While you are recovering from a severe occupational injury, the last thing you should have to worry about is communicating with a Workers’ Comp carrier about your claim. Allow our attorneys to handle dealing with the carrier and preparing your case if you must take it before a Workers’ Comp Judge to get benefits in Skippack.
Your company’s Workers’ Comp insurer generally has to pay all medical expenses from an injury, as long as the injury happened while you were working. While all medical damages are covered, only some lost wages are compensated. If you suffer certain injuries, you may get additional compensation on top of medical and lost income benefits. Our attorneys can assist you in navigating the entire process.
Call Cardamone Law at (267) 651-7945 for a free case assessment from our Certified Pennsylvania Workers’ Compensation Lawyers.
How Much Does Workers’ Comp Pay for Medical Expenses in Skippack?
While you are unable to work because of an on-the-job accident, you may have to attend many doctors appointments, resulting in expensive medical bills. Workers’ Comp exists to pay all medical bills associated with a covered work-related injury.
It does not matter if you made a mistake while working and accidentally injured yourself; Workers’ Comp should still pay all medical bills to treat your injury.
Your doctors can bill the Worker Comp carrier for treatments and visits, so you do not have to deal with any bills or report medical expenses to the insurer yourself.
Make sure you only see a doctor from your employer’s list of approved physicians for at least the first 90 days of your treatment, so these initial medical bills get covered. There are exceptions to this rule, like needing to see a specialist not on the employer’s list or getting a second opinion about surgery.
How Much Does Workers’ Comp Pay for Lost Wages?
In Pennsylvania, claimants approved for Workers’ Comp should get a percentage of their previous salary, but not all of it. There are maximum and minimum compensation limits for lost wage benefits as well, and we can see if this might affect your payments.
To calculate how much your weekly lost-wage benefit will be, we will take 2/3 of your pre-injury Average Weekly Wage (AWW). You can expect to receive this amount for as long as you are totally disabled.
You might not receive exactly two-thirds of your average weekly wage if that would exceed the state maximum or would be lower than the state minimum. In 2025, the weekly benefit maximum for lost wages is $1,347.
Pennsylvania also limits how low weekly lost wage payments from Workers’ Comp may be. To calculate your minimum possible payment, we will take the lower of 90% of your average weekly wage or 50% of the statewide AWW, which is $673.50 in 2025.
Are You Guaranteed Workers’ Comp Benefits in Skippack?
Although your employer must legally have a Worker Comp policy, you are not necessarily guaranteed benefits. Even though Workers’ Comp is no-fault insurance coverage, the carrier will require proof that your injury is work-related and you are disabled because of it. Our attorneys can prepare this evidence for your case.
Relevant medical records include X-rays, diagnostic test results, prescriptions, surgical reports, doctors’ notes, and much more information that confirms your injuries. Medical records and physician reports can also help confirm the manner in which you were injured, which may corroborate our explanation of the work-related accident.
Though your employer should have Workers’ Comp, they might fail to comply with state mandates. That can deter your access to medical and income benefits, but not completely block it. You can file a claim with the Uninsured Employers Guaranty Fund for benefits or consider filing a civil lawsuit against your employer, as a Workers’ Comp policy does not protect them in this case.
How Do You Start a Workers’ Comp Case?
To begin a Workers’ Comp case, the hurt worker must report their injury to the employer. While you have 120 days to do this, it is recommended that you report it as soon as possible.
Your employer must report a non-fatal injury to their insurance carrier within 10 days, which essentially starts your case. Once the carrier is aware of the injury, it will request reports, evidence, and any information that supports your case.
Who Gets Specific Loss Worker Comp Benefits in Skippack?
For certain permanent injuries, Pennsylvania requires Workers’ Comp to pay additional “specific loss” benefits. These payments are not in addition to medical or wage-loss benefits.
Specific loss benefits are paid for losing the following injuries:
- Amputation/limb loss
- Permanent lost function
- Significant facial scarring
- Lost hearing
- Lost vision
Specific injury benefits equal about two-thirds of your pre-injury wage. How many weeks you receive these payments depends on your specific injury.
Claimants may also receive additional compensation for suffering disfiguring facial injuries in Pennsylvania.
Who Gets Workers’ Comp Death Benefits in Skippack?
Death benefits are payable to certain survivors of employees who die in fatal occupational accidents in Skippack. Not only can we see if you are eligible, but we can also help you get the damages you deserve from an employer and their insurance carrier.
Death benefits primarily go to the victim’s surviving spouse and any surviving minor or disabled children. Siblings and parents who financially relied on the deceased worker may also get death benefits under certain conditions.
Compensation rates vary depending on whether a surviving spouse has children and, if so, how many children they have. Rates vary for surviving children without a surviving parent, fully and partially dependent parents, and dependent siblings, and we can see which applies to you.
Workers’ Comp can also cover funeral expenses from a fatal work-related accident, not to exceed $7,000, and paid directly to the funeral home/undertaker.
Call Our Lawyers About Your Workers’ Comp Case in Skippack
Call Cardamone Law at (267) 651-7945 for a free case review from our Workers’ Comp lawyers today.
