How to get to the sanatorium from ZUS? It is enough to go to the attending physician who will decide whether such a trip is needed. It is worth knowing that the waiting time for a referral to a sanatorium from ZUS is much shorter than from the National He alth Fund, and you do not have to pay for the stay in the center. Check who can apply for a referral to a sanatorium from ZUS and what formalities must be met.
How to get a referral to a sanatorium from ZUS?It is enough that a person who has medical indications for medical rehabilitation as part of ZUS disability prevention (this is the official name of this program) goes to the attending physician and asks for a relevant application.
Contents:
- Sanatorium with ZUS - who can apply for a referral?
- Sanatorium with ZUS - what diseases can be treated?
- Sanatorium with ZUS - how to apply for a referral?
- Sanatorium with ZUS - how long does the treatment last?
Sanatorium with ZUS - who can apply for a referral?
Medical rehabilitation as part of ZUS disability prevention is available to everyone who is at risk of long-term inability to work due to illness, but at the same time promises to regain this ability after rehabilitation, so:
- insured working persons at risk of total or partial incapacity for work, and therefore retirement
- pensioners who have periodic benefits and could return to work thanks to their stay in a sanatorium
- people who lost their jobs when they were on sick leave for a long time, but are able to continue working if they recover
GOOD TO KNOW: Rehabilitation under the National He alth Fund: types of therapeutic rehabilitation
ImportantPensioners with permanent benefits cannot apply for a referral to a sanatorium from ZUS (since they were granted a permanent pension, it was decided that their return to work was impossible). Such people can apply for a referral to a sanatorium from the National He alth Fund.
Sanatorium with ZUS - what diseases can be treated?
Not all types of diseases can be treated as part of rehabilitation carried out by ZUS. People who only struggle with diseases that are the most common cause of inability towork, such as:
- diseases of the musculoskeletal system
- cardiovascular diseases - (e.g. coronary heart disease)
- psychosomatic diseases (e.g. stomach ulcers caused by stress, neurosis)
- respiratory diseases (asthma, chronic obstructive pulmonary disease)
- oncological diseases of the mammary gland (i.e. rehabilitation after mastectomy)
- diseases of the voice organ (including dysphonia and hoarseness, dysphonia and voice loss, soft vocal nodules, chronic atrophic laryngitis)
Rehabilitation in the first two cases takes place in an inpatient or outpatient setting. People suffering from other diseases are subject to medical rehabilitation only in stationary mode.
CHECK: List of centers where you can go for rehabilitation under ZUS
Sanatorium with ZUS - how to apply for a referral?
An application for rehabilitation as part of ZUS disability prevention can be issued by any doctor who carries out treatment and knows the history of the disease. It does not matter if it is a primary care physician or a specialist (even a private one who does not have a signed agreement with the National He alth Fund).
It should contain the following data:
- name and surname of the patient
- PESEL
- home address and telephone number
- type of disease the patient is struggling with
However, the most important thing is the opinion that there is a chance of regaining ability to work after rehabilitation. The doctor may write such a request on his own or on the form available on the ZUS website.
The waiting time for the decision whether ZUS will issue a referral to a sanatorium is from 3 to 8 weeks.
The application is submitted together with the medical documentation at the nearest ZUS unit. However, before ZUS finally decides about a referral to a sanatorium, it may have the applicant examined by a ZUS certified doctor.
Its task is to assess the chances of returning to work after rehabilitation, taking into account age, occupation and activities at work and working conditions, but above all, how the course of the disease affects the body.
The examination by the medical examiner can be avoided if the medical records are sufficient to support the decision.
CHECK: A trip to a sanatorium with the National He alth Fund - step-by-step procedures
The ZUS certifying doctor may also issue such an application during the inspection of a medical certificate on temporary incapacity to work, when determining the en titlement to a rehabilitation benefit or during a declaration of incapacity for work for disability pension purposes.
IfThe ZUS certifying physician determines that the patient can go to the sanatorium, a rehabilitation center will be designated closest to our place of residence and the date of the start of the stay (you can ask for a convenient date).
Worth knowingZUS reimburses all costs
ZUS reimburses all costs related not only to treatment, but also accommodation and meals. It even reimburses the costs of travel from the place of residence to the rehabilitation center and back, but only by the cheapest means of transport.
Pays the Social Insurance Institution for the stay in the sanatorium and all the costs associated with it (if only there is a chance to recover), because it is more profitable than the payment of a pension due to an illness that you cannot work with.
Sanatorium with ZUS - how long does the treatment last?
The stay in a rehabilitation center lasts 24 days, but it may be shortened or extended by the head of the rehabilitation center. This can happen in the case of:
During your stay in a sanatorium with ZUS, you can be on sick leave, payable in the amount of 80 percent. basis for the calculation of sickness benefit
- positive prognosis for the recovery of the ability to work in the extended duration of rehabilitation
- early restoration of working capacity
- occurrence of other reasons attributable to the person referred by ZUS
After the end of rehabilitation, you can apply for another such trip, but then it is also decided by the ZUS certifying doctor.
More and more people benefit from medical rehabilitation programs implemented by ZUS
Video source: lifestyle.newseria.pl