PENNSYLVANIA WORK-RELATED INJURIES
MSI 10 Poulson Ave Essington, PA 19209
08/15/2016
If you suffer a work-related injury, your employer or its insurance company must pay for reasonable surgical and medical services and
supplies, orthopedic appliances and prostheses, including training in their use.
In order to ensure that your medical treatment will be paid for by your employer or the insurance company, you must select from one of the
designated health care providers listed below:
| Center for Occupation Health | Concentra Medical Center | Cash, Stephen L., MD | One Call Care Management |
| Occupational Medicine Clinic 8 Morton Ave Ste 206 Ridley Park, PA 19078 610-595-6811 Est Dist: 1.9 MI | Occupational Medicine Clinic Urgent Care Clinic 7000 Holstein Ave Philadelphia, PA 19153 215-365-7510 Est Dist: 4.6 MI | Main Line Hand Surgery Surgery: Hand Surgery: Orthopedic 100 E Lancaster Ave Lankenau Med Bldg E Ste 253 Wynnewood, PA 19096 610-642-8823 Est Dist: 9.2 MI | Diagnostic Testing Call for Scheduling 800-872-2875 |
| Miller, Curt D., MD | Premier Orthopaedic & Sports Medicine Associates Ltd | Zelouf, David S., MD | Homelink |
| Premier Orthopaedic & Sports Medicine Associates Surgery: Orthopedic 2004 Sproul Rd Ste 100 Broomall, PA 19008 610-353-0800 Est Dist: 7.8 MI | Physical Therapy 1 Bartol Ave ste 100 Ridley Park, PA 19078 610-521-8970 Est Dist: 1.8 MI | Philadelphia Hand Center PHILADELPHIA HAND CENTER The Philadelphia Hand Center Pc Surgery: General 834 Chestnut St Ste G144 Philadelphia, PA 19107 215-521-3000 Est Dist: 9.5 MI | Durable Medical Equipment 866-834-5360 |
| Forman, Jeffrey S., MD | Alderman, Mark Christopher, DC | Healthesystems Bin# 012874 | |
| Wills Eye Ophthalmology Clinic Ophthalmology 840 Walnut St Ste 1230 Philadelphia, PA 19107 215-928-3041 Est Dist: 9.4 MI | Discover Health Chiropractic P.C. Chiropractor 401 W Front St Media, PA 19063 610-566-3137 Est Dist: 6.7 MI | Pharmacy 877-528-9497 If assistance is needed, please take Injured Employee Prescription Fill Form to your pharmacy |
**(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 employer or its insured 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.