Workers' Compensation
If you suffer a work-related injury while employed at Lincoln University, PA, your reasonable medical and surgical services and supplies will be covered by Traveler's Insurance. This includes orthopedic appliances and prostheses, and/or training in their use.
How to File a Claim
PowerPoint Presentation: Online Claim Reporting on Travelers.com
Forms:
- Traveler's Workers' Compensation Reporting Worksheet
- Return to Work Form
- Injured Employee Prescription Fill Form
- Pennsylvania Workers’ Compensation Information Acknowledgement
- Pennsylvania Dept. of Labor & Industry Form LIBC-500
- Pennsylvania Dept. of Labor & Industry Notification of Rights and Duties
In order to ensure that your medical treatment will be paid for by Traveler's Insurance, you must select from one of the designated health care providers listed below:
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Occupational Medicine Avon Grove Medical Ctr 416 Gap Newport Pike Avondale, PA 19311 610-268-3777
Occupational Medicine The Occupational Health Center 830 W Cypress St Kennett Square, PA 19348 610-444-6214
Ophthalmology Carty Eye Associates 1011 W Baltimore Pike Ste 211 West Grove PA 19390 610-869-0200 |
Orthopedic Penn Orthopaedic 105 Vineyard Way Ste 101 West Grove, PA 19390 610-869-4830
Orthopedic Advanced Orthopedic Assoc of PA 105 Vineyard Way Ste 101 West Grove, PA 19390
Chiropractor Avondale Chiropractic 417 Pennsylvania Ave Avondale PA 19311 610-268-8122
Durable Medical Equipment Homelink 1-866-834-5630 |
General Surgery Mid Atlantic Surgical Practice 1015 W Baltimore Pike West Grove, PA 19390 610-345-1580
Physical Therapy Align Networks Call for Scheduling 866-389-0211
Diagnostic Testing One Call Care Management Call for scheduling 800-872-2875
Pharmacy All major chain pharmacies HealthSystems BIN#012874 877-528-9497 if you need assistance |
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**(NOTE: If any of the health care providers listed above are employer-owned or controlled by the employer or the employer’s carrier, it will be so designated by an asterisk next to the health care provider’s name.)
You must continue to visit one of these health care providers listed above, if you need treatment, for ninety (90) days from the date of your first visit.
After this ninety (90) day period, if you still need treatment and your employer has provided a list as set forth above, you may choose to go to another health care provider. You MUST notify your employer of this action within five (5) days of your visit to the health care providers of your choice.
Your bills will be considered IF: your health care provider files written reports on a form prescribed by the Department (these reports must be filed within ten (10) days of commencing treatment and at least once a month thereafter, as long as treatment continues).
If one of the health care providers listed above refers you to another health care provider, your Worker's Compensation Insurance Provider will pay the bill for these services provided they are reasonable and necessary.
If you are faced with a medical emergency, you may secure assistance from a hospital or health care provider of your choice.