Claimant Benefits

Workers' compensation insurance provides injured workers with compensation and medical benefits, or, in the case of death, survivor benefits to their dependents.

Medical Benefits may include hospitalization, doctor services, dentist services, physical therapy, chiropractic treatment, x-rays, laboratory tests, nursing service, durable medical goods and prescribed drugs.

NYSIF's pharmacy benefits management program offers the option for a claimant to obtain medication for a work-related injury or illness through the Express Scripts network of pharmacies. This does not change a claimant's right to use any pharmacy to obtain medication necessary to treat such an injury or illness.

Use the Express Scripts Pharmacy Locator or call Express Scripts at (866) 533-7011 to find a local network pharmacy. Call Express Scripts for information about mail-order service.

Note: Express Scripts network pharmacies bill NYSIF directly, so claimants do not have to pay out-of-pocket for medication. Claimants who have not received an Express Scripts card, should call the NYSIF case manager handling their claim.

Compensation Benefits calculated at two-thirds of the average weekly wage in New York State, subject to statutory maximums, may be payable to an injured worker to replace lost wages due to job-related disablement. Compensation benefits are not paid for the first seven calendar days of the job-related disability, unless the disability extends beyond 14 calendar days.

Death and Survivor Benefits are paid if an injured worker dies from a job-related injury. The surviving spouse and/or minor children and, lacking such, other dependents as defined by law are entitled to death and survivor benefits. Funeral expenses are payable subject to statutory maximums.