In some instances, post-rehab professionals are able to obtain insurance reimbursement for post-rehab services, but its not easy. There is a criteria the client must meet to have a chance for reimbursement:
1. The client must have insurance coverage through either workers compensation or a motor vehicle accident claim or have a third party insurance carrier such as Blue Cross/Shield. Medicare, Medicaid and government health care plans will not cover post-rehab services.
2. The client must have sustained a traumatic injury and/or undergone major surgery. An example of this would be a client with a ruptured anterior cruciate ligament in the knee or a disc herniation in the lumbar spine resulting in surgery to correct the injury. These clients need long-term supervised exercise after the completion of physical therapy and/or chiropractic care.
3. The client must have residual functional deficits that are present after the completion of physical therapy and/or chiropractic care. At some point the client no longer needs physical therapy or chiropractic but there are still functional deficits that impair the client's functional status. These deficits include functional limits in ROM/flexibility, strength, power, endurance, balance, proprioception, joint stability, muscle recruitment and coordination. The post-rehab-conditioning program addresses these deficits after discharge from physical therapy or chiropractic.
4. The client has a written referral from his or her physician, chiropractor and/or physical therapist indicating the need for a supervised functional conditioning program. The referral cannot say