Rehabilitation sports

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Rehabilitation Sport , short Rehasport is one for disabled and a disability developed threatened human capacity to integrate with the aim of those affected in the long term in the world of work and in society. This is a supplementary measure in accordance with Section 64, Paragraph 1, No. 3 and 4 of Book 9 of the Social Code (SGB IX). It is primarily provided by the health insurance companies with the aim of helping people to help themselves and is approved for a limited period of time.

The cost bearers of the rehabilitation sport can be the pension insurance, the health insurance or the accident insurance. The duration of the measures range from 6 months to 36 months and are linked to the respective indication. The prescription must be issued by a doctor. The implementation is ensured in groups with specially trained instructors. In addition to rehabilitation, the practitioner should be motivated to carry out further exercises on their own responsibility after the end of the performance. Since SGB IX came into force on January 1, 2001, there has been a legal right to reimbursement of costs for rehabilitation sport. Up until this point in time, the assumption of costs was a discretionary performance. Rehabilitation athletes often become active later in disabled sports.

The following can be prescribed as an initial prescription by a licensed doctor:

• 50 practice units in 18 months (as a rule)
• 120 exercise units in 36 months (only possible with defined or chronic diseases)

These take place at fixed times in guided exercise groups by appropriately qualified instructors in accordance with points 14.1 and 14.2 of the framework agreement. Usually once or twice a week (depending on the recommendation) for at least 45 minutes each (cardiac exercise at least 60 minutes).

However, they can also be used as a follow-up service to medical rehabilitation for a period of six to (in special, justified cases) 24 months e.g. B. be prescribed by a rehabilitation clinic. The pension insurance is then the payer.

The rehabilitation sport is generally offered by non-profit associations; In some federal states, for example Saarland and Bavaria, there are individual offers from commercial providers.

The groups or clubs are recognized by the respective state-specific disabled sports associations, in Bavaria by the ARGE Rehabilitationssport.

The basis is the framework agreement in the new version of October 1, 2007, between health insurance companies, accident insurance, pension insurance, war victims' care and the Federal Self-Help Association for Osteoporosis, the German Sports Association for the Disabled, the German Society for the Prevention and Rehabilitation of Heart and Circulatory Diseases and the German Rheuma League Federal Association.

On January 1, 2011, the new framework agreement on rehabilitation sport and functional training came into force. Section 4.7 of the new version regulates that exercises on technical devices that serve to build muscle or to increase endurance (e.g. sequence training devices, rope pulls, weight benches / free dumbbells, guided strength training devices, treadmills, rowing machines, cross trainers, etc.) with the exception of training on bicycle ergometers in Cardiac sports groups are definitely excluded from rehabilitation sports. According to the new regulation, equipment training is not part of the rehabilitation sport and therefore cannot or may not be settled with health insurance companies or the German pension insurance.

As an additional service of the association or provider, they often offer adaptive or advanced equipment training as well as an extended range of courses (only in parallel during the period of validity of a regulation). Since this service takes place separately, both in terms of time and space, from rehabilitation sport financed by health insurance, its use is on a voluntary basis and depends on a private additional payment or membership. The amount of the additional payment depends on the respective scope and the provider and is freely selectable. When the regulation expires, settles or is canceled, it ends automatically and does not bind the participant for a longer period of time. There is no entitlement to benefits beyond this period.

The health insurance funded service must therefore be offered individually and free of charge. A compulsory commitment over a certain period of time or an obligation to make use of additional payments is not legal. These institutions can or should be reported to the relevant associations.

So far, the old version of the framework agreement has barely left room for equipment training as part of rehabilitation sport. At most as a supplement and only if this was not carried out primarily or even exclusively. Nevertheless, equipment training is often largely approved by health insurers - if the doctor mentions it as such in part or exclusively in the prescription. In this respect, these ordinances are to be classified as incorrect within the meaning of the framework agreement. In such cases, providers are happy to contact the associations and point out incorrect approvals. In addition, the association is often sent a copy of the relevant prescription (without the member's name or insurance number) so that he can also inform the respective health insurance company and the doctor of the obligation to correctly approve prescriptions.

Participants are entitled to participate in rehabilitation sports that are correct in terms of form and content. However, they are not entitled to certain types of exercise, groups and equipment training.

Technical trainer

Groups can only be led by licensed specialist trainers. A trainer's license has a limited validity and must be refreshed at certain intervals.