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School of Medicine
Our goal is to prepare you to go home after discharge. However, some patients will need additional rehabilitation to increase their independence prior to returning home.
Q. Does my insurance cover home rehabilitation costs or home care?
A. Some insurance providers do not cover rehabilitation, even if your doctor or physical therapist recommends it. Contact your insurance company regarding coverage for home care or placement in a rehabilitation facility. Your need for such care depends on your progress after surgery.
Q. Who will make the arrangements for my after-hospital care?
A. Your doctor, PA, nurses and therapists will decide on the most appropriate treatment plan. A member of our Case Management Department will consider your insurance benefits when coordinating your discharge.
Q. How is home care arranged?
A. Your case manager will coordinate home care with our Johns Hopkins home care liaison to schedule your home physical therapy as well as coordinate options with your insurance company. If you do not qualify for home physical therapy, your physician may order outpatient therapy. The case manager can provide you with a list of centers in the area, or your physician may have a recommendation.
The Bolduc Family Outpatient Center at the hospital services pediatric outpatients and adult multidisciplinary outpatients needing occupational therapy, speech-language pathology and physical therapy. The department can be reached at 443-718-3000.
Q. Will I need special equipment at home?
A. Any special equipment will be arranged by Case Management, PT and OT, so you will have it when your return home. You may call your insurance company about the medical equipment your plan covers after total spine surgery. Many insurance providers do not cover hospital beds, wheelchairs, tub chairs or grab bars for patients who have had spine surgery.
Q. Which rehabilitation facility can I use?
A. If required, there are many rehabilitation facilities available. Some forms of rehabilitation take place in a skilled nursing facility, while others are in an acute rehab facility. If you prefer to use a specific provider, contact the provider directly about coverage from your insurance company. We also recommend that you visit the facility before your surgery, if possible. If you do not have a preference, your social worker will help you choose a provider before you leave the hospital.
Q. How will I be transported to a rehabilitation facility?
A. Your social worker will arrange transportation. Your medical needs and insurance coverage will determine which transportation method is most appropriate. In some cases, you can expect to pay out-of-pocket expenses for transportation, but this will be determined by your social worker prior to your discharge.
If you have further concerns or questions about home care needs or rehabilitation facilities, Case Management will be available during the preoperative orientation meeting and your hospitalization.