Section 306(f.1)(1)(i) of the Workers’ Compensation Act provides that an employer must pay for reasonable surgical and medical services, including “medicines and supplies, as and when needed.” Subpart (ii) of the same section further indicates that the employer shall also pay for “services and supplies and orthopedic appliances.”
Since payment of medical expenses under the act is tied to the Medicare fee schedule, the payment of certain “orthopedic appliances” not subject to Medicare was defined under Section 306(f.1)(3)(i) of the act. Essentially, the section provides that if a service is not covered by Medicare, and therefore incapable of being tied to the Medicare fee schedule, the amount of the payment may not exceed 80 percent of the “going rate” for the charge.
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