Injured Workers Center

Workers' Compensation and You

Information for Injured Workers

You're viewing info for
[x] Selecting your state enables you to view state-specific information, such as claims materials and forms. You can choose a different state at any time.
Why select a state?

Frequently Asked Questions



General

How does workers’ compensation work?

Workers’ compensation stands at the ready for when there is a work-related injury or illness. Once you notify your employer that you’ve been injured, the claims process starts.

Your employer may have you complete an employee portion of a claim form and provide you with a pamphlet explaining your benefits.

Your ICW Group claims specialist will contact you to guide you to the next step, which may be directing you to an appropriate medical provider in your area.

What is workers compensation?

Workers’ compensation is a type of insurance policy coverage your employer has on behalf of their workers. It protects you as their employee and is driven by state laws. If you’re injured while on the job, you may be entitled to workers’ compensation benefits.  You may be eligible for some or all of the benefits, depending on your claim.

At ICW Group, our highest priority is to help injured workers receive the medical care they need in order to recover and return to work. We understand workers’ compensation claims can be confusing, and our specialists are here to help you throughout the process.

What compensation benefits are covered?

Depending on your injury, illness, and specific situation, your benefits may include loss wage coverage, medical care, prescription drugs, physical therapy, temporary and/or permanent disability benefits.



I was injured

Do I need to be a full-time employee to be covered?

You may be eligible to receive benefits even if you are a part-time or contract worker. Check with your employer if you are included in their workers’ comp coverage.

Must I be a U.S. citizen to receive workers’ compensation?

You don’t have to be a legal resident of the United States to receive most workers’ compensation benefits.

How do I report a claim?

Simply report your injury to your employer. They will submit your injury information to ICW Group. Your employer may have you complete an employee portion of a claim form and provide you with pamphlet explaining your benefits.

You should always check with your employer (manager or supervisor) to report all injuries, no matter how small. Minor injuries, such as a cut or scratch, may need to be properly cared for with first aid treatment.

Do I need an attorney?

While you’re entitled to obtain legal representation, it’s not necessary for payment of benefits. In fact, the majority of work-related injuries have a successful outcome, without an attorney. Our goal is to provide you with the best experience possible for your care and to be there for your questions or concerns.

It is your right to seek counsel if you choose. This is a personal choice and is completely up to you.

What should I do if I can’t find my claim number?

That’s OK – you’re more than a claim number to us! We can also find your information using your name. If you have any questions or need assistance, simply contact us.

I’m afraid I’ll be fired because of my injury. Could this happen?

It’s illegal for your employer to punish or fire you for having a work-related injury, or to punish or fire you for filing a workers’ compensation claim when you believe your injury was caused by your job.

Who do I talk to about my claim?

You should talk to your claims examiner handling your claim. They’ll be able to help with your specific situation.

If you’re not sure how to contact your claims examiner, call us at 844.4-ICW-CLAIMS (844.442-9252), and we’ll make sure you get the help you need.



Medical Care

Are prescription medications covered?

Prescription medications from your authorized treating physician are typically included as part of your medical benefits. However, not all medications are covered under workers’ compensation insurance. It’s important to discuss medications recommended with your Claims Examiner to confirm coverage. If you are denied medications(s) at the pharmacy, please call (877) 804-4900.

How do I fill my prescription?

We’ll mail you a pharmacy card within a few days of your claim being reported. Use your pharmacy card and tell the pharmacist you have a workers’ compensation claim with ICW Group. This card helps make prescription authorizations easy. If you don’t have your card, your employer can complete the Workers’ Compensation Prescription Information Form, which you can use as a temporary card.

Can I have my regular doctor treat me for my workplace injury?

In some cases. For example, if your doctor was predesignated prior to your injury, you may receive authorized medical treatment from your personal Physician and/or medical group. Check with your employer or claims examiner for details.

I don’t have my pharmacy card – how can I fill my prescription?

We’ll mail you a pharmacy card within a few days of your claim being reported, but, if you don’t have your card, download the Workers’ Compensation Prescription Information Form and take it to one of our participating pharmacies.

Can my prescription be mailed to me?

Yes! You can sign up for home delivery of your prescription by contacting myMatrixx Help Desk at (877) 804-4900.



Receiving Payments

Will I be reimbursed for mileage?

ICW Group may provide travel reimbursement for medical-related mileage depending on your state’s guidelines. Distance requirements and eligible reimbursements also vary by state. The Mileage Reimbursement Form helps you keep track of any travel to and from doctor visits, physical therapy, pharmacy, and other medical travel that may be eligible for reimbursement. Follow the submittal instructions on this form to receive prompt payment.

When will I receive payment?

We send your first payment within 11 business days via US mail. After that, payments are typically issued every two weeks on a set schedule, until your doctor releases you to return to work (modified or full duty). Of course, the arrival of this check may vary depending on USPS delivery. For extended periods of disability, direct deposit can be set up for your convenience.

Note: Payment schedules for some benefits vary, and you should discuss your specific circumstances with your Claims Examiner.

Can I enroll in direct deposit?

Yes, for extended periods of disability direct deposit can be set up for your convenience. Contact your claims examiner for details. With direct deposit, your bank account will reflect your payment the following business day after being processed.

I haven’t received my check. What should I do?

Typically, payments are issued every two weeks. We’re happy to assist you if you feel your check is overdue. Give us a call or contact us and we’ll assist you further.

Note: Payment schedules for some benefits vary, and you should discuss your specific circumstances with your Claims Examiner.

Are there any out of pocket expenses (copays)?

No. Approved medical care is covered 100%



Returning to Work

How do I return to work?

Our goal is for you to make a complete recovery so that you are able to return to your regular job. Returning to work involves coordination between you, your employer, your claims examiner, and your treating physician.

  

Your medical provider will provide you with a medical release to return to work, either recommending full or modified duty. Be sure to keep your employer and claims examiner informed on when your first day back to work will be.

If your medical provider releases you for modified duty, you’ll need to discuss this with your employer to see if accommodations can be made.

My doctor put me on “modified duty.” What do I do?

Modified duty means that temporary limitations may be placed on your work activities during your recovery. It’s very important that you follow limitations outlined by your doctor. It’s also important your employer is aware.

If these limitations prevent you from performing your regular work duties, we can help! We’ll work with your employer to coordinate your return with modified duty. Contact your claims examiner for details.