Sign the petition

Increase Access for Injured Workers!

In June of 2007, New York State passed workers' compensation reforms to address the high cost of the workers’ compensation system and of prescription drugs. The unintended consequence was that the reforms allowed for the creation of a monopolistic system where insurance carriers can control and direct access to prescription medications for injured workers and where cost savings cannot be verified because the companies involved claim proprietary information. The pharmaceutical system became more expensive and it also left many injured workers out in the cold. Those injured on the job no longer could use the pharmacy of their choice but were forced to use the pharmacy mandated by their insurance carrier, with no options at all for medications if the insurance carrier contested the injured worker’s case. The system is broken and the most vulnerable are paying the price.

TAKE ACTION!

Sign the petition and stop the bleeding

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Leave a comment

Submitted by Joseph Davis (not verified) on Fri, 05/07/2021 - 15:15

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I have been an injured Worker Since September 6, 2003. I do not want to take pain medications, so I have been using an Anti-inflammation Gel for my pain, It helps me with the Aches,tenderness And stiffness. My carrier used to pay for it without an issue. Then they stopped covering it October 2019. The pharmacy would put it through the third party They would reject it as per my insurance carrier. At first, they were saying the medication needs a “medical portal“. I spoke to my pharmacist they told me This drug was not being covered and is a formulary drug.

On the new formulary drug list. It should not need a medical portal then they were telling the pharmacy it was not on the formulary. When the pharmacy would attempt to call the carrier, they were told to call the third party. The third party told themThe medication was already rejected, and that there was nothing they can do and that I should call them.I don’t understand why I should call anyway if the workers comp board has a system in place.

I have been without my medication for a year. This is not right,all I want is what I am entitled to, I have done nothing to deserve this treatment We get more resistance then cooperation from the system.
PLEASE FIX THE SYSTEM!

Submitted by Bridget McIntosh (not verified) on Fri, 05/07/2021 - 15:16

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I have been an injured worker since 2014. I never had a problem receiving my medication for my worker's comp case. Now, they are rejecting my medication, and they will not tell my pharmacy why. I suffer from major depression and these are important medications that I cannot stop easily. This is a horrible system.

Submitted by Debra L (not verified) on Fri, 05/07/2021 - 15:33

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I have been an injured worker since June 5, 2019. My doctor gave me a prescription. My workers compensation insurance would not pay for it. The pharmacy told me it should be paid because it is on the Worker’s Compensation Board drug list. They called my insurance company, and they still said no. The pharmacy called my doctor and he filled out special paperwork to get an approval. My doctor did the paperwork and got the OK. I went back to the pharmacy. Even with the special portal, my medication was still denied. No reason given. I don’t understand why my medication is not being paid for.

Submitted by Garry LaQuinte (not verified) on Fri, 05/07/2021 - 16:03

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I have been working at a Spine practice for almost over 3 years. It is unacceptable for patients being either denied and/or having delayed issues with getting their post operative pain medications. Other issue,patient being denied medications that can directly address their pain complaints.

Submitted by Paul ladopoulo… (not verified) on Fri, 05/07/2021 - 16:03

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I have been treating patients for almost 30years and I find it disgraceful and immoral that the insurance companies are blatantly denying medication and medical treatment to our patients who are the most vulnerable to decompensation and emotional turmoil. It is imperative that their rights to medical care be protected and prioritized It is inhumane to allow our patients to suffer needlessly while treatment is available but is being denied.

They deserve better.

Submitted by George Kakivelis (not verified) on Fri, 05/07/2021 - 16:04

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As a paralegal at a WC law firm, our clients are having a very difficult time receiving their medication. One client, who was always getting the same medication every other month, Ibuprofen, had his medication denied because the adjuster claimed the medication is not on the WCB formulary. I looked it up and it is on the formulary. When I called back, I was told the physician must get a special form filled out so our client can get his medication. I was going to ask for a hearing, but our client needed his medication, and is now using his private insurance. Many of our clients are now using their private insurance, or their spouses insurance to get their workers comp medications. There is something very wrong with the current system.

Submitted by ARIEL JIMENEZ (not verified) on Fri, 05/07/2021 - 16:04

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I am an injured worker. I was hurt in 2016. I never had a problem getting my medications. Now, I am unable to get my medications. My attorney has called my insurance company, and it has not made a difference. I should not be suffering like this. I paid into the system, and the Workers Comp Board is failing me.

Submitted by Marzell Underwood (not verified) on Fri, 05/07/2021 - 16:06

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I was injured in a very serious work accident on 5/16/2020 and it is 11/10/2020 and I never received any of my medications, there is always an excuse. I had you use my private insurance on numerous occasions. I was even denied my pain medications soon after undergoing surgery. This mockery of a system is a complete travesty.

This is a serious problem that needs to be rectified. I am currently taking 5 medications and I was compelled to pay out of pocket for all of them.

Submitted by Jonathan Levin… (not verified) on Fri, 05/07/2021 - 16:07

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I'm a clinical psychologist who's been treating WC patients for 10 years at my center, Therapy Services - NYC which employs several other psychotherapists. Our patients are having increasingly difficulty getting their prescriptions filled. This is resulting in increased Anxiety and Depression, and some patients have suicidal ideation. This problem needs to be resolved to help patients feel better and return to work.

Submitted by christina vaglica (not verified) on Fri, 05/07/2021 - 16:07

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I am a psychiatrist practicing on Long Island. I treat injured workers. The new WCB Portal is cumbersome, time consuming and despite doctors requesting authorization as required, we are only given 1 month authorization, if we get authorization at all, leaving us to have to repeatedly request authorization month after month. No doctor has time for this. Adjustors are denying medications that I have obtained auth for through the portal, and are rejecting medications that are part of the Drug Formulary. Extremely frustrating for the doctors and patients, too time consuming for the doctors. Too much red tape. Not user friendly.

Submitted by Marisol Morales (not verified) on Fri, 05/07/2021 - 16:08

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I am an injured worker. I was hurt in 2005 through 2007. I never had a problem getting my medications, but as of lately there are some medications that need to be approved by my doctors office, and that is presenting a problem because, it seems that they are over whelmed with having to do these extra steps for all of it patients. I feel that these third parties agencies that have been assigned to provide the extra steps are causing problems for the doctors offices,as well as the pharmacy's.

Submitted by Tino J Sarmiento (not verified) on Fri, 05/07/2021 - 16:09

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hello my name is Tino i have been on work mans comp since 2014 this system is broken.
you jump threw all there hoops to only encounter more hoop.In 2017 my Dr put me on this medication that helps me focus without it well it took me 20 minutes to write what i wrote so far.Been over month still fighting to receive them i guess the insurance claims representative is smarter then my Dr. who went to school for 8 to 12 years of medical training.She has decided i don't need this medicine at all anymore. That's just one medicine. My pain meds almost every month seems like i have to call my lawyer to call to get them approval one time i even paid 1000 dollars on my credit card did i mention i'm still paying the bill almost a year now 20 percent interest thank you very much did i mention by that time i get them i'm going threw withdrawal its disgusting how we get treated when your not paying over $1800 per week in taxes not to mention what you pay in insurances it amazes me be one day late with insurance payment they drop you or pay penalty your rate goes up.they miss payments nothing happens to them. no body asked to be in pain all day and night for the rest of there lives or to have thoughts of hurting yourself or that not good enough they cant sleep for days no body wants to cry for days weeks months even years to where if they had faith in the system they would sign themselves into the hospital to get help but they know when all said in done is they would lose more faith in the system of red tape and probably get stuck with another bill

Submitted by Christine R (not verified) on Fri, 05/07/2021 - 16:09

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I'm a nurse practitioner practicing in NYC. Many of my patient's are involved with worker's compensation. It has becoming increasing difficult to get any of these patients the medical care (both medications and procedures) that they need. Medications are repeatedly denied and even if we work tirelessly to get them approved for one month they may not be approved for the next month. I truly don't understand why they are not helping patients get better. Many of my patient's are in agony asking me what I can do to help them, but my hands are tired because worker's compensation won't approve anything. It is truly immoral and unjust.

Submitted by Ashley Curtis (not verified) on Fri, 05/07/2021 - 16:10

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I am a psychiatric nurse practitioner in NYC. The large majority of the patients I treat are injured workers. We are trying our best to help these people feel better and improve their quality of life. Right now, our tools are being stripped away and patients, who have been responding to medication (some of which they have been taking for years) are being told that they can no longer continue with their current treatment. This is cruel, reckless, dangerous and needs to change!

Submitted by Dr Chris Kyriakides (not verified) on Fri, 05/07/2021 - 16:10

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I have been treating Workers Compensation patients for over 20 years. I certainly understand why the board limited Opioids...............BUT MUSCLE RELAXERS TOO? There are still patients in constant pain and spasm that require treatment as these patients suffer on a daily basis. Muscle Relaxers need to be on the formulary as Phase A/ Phase B medications. Injured Workers have the right to not suffer everyday. Generic Muscle relaxers are inexpensive and necessary for the treatment of injured workers.

Submitted by Rosa Caban (not verified) on Fri, 05/07/2021 - 16:11

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I am injured worker, in 1/31 2011, I was hurt very bad cervical, lower back, left knee, left hand, and right shoulder, I still have lot pain special at night time I cannot sleep well. But since last year I was classified Partial permanent disability the insurance, staring denied PT, treatment with neurology, the Anti-inflammation gel and lidocaine patch for my pain that helps me with the Aches, tenderness and stiffness, pharmacy always said it has to be approval call Lawyer after I call lawyer they will call the insurance but never approved. I call many times to Workers comp Board they just said you has to call your lawyer. I don't understand I was classified with 80% I am still feeling very sick with the pain. PLEASE FIX THE SYSTEM!

Submitted by Kenia D. (not verified) on Fri, 05/07/2021 - 16:11

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I’ve been injured since 2004 and the insurance carrier is constantly denying my medications needed to manage the chronic pain and depression. It’s exhausting not knowing on a monthly basis whether I will be approved for my prescriptions and I feel I’m in limbo as a result. Those meds are needed to function and try to have a better quality of life, however, the insurance carrier seems to have all the power even when a medication has been approved by the workers compensation judge.

Submitted by DavidEmide (not verified) on Thu, 12/09/2021 - 16:38

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Также адвокату законом предоставлена упрощенная мочь комплектовать доказательства, а именно мочь чинить обязательные ради ответа запросы.В реальной жизни оформление может затянуться для более долголетний срок. Именно поэтому проще обратиться к посреднику, который резво окажет подспорье и поможет учесть однако нюансы в подаваемом пакете документов.Лицензия действует бессрочно (п. 4 ст. 9 ФЗ-99).Экземпляры произведений, созданные правомерно — в соответствии с условиями лицензионного договора или же правообладателем единовластно, — называют в просторечии лицензионными. Копии, существо которых повлекло нарушение исключительных авторских прав, называют контрафактными alias, в просторечии, пиратскими.Даже нет видимости ответственности, в виде компенсационных фондов, наравне предположим, у тех же арбитражных управляющих.
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Проверить всегда ранее полученные допуски и проверки у руководителя;Дабы встать, уйти и сохранить деньгиПосле переходит для сайт, например такой:Бухгалтерские услуги отлично подойдут тем, кто как который открыл начинание и паки не разобрался со всеми нюансами ведения учета. Если вы однако же наняли собственного бухгалтера, только сомневаетесь в его компетентности, мы готовы предоставить услуги сообразно проверке качества ведения учета и внести исправления, а также восстановить недостающие финансовые документы, коль возникнет такая необходимость.Ошибки, допущенные около ведении бухгалтерского учета, отразятся и для отчетных документах, т.к. в них будет внесена неверная информация. Ошибочные данные приведут к неточностям в отчетах, которые сдаются в налоговую и социальные фонды. Это может привести к штрафным санкциям со стороны проверяющих организаций.
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Также адвокату законом предоставлена упрощенная мочь приумножать доказательства, а именно мочь действовать обязательные ради ответа запросы.Документы, которые необходимо собрать через имени организации ради передачи в Господство ФСБ на выдачу разрешения:Достоинство 1. Вы весь передаете ведение своей бухгалтерии, освобождая себя через необходимости самостоятельно упражняться финансовым учетом. Вы можете больше не мнить о первичных документах, сдаче бухгалтерской и налоговой отчетностей.медиаторыНынче как раз расскажу как обманывают с банкротством.

Submitted by KENIRY11 (not verified) on Fri, 12/10/2021 - 08:47

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Добрый день!!!

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