Preconditions and application procedures for getting rehabilitation services
The purpose of rehabilitation is to help you stay or become fit enough to work. You can ask your doctor, your pension insurance company or Kela if you have a right to rehabilitation.
When you have been on sick leave for 60 working days running, you can ask Kela to find out if you can have rehabilitation. After you have been on sick leave for 150 days, Kela will send you a letter about different types of rehabilitation. If you are on sick leave for 300 working days running, you will still be offered rehabilitation before anything else. Talk to the doctor who treats you.
You do not have to have full capacity for work to go back. Even if you have partial capacity for work, this is enough. You can work part time and get support for part-time rehabilitation. After 300 days of sick leave you may also go on a fixed-term or continuous disability pension.
A disability pension that you get for a fixed term or until further notice can also be paid to you as a partial benefit if you can work part time or manage lighter work.
You can get rehabilitation supported by your pension insurance company if you meet the following conditions:
- you are not old enough to get old-age pension
- you have been working steadily over the years
- you are an entrepreneur or your employment relationship or entrepreneurship ended less than three years ago
- your capacity for work may be lost or get much worse because of your sickness or disability
- rehabilitation could help you to continue working
- your earnings in the last five years are sufficient
- you are not entitled to rehabilitation based on accident or motor insurance.
You can ask to get to rehabilitation yourself. The occupational health care services or your supervisor may also propose that you get rehabilitation.
If you are self-employed, talk to your occupational health care doctor or your local health centre about rehabilitation. Your pension insurance company will be responsible for your rehabilitation together with Kela.
Yes, you can. Under the law, persons who have been unemployed for a long time can take part in work activities as a form of rehabilitation. These activities are organised by your own municipality and the TE Office. The purpose of work activities is to empower you and improve your life management skills in order to make it easier for you to get back to work.
Rehabilitative work experience includes work at a workshop, municipal or state-owned office, congregation, foundation or an association. You can work 1 to 4 days a week, from 4 to 8 hours at a time. This may go on from three months to two years. In addition to working, you can usually take part in group activities and a social instructor will support you.
If you receive unemployment benefits, you will receive a daily maintenance allowance for participating in a rehabilitative work experience. If you receive social assistance, you will receive a daily premium grant for the rehabilitative work experience. In addition, you are entitled to compensation for your travel expenses.
Ask the TE Office or your home municipality about rehabilitation in form of work activities.
Kela organises and pays for discretionary rehabilitation that you may get in addition to Kela’s vocational rehabilitation and demanding medical rehabilitation. Discretionary rehabilitation supports the participants’ capacity for work, ability to study and functional capacity. In practice, it may mean rehabilitation or adaptation training courses, neuropsychological rehabilitation or training courses for young people suffering from depression and anxiety. These courses are intended especially for young students in general upper secondary education, but who have health problems that cause a risk of delaying or interrupting the studies.
The costs of your rehabilitation are paid by your pension insurance company or Kela. You usually have to pay at least a part of the costs of rehabilitation services, such as therapy or spending time at a rehabilitation institution. You can get financial support from your pension insurance company or Kela during the time you are in rehabilitation.
Yes, you can. Rehabilitation companies also sell their services to customers who do not have a right to rehabilitation supported by a pension insurance company or Kela. For example, they offer physiotherapy, occupational therapy, day rehabilitation, day activities led by an instructor, acupuncture and massage. You can plan a rehabilitation programme that is suitable for you together with a team of professionals.