23.12.2024
WHO IS ENTITLED TO REHABILITATION AND PHYSIOTHERAPY UNDER CLINICAL PATHWAYS PAID FOR BY THE NATIONAL HEALTH INSURANCE FUND
The right to rehabilitation under clinical pathways paid for by the National Health Insurance Fund (NHIF) is granted to health insured persons who suffer from diseases included in the specified clinical pathways and meet the criteria for hospitalization.
The NHIF pays for 11 clinical pathways in the field of physiotherapy and rehabilitation, which are related to:
- Diseases of the musculoskeletal system;
- Diseases of the central nervous system;
- Diseases of the peripheral nervous system;
- Diseases of the cardiovascular system;
- Physical therapy, rehabilitation and specialized care after treatment for covid-19.
What are the clinical pathways for rehabilitation and physiotherapy that the NHIF pays for?
The clinical pathways paid for by the NHIF are the following:
- CP No. 258 "Physical therapy and rehabilitation in case of birth trauma of the central nervous system";
- CP No. 259 "Physical therapy and rehabilitation in case of birth trauma of the peripheral nervous system";
- CP No. 260 "Physical therapy and rehabilitation in case of cerebral palsy";
- CP No. 261 "Physical therapy and rehabilitation in case of primary muscle injuries and spinal muscular atrophy";
- CP No. 262 "Physical therapy and rehabilitation of diseases of the central nervous system";
- CP No. 263.1 "Physical therapy and rehabilitation in diseases of the peripheral nervous system";
- CP No. 263.2 "Physical therapy and rehabilitation with complex underwater-extension therapy in diseases of the peripheral nervous system with spinal cord injuries";
- CP No. 264 "Physical therapy and rehabilitation after a previous/old myocardial infarction and after surgical interventions";
- CP No. 265 "Physical therapy and rehabilitation in diseases of the musculoskeletal system";
- CP No. 267 Physical therapy, rehabilitation and specialized care after treatment for covid-19.
How can you benefit from clinical pathways for rehabilitation and physiotherapy?
After the assessment of the attending physician, who will issue you a "hospitalization referral".
Where can I do rehabilitation and physiotherapy on clinical pathways?
In a medical institution that has a contract with the NHIF for carrying out activities on clinical pathways and you are a health insured person.
How long is the duration of the clinical pathways for rehabilitation and physiotherapy?
The NHIF pays for one hospitalization per patient for the duration of the calendar year, except for some diagnoses that are indicated in the pathway algorithm.
Is there another option for rehabilitation and physiotherapy besides the one offered by the NHIF?
Yes, when you have decided to enter a rehabilitation facility or sanatorium at the Ministry of Labor and Social Policy or the National Social Security Institute. In these cases, the NHIF does not pay the costs of your stay.
