Workers Compensation is insurance that provides benefits and medical care for workers who are injured or become ill as a direct result of their job.
Employers in the United States are required to carry Workers Compensation Insurance, and should post information about their Workers Comp Insurance Carrier in the workplace so that employees understand how to file claims for this insurance.
If you are being treated for an injury that occurred on the job, it is very important that you:
- Notify your employer about your injury as soon as possible. An employee who fails to notify their employer, in writing, within 30 days of the date of the accident or injury may lose the right to workers’ compensation benefits.
- Complete a Workers’ Compensation form C-3 form and file with the nearest Workers’ Compensation Board. Usually, your employer will assist with this form, and file the employer’s C-2 form at the same time. If, for any reason, your employer does not file these forms, you should complete it and file. More instructions are available on the website www.wcb.state.ny.us . If a claim is not filed within two years from the date of injury or disability, you may lose your right to benefits.
- Obtain medical treatment as soon as possible. Employees are free to choose any physician who is authorized to give medical care by the Workers’ Compensation Board (all of OAR’s physicians are so authorized).
(If your employer participates in a WC Managed Care program, you may be required to obtain treatment from a participating managed care provider. Your employer is required to notify you in writing if they are participating in a Managed Care plan.)
- Follow your doctor’s orders.
- Communicate with the Compensation Board regarding any hearings, evaluations, or appearances that are scheduled for you.
- Keep copies of the “encounter form” signed by your doctor at each visit. This form should indicate your disability status and outline any work restrictions.
Workers Compensation Form
If you come to Orthopaedic Associates of Rochester, PC, with a condition which you believe is work-related, you will be asked to complete for specific information in addition to our normal patient registration materials.
Workers’ Compensation – download and bring it with you.
All patients who believe their injury is work-related – will be asked for additional insurance information, or for a payment agreement in lieu of insurance. We do this because the Workers Compensation Board may deny our claims for medical care if the Compensation Board determines that your injury is not work-related. Orthopaedic Associates of Rochester is a private medical practice. We are authorized by the Comp Board to treat Compensation patients, but we understand that there may be circumstances in which a case is questioned, denied, or controverted (contested). We ask that all patients provide insurance information in addition to their Workers Comp information, or to complete a payment agreement prior to receiving services from our physicians and PAs.
For patients with long-term or permanent disabilities or injuries – it is very important that you comply with the Comp Board’s requests for information, for followup visits, and your attendance at hearings. Our doctors cannot complete forms without periodically examining patients to determine their conditions. Our staff cannot fabricate results, or make excuses if you fail to come to your scheduled appointments. If you have problems getting to our office, please call at once to let us know how your appointments should be rescheduled.
There are resources available to assist you in understanding the Workers’ Compensation process.
- New York State Workers Compensation Board – in New York State
- Department of Labor, Employment Standards Administration – if your employer is not based in New York State