Spa treatment covered by ZUS (Social Insurance Institution). Find out where and under what conditions you can go.

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Spa treatment covered by ZUS (Social Insurance Institution). Find out where and under what conditions you can go.

Spa treatment covered by ZUS (Social Insurance Institution). Find out where and under what conditions you can go.

Author: MCD • Source: Rynek Zdrowia, ZUSPublished: August 23, 2025 16:40

The Social Insurance Institution (ZUS) can finance treatment in sanatoriums and rehabilitation centers. Its website provides information on who can use this option and how. It also indicates which sanatoriums have signed agreements with ZUS. Here's a full list.

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  • The decision to refer a patient to rehabilitation under the ZUS program is made by a medical examiner after examination and analysis of the documentation.
  • Each rehabilitation stay lasts 24 days and is free of charge for patients.
  • The Social Insurance Institution (ZUS) covers medical rehabilitation at centers across Poland. We've checked which ones cooperate with ZUS.
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The Social Insurance Institution (ZUS) can finance treatment in sanatoriums and rehabilitation centers as part of its so-called disability prevention program. This support is available to individuals at risk of losing their ability to work, provided there is a realistic chance of regaining their ability through rehabilitation.

To benefit from the program and go to a sanatorium at the Institute's expense, you must also meet one of the following conditions:

  • be insured with ZUS on account of professional activity,
  • receive sickness benefit or rehabilitation benefit,
  • receive a periodic pension for incapacity for work.

You can also benefit from medical rehabilitation financed by ZUS if:

  • when checking the sick leave on which the person is currently staying, the medical examiner will determine such a need,
  • a person applies for rehabilitation benefits or a disability pension.

The application for medical rehabilitation under the ZUS disability pension prevention program (PR-4 application) must be completed by the patient's physician. Any licensed physician can complete the application. It does not need to be submitted in person; the physician will submit it electronically (e-ZLA) via the ZUS Electronic Services Platform.

Qualification for the program is determined by a ZUS (Social Insurance Institution) physician. Patients must bring their treatment documentation with them to the examination. If the physician issues a decision regarding the need for rehabilitation, the patient will receive a referral notice by mail with information about the date and location of the rehabilitation.

Each rehabilitation stay lasts 24 days and is free for patients. The Social Insurance Institution (ZUS) covers the costs of treatment, accommodations, and meals.

What is also important is that you do not have to use your vacation leave to benefit from rehabilitation, because the doctor issues a sick leave certificate for the entire period of your stay in the sanatorium.

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From the rehabilitation of the musculoskeletal system to neurological and oncological diseases

Inpatient rehabilitation (sanatoriums) covers patients:

  • with musculoskeletal problems,
  • with circulatory system problems,
  • with respiratory problems,
  • with psychosomatic illnesses,
  • with oncological diseases,
  • with neurological diseases,
  • with diseases of the vocal organ.

Outpatient care covers similar conditions but requires daily travel to treatments at designated times.

As part of rehabilitation, patients are provided with:

  • individual treatment plan including physiotherapy (kinesiotherapy, physical therapy, massages),
  • psychological support (individual therapy, psychoeducation, relaxation training)
  • health education on proper nutrition, prevention of lifestyle diseases and addictions, as well as basic knowledge about diseases and hazards in the workplace.
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Where can you travel on Social Security (ZUS) expense? Here's a list of places.

ZUS does not have its own sanatoriums, so it collaborates with rehabilitation facilities across Poland. These are often located in attractive spa towns.

We can use in-patient rehabilitation for vocal disorders in:

  • Railway Spa Hospital Sp. z o. o. in Ciechocinek,
  • Spa House of the Cieplice Health Resort - PGU Group in Jelenia Góra,
  • Hotel Dom Polonii of the "SWP ZDROWIE" Foundation in Ostróda,
  • Wacław Spa Hospital of the Świeradów-Czerniawa Spa - PGU Group in Świeradów-Zdrój,
  • Sanatorium "Uzdrowisko Uniejów Park" in Uniejów,

Rehabilitation in oncological diseases after treatment for breast cancer under the ZUS program is offered by:

  • Health Promotion Center "Sanvit" in Iwonicz-Zdrój,
  • Sanatorium and Spa Hospital "ZIMOWIT" Uzdrowisko Rymanów SA in Rymanów-Zdrój,
  • Elvita NZOZ SU "Elektron" in Ustroń,
  • Sanatorium and Spa Hospital "Równica" in Ustroń.

For rehabilitation in respiratory diseases you can go to:

  • Baltic Rehabilitation Centre NZOZ Alma Anna Dobrzyńska-Stecka in Gdańsk,
  • "Beskid" Spa Resort in Wysowa-Zdrój,

Rehabilitation for psychosomatic disorders is offered by:

  • NZOZ SPA Hospital WITAL - BUILDING A in Gołdap,
  • Wielspin Rehabilitation and Recreation Center in Wągrowiec,
  • "Jutrzenka" Health Resort in Wieniec-Zdrój,
  • Psychosomatic Clinic Ltd. "Wysowa" PPL nadParkiem Center - Rehabilitation Department in Wysowa Zdrój,
  • Klinika Psychosomatica SOL Sp. z o. o. Sp.K. "Wysowa" NZOZ Center - Rehabilitation Department in Wysowa Zdrój.

Rehabilitation for circulatory system diseases under the ZUS program is available in:

  • Therapeutic Rehabilitation Center "Dąbrówka" of the Kamień Pomorski SA Health Resort in Kamień Pomorski,
  • Fala Sanatorium in Stegna,
  • "Jutrzenka" Health Resort in Wieniec-Zdrój.

Rehabilitation for musculoskeletal disorders is offered by:

  • Railway Spa Hospital Sp. z o. o. in Ciechocinek, branch in Aleksandrów Kujawski,
  • Baltic Rehabilitation Centre NZOZ ALMA Anna Dobrzyńska-Stecka in Gdańsk
  • WITAL Health Resort in Gołdap,
  • GRUNWALD Therapy Center of Stanisław Bojkowski in Gościm, Drezdenko commune,
  • "EXCELSIOR" Spa and Rehabilitation Hospital in Iwonicz-Zdrój,
  • "Biały Orzeł" Health Resort in Iwonicz-Zdrój,
  • Klimat Sanatorium in Iwonicz-Zdrój,
  • "Wisła" Health Resort in Iwonicz-Zdrój,
  • Health Promotion Center "Sanvit" Iwonicz-Zdrój Branch - Health Resort in Iwonicz-Zdrój,
  • Świerkowy Zdrój Medical SPA in Iwonicz-Zdrój
  • "Dąbrówka" Health Resort in Kamień Pomorski,
  • Zefir Sanatorium in Krynica Morska,
  • Albatros Sanatorium, Commercial, Service and Catering Establishment "LEMAX" in Krynica Morska,
  • Sanatorium Spa "Leśnik-Drzewiarz" Sp. z o. o. in Krynica-Zdrój,
  • Sanatorium "Stary Dom Zdrojowy" in Krynica-Zdrój,
  • Treatment and Rehabilitation Center "Beskid" in Krynica-Zdrój,
  • Rehabilitation Center "Perła" in Międzywodzie,
  • NZOZ "Muszyna" Rehabilitation and Prevention Center, Spa Sanatorium in Muszyna,
  • ZNP-ZG Health Resort in Nałęczów,
  • Rehabilitation Center "ConcordiaSalus" in Pniewy near Grójec,
  • Private Health Care Facility Sanatorium Uzdrowiskowe "Plon" Sp. z o. o. in Polańczyk,
  • NZOZ Sanatorium Spa "Amer-Pol" Henryk Koszałka in Polańczyk,
  • "Amer-Pol" Sp. z o. o. NZOZ Sanatorium Uzdrowiskowe ATRIUM in Polańczyk,
  • BORKOWO Medical Center in Połczyn-Zdrój,
  • Spa Hospital "Olszówka" pavilion A in Rabka-Zdrój,
  • Ossa Medical Center in Rawa Mazowiecka,
  • "Ziemowit" Hospital and Sanatorium in Rymanów-Zdrój,
  • "Świtezianka" in Rymanów-Zdrój,
  • Fala Sanatorium in Stegna,
  • Padre Pio Training and Rehabilitation Center in Stróże,
  • Sanatorium and Spa Hospital "Równica" in Ustroń,
  • ORW Muflon in Ustroń,
  • "Orlik" Health Resort in Ustroń,
  • The "JASKÓŁKA" Center in Ustroń,
  • "DANIEL" Health Resort in Ustroń,
  • "Róża" Health Resort in Ustroń,
  • REH-MEDICA Rehabilitation Hospital in Warsaw
  • "Jutrzenka" Health Resort in Wieniec-Zdrój,
  • Klinika Psychosomatica SOL Sp. z o. o. Sp. J. "Wysowa" NZOZ Center - Rehabilitation Department in Wysowa-Zdrój,
  • "BIAWENA" Spa Resort in Wysowa-Zdrój.

Rehabilitation for diseases of the central nervous system can be used in:

  • "Róża" Health Resort in Ustroń,
  • Międzylesie Rehabilitation Clinic in Warsaw.
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