Form 801 - Oregon Workers' Compensation Page 5
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5OREGON
Understanding workers' compensation claims
A guide for workers recently hurt on the job
Workers' Compensation Division
You have received this information because you
Will my employer's insurer pay my medical bills?
are filing a workers' compensation injury claim
If your claim is accepted, the insurer will pay injury-
(Form 801) with your employer. If you have
related medical bills. Save your receipts for pre-
additional questions, please do one or more of
scription medications, transportation, and other bills
the following:
you pay for injury-related treatment and request re-
imbursement in writing. If your workers' compensa-
tion claim is denied, no bills will be paid by the insurer
Contact your employer's workers' compensation
unless you are required by the insurer to receive
insurer to find out what decisions have been made
treatment from an MCO. In this case, the insurer will
about your claim and what you need to do to get
pay for care (not otherwise covered by health insur-
benefits.
ance) from the time you are enrolled in the MCO until
your claim is denied.
Call the Ombudsman for Injured Workers for help
understanding your rights and responsibilities, (503)
If I can't work, will I receive payments from the
378-3351, toll-free, (800) 927-1271, or TTY (503)
insurer for lost wages?
947-7189.
Yes, if your doctor notifies the insurer that you
cannot work or cannot do your regular work due
Call
the
Workers'
Compensation
Division
to your injuries, you will receive temporary disability
(WCD) for general
information
about
benefits,
payments. However, Oregon law requires a three-day
(503)
947-7585,
toll-free
(800)
452-0288,
or
waiting period for these benefits. You won't be paid
TTY (503) 947-7993. Visit the WCD Web site:
for the first three calendar days of lost wages unless
you cannot work for at least 14 days from the time
you left work or you were an inpatient in a hospital
during this time.
Contact
the
insurer
or
the
Workers'
Compensation Division at the phone number above
What can I do to make sure I receive benefits to
and ask for the brochure "What happens if I'm hurt
which I am entitled?
on the job?." The insurer will send this automatically
if you are disabled by your injury.
•
Find out the legal business name of your
employer
and
the
name
of
its
workers'
compensation insurer. If you have a problem
What do I do now?
getting
this
information,
call
the
Workers'
Tell your doctor that you were hurt on the job. Your
Compensation Division Employer Index, (503)
doctor will ask you to fill out a Form 827 - "First
947-7814.
report of injury/disease." Your doctor will send the
Form 827 to the insurer for you.
•
Keep all medical appointments.
May I get treatment from any doctor?
•
Read and keep copies of all letters and forms
you receive regarding your claim.
Unless the insurer has enrolled you in a managed
care organization (MCO), you may treat with any
•
Keep track of phone calls, including with whom
doctor who qualifies as an attending physician under
you speak, subject matter, and dates.
Oregon law. Your doctor will tell you if there are any
limits to the services he or she can provide.
•
Observe all deadlines. Do not be late to submit
information or to file appeals.
What are my doctor's responsibilities?
Your doctor is in charge of your medical treatment.
•
Contact your employer immediately when your
Only your doctor can authorize time off work, reduce
doctor releases you for work.
work hours or duties, or release you to go back to
work.
•
Contact the insurer if you have questions.
440-3283 (12/00/COM)
WC 8468b (1-00)
UNIFORM INFORMATION SERVICES, INC.
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