What Are the Types of Workers Compensation Benefits? Pt. 1

As trusted workers comp attorneys working in Atlanta and the surrounding areas, The Law Offices of Darwin F. Johnson understand how crucial it is for workers to be familiar with available compensation benefits should they suffer a work-related injury or illnesses. States provide four types of benefits, including medical coverage, disability benefits, rehabilitation, and death. While the types of benefits workers can receive are consistent across the nation, the number of benefits provided and how they are delivered varies from state to state. If you require a work injury lawyer in Atlanta, contact The Offices of Darwin F. Johnson today.

Check out this infographic for a quick overview of the four types of workers’ compensation benefits, and continue reading for a more in-depth look at each.

Medical Coverage

This coverage pays the cost of treatment for an occupational illness or injury. The total includes fees paid for doctor visits, nursing care, medication, tests, therapy, and durable medical equipment like crutches and wheelchairs.

An injured worker receives medical coverage has fully recovered from the injury, although state laws differ on what treatments are covered or restricted, such as frequency of visits or duration of in-patient care. When it comes to alternative remedies such as acupuncture or massage therapy, state laws differ in what coverage includes. One of our experienced workman comp attorneys in Atlanta can help injured workers determine a treatment plan that is suitable for them.

In many states, providers are reimbursed based on a fee schedule, which lists the most a provider will receive for each type of treatment. The Offices of Darwin F. Johnson can provide injured employees with a trusted workers compensation lawyer in Atlanta so they may receive optimal benefits in the event of an occupational illness or injury.

Managed Care

Most managed care plans have one or more of the following features:

  • Provider Network. A group of medical practitioners and healthcare providers who have contracted with an employer to provide medical services at a discount. These providers are skilled in occupational medicine as it relates to the field of employment. Some states require injured workers to seek treatment from providers within the network.
  • Utilization Management. A process that ensures medical care afforded to workers is necessary, appropriate, and cost-effective.
  • Pharmacy Benefit Manager. An administrator of prescription drug programs for commercial health plans. A PBM establishes formularies, negotiates rebates with drug manufacturers, pharmacy contracts, and pays prescription drug claims.
  • Medical Care Management. Ensure injured workers receive appropriate treatment so they can return to work upon recovery.

If you need a workers compensation lawyer in Atlanta, The Offices of Darwin F. Johnson is interested in representing you! In the next part of this blog, we’ll explore the other three types of workers’ compensation benefits: disability, rehabilitation, and death.