Employee Benefits
Benefits to Injured Workers
- All claimants treated like the injured “quarterback,” the most valued person on the team
- Each worker has their own Nurse Case Manager to help them through the workers’ comp system.
- Employees are educated on their rights and responsibilities, including: care access, provider choice, consequences of going out of network, obtaining 2nd opinions, and opting out.
- Specialist appointments for urgent needs in 24 hours, non-urgent 5 business days
- Arrangements made for testing within 24 to 48 hours (X-ray, MRI, etc.)
- No delays in treatment (PT, OT, etc.)
- No waiting for approvals
- Access to providers that are experts at treating occupational injuries.
Injured Worker Rights
- Worker’s do have a CHOICE of network providers, but are required to seek care within network for care outside the network is considered “unauthorized” care and the employer is not responsible for medical bills
- Injured workers may opt-out for of the WC PPO for any reason after 30 days of in network treatment. (Over 20 year history opt out rate less than 2.0%)