How is inpatient rehab

Outpatient rehab

What is outpatient rehabilitation and who needs it?

Outpatient rehabilitation is one in a number of cases good alternative for inpatient rehabilitation. It is particularly useful for chronic illnesses or for the follow-up treatment of operations. The diseases that are suitable for outpatient rehabilitation include, for example, rheumatic disorders, diseases of the musculoskeletal system, such as knee-shoulder operations and, in some cases, hip operations, or the consequences of neurological diseases.

in the Difference to inpatient rehabilitation patients can spend their evenings and weekends at home with outpatient rehabilitation. This means that you only stay in the clinic that offers outpatient rehabilitation while the therapies are being carried out.

However, participation in outpatient rehabilitation depends largely on two requirements from:

  • On the one hand, there must be sufficient mobility to be able to cope with the journeys from home to the clinic and back.
  • On the other hand, the health impairments must not be so pronounced that they require continuous medical or nursing care.

If you have any doubts as to whether outpatient rehabilitation is preferable to inpatient, your family doctor or the treating specialist can help.

Goals of outpatient rehabilitation

General and individual goals of rehabilitation

With the help of rehabilitation measures, patients should be able to (again) carry out their job or everyday activities that are important to them without restrictions. For these general goals, individual therapy goals are agreed upon at the beginning of rehabilitation, which result from the living conditions of the person concerned. So it may be important for one person to put climbing stairs at the center of therapy, while for another person it may be about improving hand strength and endurance.

Procedure and programs

Outpatient rehabilitation is reminiscent of the processes in a school: Those affected spend around four to six hours a day in the clinic, following a fixed "schedule" that consists of alternating therapies and breaks. The therapies include, for example:

  • Physiotherapy,
  • Water therapy
  • Electrotherapy,
  • psychological counseling,
  • Social counseling,
  • Relaxation therapies,
  • medical training therapy (MTT),
  • Occupational therapy and
  • Massages.

The "timetable" is tailored to the individual's complaint profile and the physical endurance of the patient.

The Duration of an outpatient rehab is usually 15 days of treatment. To ensure that successes achieved remain stable, there are special aftercare programs, such as "IRENA" (intensive rehabilitation aftercare of the German pension insurance). The IRENA offer can be used after both outpatient and inpatient rehabilitation, although this measure can usually only be initiated by the rehabilitation clinic.

Formalities for outpatient rehabilitation

The patient can apply for outpatient rehabilitation to the responsible insurance provider. The insurance provider will then decide on the approval. The decision-making process can, however, take time, as the cost bearer can, for example, call in an expert to review the right to outpatient rehabilitation.

In the case of follow-up treatment, outpatient rehab is usually available within 14 days.

If the German pension insurance pays the rehabilitation costs, there are none Co-payments required. Otherwise there are usually costs of 10 € per day. There is a release from the obligation to pay additional payments if there is only a low monthly income. The health insurance companies provide information on the requirements for exemption from the obligation to pay co-payments.

Payers a rehabilitation measure are e.g .:

  • Federal agency for work
  • Statutory pension insurance
  • Statutory health insurance
  • Private health insurance with subsidy if necessary
  • Statutory accident insurance
  • War Victims Care and War Victims Care
  • Public youth welfare agency
  • (Public) social welfare provider
  • Police / Federal Police / Federal Armed Forces

Travel costs between the apartment and the rehabilitation clinic are usually reimbursed. The Application for reimbursement of travel expenses / travel expenses must, however, be submitted to the health insurance companies or to the Deutsche Rentenversicherung Berlin. Some rehabilitation clinics also offer their own transport services. There is a fundamental right to reimbursement of outpatient treatment if either the aG, H or Bl mark or the need for care of care levels 3, 4 or 5 are entered in the severely handicapped ID card. Otherwise, travel costs will only be covered if this prevents an inpatient stay.

For all rehabilitation measures, the employer is obliged to continue paying wages for a maximum of six weeks. After that, the social benefit or social insurance carriers take over the financial security of the sick employee, e.g.

  • the professional association with an injury benefit,
  • the German pension insurance with a transition allowance or
  • in special cases the health insurance company with sick pay.

Outpatient rehabilitation for on-site recovery

Outpatient rehabilitation offers the advantage that you as a patient can stay in your familiar surroundings. This makes it easier for you to connect therapy and everyday life. In addition, family members can be better included in the therapy as needed. However, the mobile effort, which is always individual and location-dependent, can be a disadvantage.

Last changed on: 04/20/2020

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