In Pennsylvania, the maximum workers' compensation wage replacement is 66.67% of the employee's average weekly wage, limited to $1,300 per week (as of 2024); medical benefits have no statutory cap, and death benefits are capped at $10,000 for funeral expenses plus a $5,000 survivor payout.
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Wage Replacement Limits
The state sets a ceiling on weekly indemnity at $1,300, regardless of the employee's actual earnings. This cap applies after the employer's liability period begins and is calculated on the employee's average weekly wage (AWW) over the 52 weeks preceding the injury.
Medical Expense Coverage
Pennsylvania does not impose a monetary limit on medically necessary treatment. All reasonable and necessary medical costs related to the injury—hospital stays, surgeries, medications, physical therapy—must be paid by the insurer, subject to usual claim verification processes.
Death and Survivor Benefits
If a work‑related fatality occurs, the law provides a $10,000 funeral expense benefit to the designated beneficiary. Additionally, surviving spouses or dependents receive a lump‑sum $5,000 survivor benefit, separate from any ongoing wage replacement for dependents.
Other Compensation Elements
Beyond the primary benefits, Pennsylvania offers supplemental allowances such as a temporary total disability (TTD) supplement for injuries preventing any work, and a permanent partial disability (PPD) schedule that assigns a percentage of loss to specific body parts, influencing the total payout.
Comparison Table
| Benefit Type | Maximum Amount | Notes |
|---|---|---|
| Wage Replacement | $1,300/week (66.67% AWW) | Cap applies regardless of actual earnings |
| Medical Expenses | No statutory cap | Only reasonable, necessary care covered |
| Funeral Expenses | $10,000 | One‑time payment to beneficiary |
| Survivor Benefit | $5,000 | Lump‑sum to spouse/dependents |
Key Takeaways for Employers and Workers
Employers must maintain adequate liability insurance to meet these statutory caps, while workers should promptly report injuries to ensure eligibility for the full suite of benefits. Understanding the limits helps set realistic expectations and guides both parties in managing claim negotiations and settlements effectively.