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Rehabilitation benefit - to whom it is granted

The rehabilitation benefit, like the sickness allowance, is granted to persons covered by sickness insurance. This benefit is paid by ZUS and its popularity has increased in recent years. It is awarded to people whose health condition promises to regain their ability to work.

Rehabilitation benefit

Rehabilitation benefit is granted to an employee who, after exhausting the sickness benefit, is still incapable of work, and further treatment or rehabilitation is likely to regain ability to work. This means that after 182 days of sickness and benefit (or 270 days in the case of pregnancy or tuberculosis), we can still apply for financial support in treatment from the state. The payment of the benefit is due for the time necessary to restore the ability to work, but not longer than 12 months.

A ZUS certifying doctor decides about the need to grant such a benefit. If the person applying for the rehabilitation benefit does not agree with the opinion of the certifying physician, he / she may appeal. In such a case, the patient is summoned to appear before the medical commission which decides about granting the benefit. A sick person may also apply for the benefit if the medical examiner on the granting of a pension has decided that the sick person has a prognosis of regaining the ability to perform work.

Rehabilitation benefit - formalities

A person applying for a rehabilitation benefit submits an application on the ZUS Np-7 form at the ZUS branch competent according to the place of residence, along with the necessary documents:

ZUS OL-9 - health certificate, completed by the attending physician,
ZUS N-10 - interview from the place of work, does not apply to persons running a business or if the incapacity for work occurred after the termination of the insurance entitlement,
certificate of the contribution payer on the ZUS Z-3 form in the case of an employee or ZUS Z-3a in the case of an insured person other than the employee.

When the incapacity for work occurred as a result of an accident at work:

protocol establishing the circumstances and causes of an accident at work - in the case of an accident at work of the insured employee,
accident at work card - in the event of an accident at work of the insured other than an employee,
decision on the declaration of an occupational disease issued by a sanitary inspector - in the event of incapacity for work due to an occupational disease.

Who is not entitled to a rehabilitation benefit

Rehabilitation benefit is not entitled to:

a person entitled to an old-age or disability pension, health leave, unemployment benefit, pre-retirement allowance or pre-retirement benefit;
for the periods during which the insured retains the right to remuneration under special provisions;
during the period of unpaid leave, childcare leave, temporary arrest or imprisonment;
if the incapacity for work was caused by the insured as a result of an intentional crime or misdemeanor;
in the event of misuse of the period for which the benefit was granted.

The amount of the rehabilitation benefit

Rehabilitation benefit is paid at 90% of the wage or income that was used as the basis for the calculation of sickness benefit for the first three months, and if the incapacity for work occurs during pregnancy or is caused by an accident at work or an occupational disease, 100% of that wage is paid. In other cases, 75% of this benefit.

Example 1.

The employee has been granted a rehabilitation benefit for a period of 6 months. As the sickness benefit of 182 days was used on January 14, the benefit was granted from January 26, 2017 to July 23, 2017 in the amount of: