by the employer or its insurance carrier. In other words, there can be no balance billing to you.

If you seek medical treatment outside Pennsylvania, you may be subject to the risk of balance billing by the medical provider. You should discuss this with your medical provider prior to initiating treatment.

Nearly every Pennsylvania worker is covered by the Act. Employers must provide workers’ compensation (WC) coverage for all of their employees, including seasonal and part-time workers. Nonprofit corporations, unincorporated businesses, and even employers with only one employee must comply with the Act’s requirements.

Some employees are covered by other compensation laws, including federal civilian employees, railroad workers, longshoremen, shipyard and harbor workers. Others who may not be covered include volunteer workers, agricultural laborers, casual employees, domestics and employees who have been granted a personal religious exemption from the Act. Certain types of executive officers of corporations may elect exemption from the Act. A worker should seek further information if there is any doubt as to coverage.

If you learn that your employer does not have insurance or is not self-insured for workers’ compensation, you may be eligible for benefits from the Uninsured Employer Guaranty Fund. For details, call the Bureau of Workers’ Compensation, toll-free, at 800-482-2383; or locally and outside Pennsylvania at 717-772-4447.

CHOICE OF HEALTH CARE PROVIDER

You are free to choose your own health care provider to treat your work injury unless the employer accepts your claim and has posted in your workplace a list of six or more physicians or health care providers. You are required to visit a provider on the list for initial treatment. You are to continue treatment with that provider or another on the list for a period of 90 days following the first visit. You may see any provider on the list; your employer may not require or direct you to any specific provider on the list.

If a listed provider prescribes invasive surgery, you are entitled to a second opinion that will be paid for by your employer/insurer. Treatment recommended as a result of the second opinion must be provided by a listed provider for 90 days.

If during the 90-day period you visit a provider(s) not on the list, your employer or your employer’s insurance carrier may refuse to pay for such treatment. After the 90 days, and in situations where your employer has no posted list or an improper list, you may seek treatment with any physician or other healthcare providers you select. You must notify your employer of the provider you have selected. During treatment, the employer or the employer’s insurance carrier is entitled to receive monthly reports from your physician or provider.

Injured workers should be advised that your health care providers may need information concerning your claim. Some of this information may be contained in correspondence you receive from your insurance carrier, and you may want to provide copies of letters or forms to your health care provider.

Once you begin receiving Pennsylvania Workers’ Compensation benefits, the employer/insurer has the right to ask you to see a doctor of their choice for examination. If you refuse, the employer is entitled to request an order from the Pennsylvania Workers’ Compensation judge requiring you to attend an examination. Failure to then attend may result in a suspension of your benefits.

“Every mountain top is within reach if you just keep climbing.”

— Richard Jams Molloy

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