The physiotherapist’s service does not include passive procedures such as massage, spa treatments, salt room, cryotherapy, magnet therapy, and similar activities. The services of a doctor and a nurse are advisory only and do not include medical activities such as diagnosis, drawing up a treatment plan, issuing prescriptions, performing medical procedures, or issuing referrals to specialists or examinations.

– Services are provided individually or in a group, except for the doctor’s service which is provided only individually. Where justified, services may also be provided to the client’s family and support network.

– Active participation according to the action plan and the rehabilitation plan prepared by the provider is required. If this is not followed, the Social Insurance Board may refuse to assume the obligation to pay under § 21 subsection 1 point 3 of the General Part of the Social Code.

– Social rehabilitation is a complex service that requires the involvement of at least three different specialists throughout the rehabilitation process to achieve the set goals.

– Treatment, including medical rehabilitation and sanatorium treatment, is not social rehabilitation; in case of such a need, please contact your family physician or another doctor.

– To identify and receive educational support services, please contact the Rajaleidja Centre.

Who is eligible
According to § 59 subsection 1 of the Social Welfare Act, the following target groups are eligible for the service: children with an established degree of disability (applications can be submitted at ages 0–15; if a positive decision is issued, the service can be received until the end of the calendar year in which the child turns 16); people of working age and of old-age pension age; children recognised by the local government as in need of assistance (the local government may apply for ages 0–17; if a positive decision is issued, the service can be received until the end of the calendar year in which the child turns 19); people with a first-episode psychosis.

The social rehabilitation service is provided by the contracted partners of the Social Insurance Board

The provider delivers the service to children on the basis of a rehabilitation plan, and to people of working or pension age on the basis of an action plan. If an appropriate rehabilitation programme is available, the service may be provided under that programme to both children and adults.

Once you have received the referral decision, to keep it valid you must contact a suitable provider and register within 60 days from the date of issue indicated in the decision. Services can be used during the period stated in the decision after the rehabilitation plan or action plan has been prepared. The expiry of a disability or incapacity decision does not terminate the service; you may continue to use it until the referral decision expires. Please participate actively in the process and contribute as much as possible to achieving the goals.

For the services provided, the provider keeps a dataset – a service log – where each visit includes the date, name and code of the service, number of hours, specialist’s name and profession, and a description of the content. We recommend asking the provider to show this log during the process, so that you remain an active participant and are aware of the content and volume of services you receive.

One hour of service (60 minutes) consists of approximately 45 minutes of direct work with the client – about three quarters of the time – and about 15 minutes of indirect activities – about one quarter. For services with a fixed hourly price, the minimum accounting step is 0.25 hours (15 minutes). Therefore, the duration of an individual or group service visit can be 0.25, 0.5, 0.75, or 1 hour, and so on in 0.25-hour steps. In the log, the amount of service is recorded in hours – 0.25, 0.5, 0.75, 1.0 and so on.

Example: the client received an individual psychological service. The log recorded an amount of 1 hour (60 minutes) of an individual psychologist service. Of this time approximately three quarters, that is 45 minutes, were direct psychologist work, and one quarter, that is 15 minutes, were indirect activities related to the service.

Reports and invoices must correspond to the log. No later than at the end of service provision and before the final report is prepared, the provider asks you to confirm with a signature the services you received. The provider may do this more frequently, for example after each visit or once a month.

When the service ends, the provider together with you evaluates the impact of the service on your daily coping, describes the results achieved and the facilitating and hindering factors. Recommendations are also given regarding the further need for rehabilitation services and any other support.

The provider you contacted and with whom you agreed on the provision of the service organises all the rehabilitation services you need. If necessary, the provider may involve other SRT specialists from another rehabilitation institution that has a contract with the Social Insurance Board.

Changing the service provider

You can change the provider if there is a valid reason, for example if you have moved or if cooperation with the current team has not developed appropriately. If you wish to change the provider, first inform your current provider and then submit an application to us.

Application for changing the rehabilitation institution | 27.96 KB | DOCX

After you have notified your provider of the wish to change, the provider together with you evaluates the achievement of the goals (prepares part D – effectiveness assessment) and you confirm with a signature that the services recorded in the log were received. The provider then prepares the final report and submits it together with the effectiveness assessment to the Social Insurance Board. A new referral decision will be issued within 10 working days for children and within 40 working days for people of working age from the receipt of correct final documents.

One aim of the social rehabilitation service is to support the person in a usual and natural environment so that they manage better in society. To ensure effectiveness and prudent use of resources, it is very important that rehabilitation takes place consistently and as much as possible in the client’s everyday environment.

If there is no suitable provider near home, it may be necessary to use a provider farther away, and in exceptional cases it is reasonable to use the service together with accommodation. If you wish to receive the social rehabilitation service with accommodation, you must choose a provider from the list sent with your referral decision that offers accommodation together with the service.

The annual accommodation limits are as follows:

• for the client – €120.45 (€24.09 per 24-hour period);
• for the child’s accompanying person – €91.45.

An exception applies to working-age persons with mental disorders, for whom the annual accommodation limit is up to €843.15; the daily rate is the same as for other clients – €24.09 per 24-hour period.

The Social Insurance Board pays the accommodation costs directly to the social rehabilitation provider. Please note that we do not pay only for accommodation. Eligibility for accommodation reimbursement requires the use of social rehabilitation services. If you use other services at the provider and pay for them yourself while social rehabilitation is not provided, accommodation reimbursement cannot be used. If you wish to stay somewhere other than at the provider during the social rehabilitation service, you must pay for accommodation yourself.

Travel costs to the rehabilitation service are reimbursed for clients who attend the service outside their home municipality according to the Population Register, for example if you live in Rõuge and attend the service in Elva, or live in Elva and attend the service in Tartu. If desired, the client’s accompanying person may also apply for reimbursement.

Travel related to the service is reimbursed at €0.10 per kilometre, but not more than €41.55 per calendar year. If both the client and the accompanying person apply, the total reimbursed amount together is €41.55, not separately for each applicant.

To receive reimbursement, an application must be submitted

• with a digital signature by e-mail to info@sotsiaalkindlustusamet.ee;
• on paper by post to: Paldiski mnt 80, 15092 Tallinn;
• to a client service office of the Social Insurance Board. Addresses and opening hours – here.

The Social Insurance Board sends the applicant only a negative decision regarding travel reimbursement; if the decision is positive, no separate decision is issued and the payment is made.

From 04.11.2024 the travel reimbursement for the social rehabilitation service is paid three times a month – on the 12th of each month and on the last two Thursdays of the month.

* If the 12th falls on a weekend, the payment is made on the preceding Friday.