Workers' Compensation
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THE PENNSYLVANIA WORKERS’ COMPENSATION ACT,
SECTION 306 (f.1)(1)(i)
Amendments to the Pennsylvania Workers’ Compensation Act require that employees be given written notification of their rights and duties under Section 306(f.1)(1)(i) of the Act. The employer is to ensure that employees understand those rights and duties. Evidence that the employer has met its notification duty is to be made by the employees’ written acknowledge of having been informed and having understood their rights and duties.
Following are your rights and duties under Sec. 306(f.1)(1)(i) and a signature line to indicate your acknowledgment that you have been informed of your rights and duties and understand them. This signed acknowledgement is to be returned to your employer.
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I understand that my employer is to pay for all reasonable and necessary medical services required as the result of a worked related injury. I am to tell my supervisor immediately and I am to treat with a health care provider identified on the list posted by my employer at work locations.
I am to treat with a posted health care provider or any specialist to which that provider refers me for a period of 90 days from the date of first treatment. If I treat with a health care provider other than one designated by my employer and any referrals there from, my employer is not responsible for paying for health care services that I receive from that other provider during the 90-day period.
After the initial 90-day period, if additional or continued treatment is needed, I may continue to treat with the designated health care provider OR I may then choose to go to a health care provider of my choice.
Should I decide to change providers, I must notify my employer within five days of my first visit with the new provider. Failure to notify my employer will relieve my employer of the responsibility for payment of the services rendered if such services are determined to have been unreasonable or unnecessary.