SAIF's claims teams and nurse consultants
We assign a return-to-work consultant and claims adjuster to each injury claim. The claims team also has a staff of
experienced nurse consultants who assist adjusters and work with medical providers. Ask the claim adjuster to have one work with you.
Managed care organizations (MCOs)
When a claim is filed with us, the employee is notified in writing that she will be subject to MCO requirements. SAIF works with four MCOs:
Prescription drugs
Oregon Prescription Drug Program (OPDP)
SAIF Corporation uses the Oregon Prescription Drug Program (OPDP) to administer pharmacy benefits for the approximately 45,000 injured workers that SAIF serves each year. Injured workers will not have to pay out of their own pocket for prescriptions related to their workplace injury. Most major and local pharmacies participate in the program.
To learn more about how OPDP can help you and your family, visit the State of Oregon OPDP website.
First Fill
Injured workers are eligible for the First Fill pharmacy program, which provides a limited number of cost-effective prescription drugs for work-related injuries or illnesses until a decision has been made on their claim.
Pharmacy bills will be handled through the Oregon Prescription Drug Program (OPDP) and paid by SAIF, even if the claim is later denied. There will be no out-of-pocket costs to the injured worker or to the policyholder for the prescriptions, unless a medication not covered by First Fill is prescribed.
Mail order pharmacies
Save time, travel, and hassle by having your regular, ongoing prescription medications delivered to your home for no extra charge by using BioScrip or Postal Prescription Services (PPS) mail-order pharmacies.
Both BioScrop and PPS offer benefits to help you easily and conveniently order prescription medications.
To order using BioScrip
- Use the BioScrip order form. Prescriptions related to your workers’ comp claim are free, so you don’t need to provide payment information.
- Your order will be delivered in seven to 10 business days. You will be notified if your order is delayed beyond 72 hours.
- Standard shipping is free.
- Web users will receive refill reminders by email.
- Call BioScrip customer service at 877.316.8921, 24 hours a day, for help.
To order using PPS
- Use the PPS order form. Prescriptions related to your workers’ comp claim are free, so you don’t need to provide payment information.
- Your order will be delivered in seven to 10 business days. You will be notified if your order is delayed beyond 72 hours.
- Standard shipping is free.
- Customers have access to Kroger/Fred Meyer/QFC pharmacies for up to a 10-day emergency supply.
- Call PPS customer service at 800.552.6694 for help. Hours are 6:00 a.m. – 6:00 p.m. Monday – Friday; 9:00 a.m. – 2:00 p.m. Saturday.
Returning to work
Once you have succeeded in helping an injured worker recover to the point of returning to work, you need to:
- Complete a work release form. You can use the Release to Return to Work form provided by the Workers' Compensation Division - form 440-3245 ( or Word) or use your facility's equivalent work release form, if it has one. You may need to complete this form multiple times during treatment as abilities are added.
- Complete either of these documents if the employer sends them to you: a request for work release information, or a written job description of transitional or regular work that may be available to the worker. Return these to the sender as soon as possible.
If you have a question or need assistance, please don't hesitate to call us at 800.285.8525 or email your question to providerquestions@saif.com.