What are my Rights in the Workplace in Pennsylvania?

If you are a worker in Pennsylvania and unsure about your rights, you are not alone. Many Pennsylvania workers are left in limbo because workplace rights can be challenging to understand and navigate. They can change depending on timing and the employer’s response. In this article, we will delve into what workers’ rights are in Pennsylvania and how Abes Baumann, as experienced workers’ compensation attorneys, can be your trusted resource for injured workers in Pittsburgh and across Western PA.  

Understanding Workers’ Rights in the Workplace in Pennsylvania

What “workers’ rights” means after a workplace injury

In the broad sense, workplace rights include your rights to medical care, wage-loss benefits, reporting an injury, and protection from employer treatment and retaliation. As a worker in Pennsylvania, you have rights guaranteed by the Pennsylvania Workers’ Compensation Act, ensuring you are legally protected and supported if you are injured on the job. 

Why Pennsylvania workers often feel confused about their rights

Many workers get confused about workers’ rights because the compensation system has strict rules and regulations, and rights can look different depending on the time period, such as during the first 90 days of treatment. To add to the confusion, employers and insurance companies do not always explain the full picture clearly, further creating a sense of alienation among workers. This is why understanding rights in the workplace and having someone to help guide you through the complex system is crucial to securing your rights as a worker in Pennsylvania.

workers rights; rights in the workplace; what are workers rights

What Are My Rights in the Workplace After a Work Injury in Pennsylvania?

Your right to report a workplace injury

If an injury occurs during work, workers should report it as soon as possible. Prompt reporting will help a claim and secure legal protection. The state of Pennsylvania has a law where employees need to report an injury within 120 days of the accident. Failing to do so can result in the loss of the right to benefits. 

Reporting promptly also prevents employers’ insurance company from claiming the injury occurred outside of work, or that it is a pre-existing condition. 

Your right to seek medical treatment

Workers have the right to receive treatment for job-related injuries or illnesses. These treatments are covered by the employer or their insurance companies, and include all medical costs, such as doctor visits, medications, and surgeries. 

It is important to note, however, that your choice of doctor is initially limited. According to the 90-day panel rule, where employers list at least six designated healthcare providers, workers must choose between these options for the first 90 days of treatment. After 90 days, workers have the right to switch to any doctor of their choice. 

Your right to pursue wage loss benefits

If the injury keeps you from working, you may have the right to wage loss benefits. This right is intended to ensure that workers and their families continue to receive financial support during recovery or rehabilitation. 

Pennsylvania has a seven-day waiting period, during which you will not be paid for the first 7 days of missed work. If your disability is for more than 14 days, you will receive retroactive pay for the first 7 days of missed work.

Your right to ask questions and get legal guidance

The right to ask questions and receive legal support is designed to ensure that workers fully understand their rights and do not have to go through the process alone. A workers’ compensation attorney is the right person to go to for explanations and help with figuring out the next steps.

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The First 90 Days After a Work Injury in Pennsylvania Matter

Why the first 90 days are different

One of the most important aspects injured workers need to understand is the first 90-day rule. Under Pennsylvania law, the first 90 days give employers the right to decide who will treat workers by creating a “panel list” of at least six designated medical providers for workers to choose from. Therefore, during this period, treatment choices and medical documentation can be affected. For example, if the doctor determines that you are fit to work, even if you are still experiencing an injury, the insurance company can use that to stop or reduce compensation. 

For the panel requirement to be enforceable, the employer must satisfy Pennsylvania’s notice requirements, including providing the required information about the panel providers.

Benefits can be more vulnerable during this period

Because of this rule, employers have more control during this 90-day period. Injured workers often feel like they are at the mercy of the employer or insurer. However, it is crucial to highlight that this 90-day rule does not apply to emergencies. In cases where urgent care is needed, workers may go to any emergency room. The 90-day period applies only to ongoing or follow-up care. 

Why early legal guidance can help

To prevent misunderstanding, unpleasant surprises, and most importantly, mistakes, early legal help is highly recommended. A lawyer can help explain the complex rules at this early stage and advise you on the right steps to ensure your rights are protected and your claims are securedi. For example, insurance companies often use forms and language that may cause confusion. An attorney can help review documents to ensure workers understand the scope of the matters.  

Your Rights After the 90-Day Period Ends

You may be able to treat with your own doctor

After the 90 days have passed, the balance of power shifts. Workers will then be able to switch to doctors of their choosing. Employers or insurance companies must still pay for all medical bills, even if the doctors are not on their approved panels. This will also affect your medical documentation, such as when you are required to have medical restrictions that reflect your inability to work while still receiving benefits.   

Benefits cannot simply be stopped without due process

Once the first 90 days have passed, your workers’ compensation benefits gain a massive layer of legal protection. The insurance company or employer cannot simply stop or reduce benefits. To legally stop or reduce compensation, it must be ordered by a judge, and the insurer must go through a legal process involving a petition and evidence. Even during the court process, benefits must still be given to workers, unless the judge specifically grants a temporary halt.

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How Abes Baumann Helps Protect Injured Workers’ Rights in Pittsburgh and Western PA

Direct support for injured workers

We specialize in workers’ compensation law. Our service is focused on supporting workers through every step of the journey — from understanding workers’ rights to navigating the process, securing claims, choosing the best next steps for your situation, and representing workers in legal battles. Abes Baumann is committed to serving workers in Pennsylvania to secure the rights that they deserve.  

Local experience

With decades of experience serving our beloved workers in Allegheny County and the Greater Pittsburgh area, local experience is our pride. We understand Pennsylvania’s rules and are dedicated to providing service with the utmost respect, focusing on handling your legal challenges with the urgency they deserve. We apply a strong work ethic and will work our best to help protect your rights while you focus on recovering. 

Contact our team today, and let Abes Baumann get to work on your behalf. 

Frequently Asked Questions About Workers’ Rights in Pennsylvania

What are workers’ rights after getting hurt on the job in Pennsylvania?

Workers in Pennsylvania have the right to medical care, wage-loss benefits, to report an injury, and to be protected from employer treatment and retaliation.

Can my employer choose my doctor after a work injury?

Yes. Per the 90-day rule, employers can make a list of at least 6 healthcare providers that employees must choose from. However, after this 90-day period, workers can choose to switch to their preferred doctors. 

Can my workers’ compensation benefits be stopped at any time?

No. Once workers’ compensation benefits have been established, an employer or insurer generally must follow Pennsylvania’s legal procedures before terminating or modifying those benefits. 

Do I need a lawyer for a workers’ compensation claim?

You are not legally required to hire a lawyer. However, a lawyer is recommended because they can help you understand your rights, navigate complex process, and especially when there are disputes with the employer or insurance companies.  

How much does it cost to talk to Abes Baumann?

We do not charge any fee unless the case is won.

Why Choose Abes Baumann For Workers’ Compensation and VA Benefits Cases

A workers’ compensation lawyer helps employees who are injured on the job obtain benefits, such as medical care and temporary and permanent disability payments, and protects them against profit-driven companies that halt or deny legitimate claims. 

While it’s possible to file these claims on your own, the processes in many of these cases are complex, time-consuming, and stressful. Choosing the right workers’ compensation lawyer means working with legal advocates who know the ropes and can help navigate issues more effectively. 

Continue reading to find out why choose Abes Baumann for workers’ compensation and VA benefits cases.

Why Choose Abes Baumann?

Choose Abes Baumann because:

  • We are a team of attorneys focused on Workers’ Compensation and Veterans’ Benefits
  • You’ll work with an attorney experienced in cases similar to yours
  • We help navigate deadlines, paperwork, and complex processes
  • No fee unless you win, in most cases
  • We have decades of experience helping veterans and injured workers

Why Choosing the Right Workers’ Compensation Lawyer Matters

why choose abes baumann; workers' compensation lawyer; va benefits attorney

Choosing the right lawyer is crucial because workers’ compensation rules are strict and deadlines are rigid. If missed, there is a chance of a permanent bar from receiving benefits.  Employers and insurers may also challenge your claim, making it difficult for you to claim your benefits. 

An experienced workers’ compensation lawyer can help you fulfill the requirements, meet deadlines, and protect your rights against employers looking to challenge your claim at every turn. 

Why Choosing the Right VA Benefits Attorney Matters

VA claims can be complicated and time-consuming

VA claims often involve extensive paperwork, bureaucratic regulations, and strict legal definitions. A successful claim and the securing of benefits, therefore, require a clear understanding of all these intricate components. 

Navigating eligibility, overcoming hurdles in medical evidence, and establishing service connection are complicated and time-consuming steps that can be made easier with the assistance of the right attorney. 

Denials happen, even when the case is legitimate

A legitimate case doesn’t automatically mean approval. Many veterans face initial denials. That said, a denial is not the end of the road. There are appeal options you can take.  However, it does require strong documentation and strategy. 

This is where a VA benefits lawyer comes in. The right attorney can devise a legal strategy that’s focused specifically on the root cause of why the case was denied in the first place and opt for the most suitable appeal option.

A VA benefits attorney can help you build a stronger claim

Gathering evidence to support claims is one of the most essential requirements for a successful application. 

A VA benefits attorney can help gather and organize medical records and supporting documents to complete evidence for building a stronger claim. This is done by identifying missing information, securing medical opinions (a nexus letter), and drafting a strong legal argument. 

Why Clients Choose Abes Baumann

why choose abes baumann; workers' compensation lawyer; va benefits attorney

Attorneys focused on Workers’ Compensation law

Attorneys at Abes Baumann specialized in workers’ compensation and VA benefits. With this focus comes ample experience dealing with different types of issues. 

We’ve seen many pitfalls people have fallen into: from paperwork errors to missed deadlines to being outmaneuvered by employers. Clients get a specialized attorney to work with them personally, preventing them from being passed to someone unfamiliar with their issue.

You will not see a bill unless you win

No win, no fee. Meaning there are no upfront fees, and there won’t be any bills for you to pay unless the case is won.

Attorney fees in VA appeals are typically contingent on recovering retroactive benefits— the money the VA owes you dating back to your original filing date. 

Decades of experience and proven advocacy

Another reason why you should choose Abes Baumann is our invaluable decades of experience and proven advocacy. 

We’ve seen all kinds of challenges and understand which tactics and maneuvers are used against employees, so we also know how to deal with them precisely and effectively. We work to be your close partner in achieving what’s best for your situation.

Support beyond paperwork

Organizing paperwork is undoubtedly an important part of the process. However, we work beyond just that. 

We’ll also take the extra steps, such as finding the right doctor and assisting with any other matters our clients might need, including organizing medical expenses and providing clear guidance throughout the process. 

Our goal is to help make these complex processes less overwhelming and clearer for you. 

Do You Need a Lawyer? Here Is the Honest Answer

why choose abes baumann; workers' compensation lawyer; va benefits attorney

You might, and early guidance can prevent problems later

There are certain situations where lawyers are not necessary, such as filing a standard claim. The VA system allows everyone to handle everything themselves. 

However, an attorney is highly recommended if you’re experiencing complex issues, such as benefits that are threatened or denied. Moreover, early consultation with a lawyer is helpful in preventing mistakes that can complicate and intensify issues. 

Signs you should speak with a workers’ compensation lawyer

Speak directly with a workers’ compensation lawyer if your claim is denied, benefits stopped or reduced, treatment not approved, or pressure to return to work too soon. These cases are delicate and require strong legal arguments to achieve the best results. 

Signs you should speak with a VA benefits attorney

Contact a VA benefits attorney if you’re experiencing a VA denial or low rating, confused about evidence requirements, and having complex conditions, multiple diagnoses, or a toxic exposure history. 

These situations often involve legal roadblocks that require legal help, as well as an accurate and timely response to resolve issues and prevent escalation.    

Contact Abes Baumann

If you need assistance in getting VA benefits and workers’ compensation, contact Abes Baumann today. 

Rest assured that we will handle your claims, process paperwork, navigate disputes, and help protect your legal rights throughout the claims process, drawing on our knowledge and experience to pursue the strongest possible outcome for your circumstances. 

We seek to be your trusted source of help, providing service beyond just paperwork. We work with clients to ensure cases are handled thoroughly and effectively.

The Latest on Workers’ Compensation for First Responders with PTSD

If you are a retired or current first responder battling post traumatic stress disorder (PTSD), PA Senate Bill 365 could make you eligible for workers’ compensation benefits. 

Pennsylvania Governor Josh Shapiro signed the bill in late October, and once it goes into effect in 2025, firefighters, police officers, emergency medical technicians and paramedics will be entitled to benefits under the Pennsylvania Workers’ Compensation law for psychological traumas arising from:

  • individual traumatic events or 
  • cumulative highly stressful experiences resulting from their employment (regardless of whether the trauma is accompanied by physical injuries requiring medical treatment)

According to research from the National Institutes of Health, approximately 10% of first responders report PTSD, and they are among the most regularly trauma-exposed groups of workers in the community. 

Previous Pennsylvania law set a high standard of requirements that prevented first responders from qualifying for workers’ compensation benefits. More than two dozen other states have already expanded their workers’ compensation legislation. 

“It was great to see this bill go to Governor Shapiro for signature,” said Abes Baumann partner Jim Burn. “I saw up close what first responders go through when I served for 12 years as a mayor, emergency management coordinator and later when I chaired Allegheny County Council’s Public Safety Committee. This bill will make it easier for first responders to get the workers’ compensation benefits they deserve.”

With more than 150 years of experience in protecting injured workers’ rights, Abes Baumann  helps clients navigate their workplace-related claims, including those related to PTSD. 
For workers’ compensation questions and other assistance, contact Abes Baumann at 1-800-344-3090 or visit https://abesbaumann.com/ and click “Talk with an attorney now.”

Pa. Commonwealth Court rules that workers’ comp should cover medical marijuana cost

HARRISBURG — Commonwealth Court has ruled that workers’ compensation should cover the cost of medical marijuana for treatment of injuries suffered on the job.

The court on Friday handed down two decisions in cases brought by workers who were hurt on the job and were initially prescribed opioids for treatment. But in both cases, the workers sought to get their cost of medical marijuana covered by workers’ compensation, asserting that the marijuana has been more effective in treating their pain.

In Teresa L. Fegley, as Executrix of the Estate of Paul Sheetz v. Firestone Tire and Rubber (Workers’ Compensation Appeal Board), Sheetz had been injured at work in 1977, according to the opinion written by Judge Anne Covey. He underwent two back surgeries and over the years, he treated the pain with opioid and narcotics.

In 2019, “at the recommendation of his doctor,” he began using medical marijuana to deal with his back pain in the “hope of eliminating the need for the opiates and narcotics he had been taking for approximately 30 years. Medical marijuana afforded Claimant pain relief and reduced his need for the opiates and narcotics,” according to Judge Covey’s opinion. She added that Sheetz also reported that taking medical marijuana apparently provided psychological benefits and in 2019, he began seeking to have the cost of his medical marijuana covered by workers’ comp.

Sheetz died before the court made its decision and his estate continued the case.

In the case of Edward Appel v. GWC Warranty Corporation, Mr. Appel was injured at work in 2006 and was prescribed opioids for the pain. He obtained a medical marijuana card in April 2018 and by September of that year was able to “wean himself off all the opioid medications” despite suffering a “tremendous amount” of withdrawal during that process, according to a separate opinion also written by Judge Covey. In October 2018, he sought to get workers compensation to cover the cost of his medical marijuana.

In both cases, their claims were denied and the appeals board upheld those denials but Commonwealth Court’s decisions reversed the appeals boards’ decisions.

In the decisions, the court concluded that while the Medical Marijuana Law includes language specifically decreeing that insurance companies aren’t required to cover the cost of medical marijuana, it also includes language that medical marijuana patients should not be “denied any rights for lawful use of medical marijuana.”

As a result, the judges reasoned: “the General Assembly explicitly intended Commonwealth residents suffering from intractable pain to have the benefit of this therapy, and at the same time chose not to limit claimants from receiving their statutory rights.”

The judges also decreed that employers are not being ordered to break federal law because they are not being required to pay for the marijuana, but rather they would be reimbursing the patients for their medical costs.

Judge Christine Fizzano Cannon filed a dissenting opinion arguing that the law’s ban on requiring that insurers cover the cost of medical marijuana should be the deciding factor.

“Claimant argues that because the WC Act is to be liberally construed, the MMA should not be interpreted to preclude reimbursement that is otherwise required by the WC Act. The most obvious flaw in this argument is that prior to the enactment of the MMA, there was no legal medical marijuana in Pennsylvania, and therefore, no reimbursement was required for it under the WC Act.”

Judge Fizzano Cannon noted that the Legislature apparently didn’t require insurers to cover medical marijuana because the U.S. Food and Drug Administration has not approved the use of the drug for any medical conditions.

“In any event, the legislature, not the courts, must effect any change in the MMA’s stated policy and the balance struck regarding insurance coverage,” she wrote.

First Published March 21, 2023, 12:56pm

The Reality of Injuries for Some Young Athletes/Professionals

The New York Times recently wrote about the dangers associated with professional football and the lack of benefits available to players who aren’t stars and who are not vested in the pension plan and other post-career benefits. Such players need state workers’ compensation benefits to help them through the trauma on the road to recovery or the next part of their lives.

We at Abes Baumann have been honored to serve on the NFLPA workers’ compensation panel for many years and we take satisfaction in helping injured workers from all walks of life, whether they are athletes, construction workers, nurse’s aides, or healthcare workers.

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