Workers' Comp Not Paying Medical Bills? Here's What You Can Do

Getting hurt at work is hard enough—but when workers’ comp is not paying medical bills, things can get overwhelming fast. You followed the process, saw the right doctors, and stayed on top of your paperwork. Still, the bills keep coming. Sometimes it’s a delay. Other times, the insurance company questions if the care was necessary or related to your injury. No matter the reason, you shouldn’t be left footing the bill. If workers‘ comp not paying medical bills is something you’re dealing with, Ethen Ostroff Law can step in, get answers, and help you get the coverage you’re owed.

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Get Your Free Case Review

Find out if you qualify for compensation and learn your next steps – no cost, no obligation, just expert legal guidance.

Disclaimer: By submitting the form above and checking the consent box, you agree to our conditions and privacy policy and permit Ethen Ostroff Law to contact you via text messages, phone calls. Standard message rates may apply.


Protecting Injured Workers Without a Courtroom Battle

Workers’ compensation is meant to protect you if you get hurt or sick because of your job. It helps cover medical care, lost wages, and support if you can’t return to work right away—or at all. Most employers are required to carry this insurance, and the goal is simple: if you’re injured at work, you shouldn’t have to carry the financial burden on your own. It also helps avoid lawsuits. Instead of taking your employer to court just to get your medical bills paid, there’s already a system in place to handle workplace injuries fairly. When workers’ comp functions the way it should, it gives you space to focus on recovery—not paperwork, not legal stress, and not unpaid bills.

What Are My Rights If I'm Injured at Work?

If you get hurt on the job, workers’ compensation laws give you certain rights. You can:

  • File a workers’ comp claim to cover your medical bills. 
  • Get medical care and financial help if you can’t work. 
  • Choose your own doctor in most cases, but in Pennsylvania, you may need to see an approved provider for the first 90 days. 
  • Hire a workers’ compensation attorney to guide you through the process. 
  • Feel safe knowing your employer can’t fire, demote, or cut your pay just because you filed a claim.

Does Workers' Comp Pay Medical Bills?

Yes, it does. If your workers’ comp claim is approved, the insurance company must cover all necessary medical expenses related to your work injury.

  • Emergency room visits 
  • Hospital stays 
  • Doctor’s appointments 
  • Surgeries 
  • Medications 
  • Rehabilitation and therapy 
  • X-rays, MRIs, and other diagnostic tests

In Pennsylvania, workers’ comp can also pay for things like chiropractic care, acupuncture, counseling, or even home and vehicle modifications—if they’re tied to your injury. And yes, if you’re asking, does workers’ comp pay medical bills and for things like travel to appointments or parking? Those costs can also be reimbursed.

These medical benefits can last for life, as long as the care remains connected to the original injury and your claim hasn’t been fully settled.

Does Workers' Comp Cover All My Work-Related Injuries?

Workers’ comp usually covers injuries that happen while you’re doing your job. However, there are some exceptions.

  • Drinking or using illegal drugs 
  • Messing around or goofing off 
  • Starting a fight 
  • Breaking company rules or committing a crime 
  • Intentionally trying to hurt yourself

These situations can lead to a denied claim even if the injury happened at work. You must understand what’s covered so you don’t get caught off guard.

How Do I File My Workers' Comp Claim?

Filing a workers’ comp claim doesn’t have to be stressful if you stay on top of things.

  • Inform your employer about the injury right away. In Pennsylvania, you have 21 days to report it if you want full benefits. 
  • Get checked out by a doctor and keep records of everything. Depending on the situation, you might have to see an approved provider first. 
  • Make sure your employer reports the injury to their workers’ comp insurance. Following up never hurts. 
  • Keep track of your medical visits, time off work, and any updates related to your claim. 
  • If things don’t go smoothly, talking to a workers’ comp attorney can help get things back on track.

Stay organized and follow these steps to make the process a lot easier.

How Can I Improve My Chances of Getting My Workers' Comp Claim Approved?

A strong workers’ comp claim starts by avoiding simple mistakes.

  • Provide all injury details when reporting. 
  • Follow your doctor’s treatment plan. 
  • Speak up if something seems wrong. 
  • Be ready for your independent medical exam (IME). 
  • Keep records of medical visits and updates. 
  • Report any changes in your condition. 
  • Double-check paperwork for accuracy. 
  • Don’t return to work too soon. 
  • Avoid posting about your injury online. 
  • Consider working with a workers’ comp attorney.

These steps can prevent delays and improve your chances of approval.

How Long Will Workers' Comp Pay for My Medical Treatment?

Workers’ comp usually pays for medical treatment as long as you need it and it’s tied to your work injury. In Pennsylvania, there’s no set time limit on how long they’ll cover your medical care. However, the insurance company might check in from time to time to see if ongoing treatment is still necessary. They should keep covering your treatment if it’s helping you recover or manage your condition.

Workers' Comp Not Paying Medical Bills? Here's What to Do

If your medical bills aren’t getting paid, it’s frustrating and downright stressful. But don’t panic. 

  • Double-check the paperwork. A small error or missing info can cause delays. Make sure everything was filled out correctly and submitted on time. 
  • Ask your employer. Confirm that they reported your injury to the workers’ comp insurance company. 
  • Contact the insurance company. Give them a call and ask what’s causing the holdup. Sometimes, they just need a little nudge. 
  • Challenge a denial. If your claim was denied or certain treatments weren’t approved, you might be able to appeal the decision. 
  • Get help if things stall. If nothing’s moving forward, it might be time to talk to someone who knows how to deal with the system.

The sooner you act, the sooner those bills can get taken care of.

What Happens If My Case Is Closed But I Still Need Treatment?

Just because your workers’ comp case is closed doesn’t always mean medical coverage ends. If your settlement included an open medical provision, workers’ comp should continue covering treatment related to your injury.

  • Open medical provision means workers’ comp keeps covering follow-up care, physical therapy, or future surgeries related to your original injury. In Pennsylvania, medical benefits can stay open indefinitely unless closed through an agreement, court order, or utilization review.
  • If your condition worsens, you may be able to reopen the case by filing a petition and showing that the new issues are tied to the original injury. You generally have up to 500 weeks (about 10 years) after receiving your last workers’ comp benefit to file a petition to reopen the case in Pennsylvania.

Strong medical evidence is essential to show the need for ongoing treatment and its connection to the original injury. Consult a workers’ comp attorney to help you manage these steps and protect your rights.

What Are the Reasons Workers' Comp Is Delaying or Isn't Paying My Medical Bills?

It’s exhausting to deal with medical bills piling up after a work injury, especially when you’ve followed all the rules. You reported the injury, saw the doctor, and did everything you were supposed to—so why is workers’ comp not paying medical bills or causing delays?

  • Insurance company delays with no clear reason. 
  • Doubts about whether your treatment is necessary or related to your injury. 
  • Paperwork mistakes or missing information slowing things down. 
  • Missed deadlines that affect payment eligibility. 
  • An IME report that downplays your injury and gives the insurer an excuse to deny coverage.

Can I Appeal a Denial of Medical Payment?

If workers’ comp denies payment for your medical bills in Pennsylvania, you can appeal through the Pennsylvania Bureau of Workers’ Compensation. You also have the option to file a Claim Petition to challenge the denial formally.

  • Your provider may hold off on collecting payment and wait for the final decision. 
  • If your health insurance pays the bill in the meantime, they may place a lien on your workers’ comp settlement to get reimbursed later.

How Long Do I Have to Appeal a Denied Workers' Comp Claim?

If your workers’ comp claim is denied or you think your medical bills should be covered, you don’t have unlimited time to act. Every state has its deadline for filing an appeal. In Pennsylvania, for example, you have 20 days from the date the Workers’ Compensation Judge issues a decision to appeal. If you miss that deadline, you could lose your chance to get the benefits that should be covered.

Who Pays My Medical Bills If Workers' Comp Denies My Claim?

Getting stuck with medical bills after a denied workers’ comp claim is stressful, and appeals can drag on for months. If you win the appeal, workers’ comp should cover the bills, but what happens in the meantime—or if you decide not to appeal?

  • Paying out of pocket if you don’t have health insurance, although some hospitals and treatment centers may offer assistance programs 
  • Using your health insurance to cover bills while the dispute is ongoing, with the expectation that the insurer will get reimbursed if the appeal goes your way 
  • Relying on your health insurance if your claim is denied for good, which could leave you with high out-of-pocket expenses

What Are Other Ways to Pay My Medical Bills?

Figuring out how to cover your medical bills when workers’ comp denies your claim can be tricky. You might be asking, does workers’ comp cover medical bills?

  • Use your health insurance, but be ready for co-pays, deductibles, or other costs. Some plans might refuse to cover work-related injuries or ask for their money back if workers’ comp eventually pays. 
  • Apply for Medicaid if you meet the income requirements. If workers’ comp picks up the tab later, you’ll need to reimburse Medicaid. 
  • Check if you qualify for Medicare through Social Security disability benefits. Just know that there’s often a waiting period before coverage starts.

When your bills keep piling up, having a backup plan can make a big difference. If workers’ comp approves your claim down the line, you may be able to get those expenses reimbursed.

Can You Sue If Workers' Comp Isn't Paying Your Bills?

Workers’ comp is designed to cover medical expenses and lost wages after a work injury. But if you’ve wondered, “Does workman’s comp pay medical bills?” and have followed all the steps but still haven’t received your payment, it can be frustrating. You can’t usually sue your employer, but there are exceptions if your benefits are delayed or denied.

  • If someone else caused your injury, you can file a third-party claim. 
  • If your employer ignored safety, you may be able to sue for negligence. 
  • If the insurance isn’t paying, you can ask a judge to enforce payment or penalties.

Struggling to Get Medical Bills Covered or Thinking About Suing?

Your employer is supposed to cover medical expenses if you’re hurt on the job or develop a work-related illness. But if you’re struggling to get those bills paid or wondering if you have grounds to take legal action, Ethen Ostroff Law is here to step in. Reach out today for a free consultation and get answers to your questions.

Frequently Asked Questions on Workers Comp Not Paying Medical Bill

A denied claim shifts responsibility for medical expenses to the injured worker, who must either use personal health insurance (if applicable) or pay costs directly. The key opportunity lies in appealing the denial—if successful, the insurer covers bills retroactively. Since state laws govern deadlines and procedures, legal guidance is critical to navigate this process effectively.

When an insurer refuses payment, the employee faces immediate financial responsibility for treatment. The primary remedy is filing a formal appeal, which can compel the insurer to pay if the denial was wrongful. Outside of appeals, options are scarce unless the employer violated laws (e.g., lacked coverage) or acted recklessly, which might permit a lawsuit.

Employer-funded insurance covers 100% of approved medical expenses for workplace injuries, ensuring no out-of-pocket costs for the employee. Denials reverse this dynamic, forcing the worker to seek alternatives like personal insurance or self-payment. Appeals can reinstate coverage, but absent approval, the financial burden remains unless exceptional employer misconduct exists.

A denial triggers a race against the clock: the worker must either secure alternative payment (private insurance, personal funds) or file a timely appeal to reverse the decision. Successful appeals guarantee reimbursement, while failed ones leave the worker with few options—barring employer negligence or intentional harm, which are difficult to prove.

Direct lawsuits against insurers are rare, as states require disputes to go through administrative appeals first. However, evidence of bad faith (e.g., ignoring clear evidence) could justify a lawsuit. Alternatively, suing the employer might be possible if they broke laws (e.g., no insurance) or caused intentional harm—though most claims are funneled back into the workers’ comp system.

Workers' Comp Not Paying Medical Bills Lawsuit

If you want a lawyer who cares about you and the outcome of your workers’ comp not paying medical bills lawsuit, choose Ethen Ostroff. He and his professional connections ensure you get every dollar possible for what you went through.
While in law school, he distinguished himself as Executive Editor of JURIS Magazine, received the prestigious CALI Excellence for the Future Award, and completed five hands-on internships that laid a strong foundation for his legal career.


Nicholas began his post-graduate career clerking for the Honorable Linda Rovder Fleming in the Cambria County Court of Common Pleas. From there, he quickly found his calling in workers’ compensation, personal injury, and Social Security disability law—areas where he could directly impact people’s lives in moments of crisis. He’s helped clients navigate complex legal claims, including securing a settlement exceeding $300,000.

Nicholas brings clear communication, genuine empathy, and an unrelenting drive to achieve the best outcomes for his clients. Whether he’s navigating a complex workers’ comp claim or pushing for a major settlement, he brings focus, dedication, and deep legal knowledge to every case.

He’s also a proud member of Pennsylvania Advocates for Justice and remains active in various professional legal organizations. Nicholas is licensed to practice law in Pennsylvania.

When he’s not fighting for the injured, Nicholas is enjoying time with his family, kicking a soccer ball around, hitting the golf course, or cheering on Pittsburgh’s local teams.

Joe Ring heads the workers’ compensation department at Ethen Ostroff Law, where he takes pride in fighting for injured workers.

Joe is a Philadelphia native and maintains deep roots in the area.  As the grandson of a Philadelphia Firefighter, son of a Philadelphia public school teacher, and veteran of the United State Marine Corps, he was taught to value service, dedication, and hard work.   He applies these values to every case and takes great satisfaction in representing hard-working clients with those same traits.

After obtaining his bachelor’s degree in history from St. Vincent College in Western Pennsylvania, he graduated from Villanova Law School in 2012 and, since then, has litigated hundreds of workers’ compensation hearings and trial depositions on behalf of both employers and injured workers.  During this time, Mr. Ring has written articles and presented Continuing Legal Education courses on developments in Pennsylvania Workers’ Compensation Law.  He is active in local professional organizations, and, in 2022, he served a Co-chairperson of the Philadelphia Bar Associations Workers’ Compensation Section.

Since coming to EOL in 2024, he has dedicated his practice entirely to helping injured workers navigate the system and obtain their rightful benefits.

Joe is licensed to practice in Pennsylvania.

Brandon Zanan heads the personal injury claim department with Ethen Ostroff Law.

Brandon’s education in both law and medicine assist him in expertly representing badly injured victims. Brandon has a Master’s Degree in Forensic Medicine from the Philadelphia College of Osteopathic Medicine, with a concentration in anatomy and pathology. With this knowledge,  Brandon is skilled at analyzing medical records and understanding injuries that are common in personal injury claims. He uses this expertise in conjunction with listening carefully to each client’s needs, in order to fiercely advocate for clients and tell their stories when they would not otherwise have a voice.

Brandon’s background includes a variety of experience and skills in various areas of civil practice. He is the author and editor of numerous books for the George T. Bisel Publishing Company, including “Pennsylvania Damages” and the “Pennsylvania Vehicle Code Annotated,” two texts that are frequently relied on by lawyers and judges across Pennsylvania as authoritative resources on personal injury law.

Brandon is a member of the Pennsylvania and Montgomery Bar Associations. He is also a member of Pennsylvania Association for Justice, and has served as an executive board member of the Montgomery American Inn of Court.

He is admitted to practice in the Commonwealth of Pennsylvania, the United States District Courts for the Eastern District of Pennsylvania and Middle District of Pennsylvania, the State of New Jersey, the United States District Court for the District of New Jersey, and in the Commonwealth of Virginia. Brandon has represented many clients in motor vehicle, premises liability, animal bite, and products liability cases across Pennsylvania and New Jersey and has obtained outstanding results with millions of dollars recovered for his clients.

He has been named a Pennsylvania Rising Star from 2021 onward. The “Super Lawyers-Rising Star®”, list recognizes no more than 2.5 percent of attorneys in each state

Brandon currently lives in Malvern with his wife Rachel and their son Max.

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