Blog Post

Be in the Know: When is PT/OT/SLP Available to You? (And What Does Insurance Cover?)

Part 2: Exploring Hospital-Based Therapy

Introduction:

Welcome back to our five-part series, “Be in the Know,” where we unravel the intricacies of when and where individuals can access Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP). In the previous installment, we introduced the four primary healthcare settings for therapy services. Now, let’s delve into the first setting: the hospital. Hospitals serve as critical hubs for immediate care and rehabilitation, with PT, OT, and SLP playing vital roles in patients’ recovery journeys.

Understanding Hospital-Based Therapy:

Hospitals are dynamic environments where individuals receive acute medical care, undergo surgeries, and initiate their path to recovery. PT, OT, and SLP are integral components of this recovery process, addressing a wide range of conditions such as post-surgical rehabilitation, chronic disease management, and recovery from traumatic injuries.

Post-Surgical Rehabilitation:

  • After undergoing surgery, patients often require rehabilitation to regain strength, mobility, and functionality. PT assists in rebuilding muscle strength and improving mobility, while OT focuses on enhancing daily living skills and SLP addresses any speech or swallowing difficulties that may arise post-surgery.

Chronic Disease Management:

  • Individuals with chronic conditions, such as cardiac issues or respiratory diseases, may require therapy services during their hospital stay. PT helps manage symptoms, improve cardiovascular health, and enhance overall physical function. OT supports individuals in adapting to the challenges of daily life imposed by chronic diseases, and SLP may address communication or swallowing issues associated with certain conditions.

Traumatic Injury Recovery:

  • Patients recovering from traumatic injuries, such as fractures or head injuries, benefit significantly from hospital-based therapy. PT aids in restoring mobility and functionality, OT helps patients regain independence in daily activities, and SLP addresses any speech or communication challenges resulting from the injury.

Insurance Coverage for Hospital-Based Therapy:

The good news is that insurance typically covers PT, OT, and SLP services provided in a hospital setting. But why is this coverage essential?

Preventing Deconditioning:

  • Extended periods of bed rest can lead to muscle weakness and overall deconditioning. Insurance recognizes the importance of preventing such complications and, therefore, covers therapy services to ensure patients maintain or regain their physical abilities.

Timely Intervention for Optimal Recovery:

  • Hospital-based therapy is time-sensitive, and insurance coverage facilitates timely intervention. Whether it’s immediately post-surgery or during the management of a chronic condition, insurance ensures that individuals have access to the necessary therapeutic services without financial barriers.

How to Access Hospital-Based Therapy:

To benefit from hospital-based therapy, a doctor’s order is typically required. Patients and their families play an active role in advocating for their healthcare needs. Here’s how you can ensure access to therapy services:

Communicate with Your Doctor:

  • Engage in open communication with your healthcare provider. If you believe therapy could be beneficial for your recovery, discuss it with your doctor, and inquire about the possibility of a therapy prescription.

Ask Questions:

  • Don’t hesitate to ask questions about the potential benefits of therapy, the expected outcomes, and the duration of the therapy sessions. Understanding the process empowers you to actively participate in your recovery.

Conclusion:

Hospital-based therapy is a crucial component of the recovery journey for individuals facing various health challenges. Whether it’s post-surgery, chronic disease management, or traumatic injury recovery, PT, OT, and SLP contribute significantly to improved outcomes. Insurance coverage ensures that these vital services are accessible to individuals without adding financial stress. As you navigate the healthcare landscape, remember that you have the right to inquire about and advocate for the therapy services that can positively impact your well-being. Stay tuned for the next installment in our series, where we’ll explore therapy services in different types of rehab centers. Be in the know and take charge of your path to recovery and well-being.

Bio: Regina started Mobile Therapy Solutions in October 2020. She is an Occupational Therapist with 22 years’ experience working with seniors in their homes.  She always says her favorite people are at least 90!  Her degree is from Keuka College in Upstate NY and she has lived in Cobb County since 2012 with her 3 girls.