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Message
How to avoid some of the misery involved with rehab after injury
Posted on 5/19/23 at 11:12 am
Posted on 5/19/23 at 11:12 am
Most people know the basics about their insurance policies but not the specifics. Here is my example. I am 73 and in April, tripped over a hose, and broke my hip. I live near The Woodlands, TX and there are many hospitals and rehab facilities. Surgery to insert a 6-inch titanium rod and smaller plate. Now it is time to go to a rehab facility. Here is where I screwed up. I did not ask for a facility with private rooms. I trusted that Memorial Hermann would give me all the possible choices. All they told me was about 1 facility that was a skilled nursing home and rehab facility with semi private rooms, 2 to a room.
Rehab means you get 6 hours of physical therapy a week. So out of 168 hours in a week, you get therapy 3.5% of the time. The rest of the time consists of crappy meals, sub-par beds, beat up wheel chairs, watching tv on a 24 inch tv, sleeping, listening to the other guy fart, burp, use the urinal to pee while in bed, snore and wait on your pain medication. Now he has to listen to you doing the same functions. The only good thing about the 2 week stay was losing 12 pounds.
Do yourself a favor, read your insurance policies well and ask many questions. Hopefully you can avoid the misery I went through.
Rehab means you get 6 hours of physical therapy a week. So out of 168 hours in a week, you get therapy 3.5% of the time. The rest of the time consists of crappy meals, sub-par beds, beat up wheel chairs, watching tv on a 24 inch tv, sleeping, listening to the other guy fart, burp, use the urinal to pee while in bed, snore and wait on your pain medication. Now he has to listen to you doing the same functions. The only good thing about the 2 week stay was losing 12 pounds.
Do yourself a favor, read your insurance policies well and ask many questions. Hopefully you can avoid the misery I went through.
3
Posted on 5/19/23 at 11:14 am to Purplehaze
quote:
you get therapy 3.5% of the time.
and you were expecting?
Posted on 5/19/23 at 11:14 am to Purplehaze
Most people, if they have someone to help them at home, are far better off getting home health and getting TF out of the hospital/SNF/inpatient rehab. It’s supposed to be for very low level (physically) people.
Posted on 5/19/23 at 11:48 am to Purplehaze
quote:
Most people know the basics about their insurance policies but not the specifics. Here is my example. I am 73 and in April, tripped over a hose, and broke my hip. I live near The Woodlands, TX and there are many hospitals and rehab facilities. Surgery to insert a 6-inch titanium rod and smaller plate. Now it is time to go to a rehab facility. Here is where I screwed up. I did not ask for a facility with private rooms. I trusted that Memorial Hermann would give me all the possible choices. All they told me was about 1 facility that was a skilled nursing home and rehab facility with semi private rooms, 2 to a room.
Rehab means you get 6 hours of physical therapy a week. So out of 168 hours in a week, you get therapy 3.5% of the time. The rest of the time consists of crappy meals, sub-par beds, beat up wheel chairs, watching tv on a 24 inch tv, sleeping, listening to the other guy fart, burp, use the urinal to pee while in bed, snore and wait on your pain medication. Now he has to listen to you doing the same functions. The only good thing about the 2 week stay was losing 12 pounds.
Do yourself a favor, read your insurance policies well and ask many questions. Hopefully you can avoid the misery I went through.
You did not get the best therapy. You went to a skilled nursing facility, not an inpatient rehab facility. An IP Rehab is required as part of our license to do 3 hours therapy PER DAY, 5 days per week. If someone cannot meet that 3 hours per day, we discharge them.
Additionally, Memorial Hermann doesn't play nice with the other rehab facilities. They believe that if they don't want you to go to TIRR (their own rehab), that you should go skilled nursing instead. There are 2 Encompass Health Rehabs practically beside you that have all private rooms and do 3 hours therapy per day.
Part of it might be your insurance because some of them won't approve rehab. But if you had been referred to IP Rehab instead of SNF, they would have tried like hell to get you approved, especially for a broken hip. You must have a Medicare Advantage plan. Yes, many of those really suck and I would never recommend that anyone choose it over traditional Medicare.
Don't be fooled by the name Rehab in the facilities. Find out if it's Skilled Nursing or IP Rehab. There is a huge difference. One requires that you do therapy and the other barely does it!
This post was edited on 5/19/23 at 11:52 am
Posted on 5/19/23 at 1:41 pm to LaLadyinTx
your issue should be far greater than two to a room. You want to spend the minimum amount of time as inpatient to the hospital and nursing facility. Because that is where the infectious people congregate. Think MRSA...
I had 2 total knee replacements done last year as an out patient, about 12 hours in the speciality surgical hospital each time. Medicare coverage as an out patient was 20 grand better than if I was inpatient, for each knee. My total cost, out of pocket was 750 dollars for both combined.
Physical therapy was intense, painful and a full schedule was 3 times a week with lots of opioids in between. Wife drove me to each one from our own house.
You should have gotten the surgeon on board before the hospital
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