Insurance
Insurance covers government and private insurance in Israel.
Thursday, 08 November 2012 14:32
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Even though your Kupat Cholim is obligated to provide medical services they are allowed to charge co-payment for services. The following are listings of services and payments, as well as exceptions and limits, published by the kupot. Read More…
Wednesday, 17 October 2012 12:16
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About this Benefit Each Kupat Cholim offers home care services to patients with difficulty leaving their home for the medical services that they need. A full range of medical services are provided with home visits from doctors, nurses, and social workers, as well as paramedical providers, like physiotherapists, occupational therapists, speech therapists, and others. Who is Read More…
Thursday, 24 May 2012 12:18
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What is Long-term Care Insurance? What is the Kupat Cholim offering? How to compare to private insurance companies. Read More…
Thursday, 24 May 2012 11:51
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Unlike national health insurance delivered by the health funds and the Misrad Habriut, insurance companies sell policies expanding the basic package of services, offering additional layers, and providing a level of service that the basic package omits, including private health services such as long-term care. These policies can be examined independently via registered insurance agents, Read More…
Thursday, 24 May 2012 10:49
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The Kupat Cholim is permitted to offer supplemental health service plans (‘Shaban’- Sherutei Briut Nosafim) that offer additional medical services beyond those included in the Health Basket. These plans are optional and require additional payment to the Kupat Cholim beyond the basic health insurance contributions that all residents pay to Bituach Leumi. A health fund is Read More…
Monday, 21 May 2012 12:52
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Personal Preventive Medicine The basket includes such services as: Checkups and guidance for pregnant women Tests for early detection of congenital diseases and birth defects Immunization and developmental testing for infants and children Health services for schoolchildren These services are usually provided at family health stations (Tipat Chalav) or within the school framework. Some of Read More…
Monday, 21 May 2012 11:57
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Services Provided by the Kupat Cholim Diagnosis, consultation and medical treatment. Medications according to a list, some of which are provided only for a particular indication. Hospitalization in a general hospital. Rehabilitation, including hospitalization. Accessories and medical supplies. Medical services in the work place. Copayments The health plans (kupot) are permitted to charge Copayments for Read More…
Tuesday, 27 March 2012 14:50
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Automobile accidents can occur in an instant and can make life difficult both physically and emotionally, in addition to the financial costs. In order to ease your hardship and ensure your rights as a victim, it is necessary to take care of the more technical side of things. It is therefore recommended to refer to Read More…
Tuesday, 28 February 2012 17:03
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Different Populations In discussing mental health care rights it is important to distinguish between several populations that these rights address. First, there is the general population in Israel that may encounter acute or ongoing psychological issues, and have rights addressed in the National Health Insurance Law. Another sub-population is considered the “mentally disabled” (nachei nefesh) who Read More…
Tuesday, 28 February 2012 13:47
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After a heart attack or surgery, patients feel vulnerable and anxious and are sometimes afraid of losing their ability to function; they do not always know what action is required in their situation. To alleviate these problems, these rehabilitation programs have been developed. Read More…
Monday, 13 February 2012 12:25
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Kupat Cholim Eligibility for anyone who is insured Anyone who is insured by a Kupat Cholim is eligible for a Kupat Cholim contribution towards the purchase of a hearing device. Accurate as of August 2010, the Kupat Cholim contribution is a total of 851 NIS per year per ear. Eligibility for those who are age Read More…
Monday, 13 February 2012 11:05
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The following describes eligibility for speech therapy under specific conditions as defined on the Clalit health plan website (valid as of January 1, 2011). The health basket also requires the Kupat Cholim to provide speech therapy as part of child development services. The best way to clarify the services available, and any additional entitlements included in the Read More…
Sunday, 12 February 2012 13:47
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As detailed on the Clalit health plan health services website (January 1, 2010) Insulin Pump Clalit customers are entitled to receive an insulin pump free of charge under the following conditions with a referral from the treating doctor: Children and adults with diabetes who suffer from hypoglycemic attacks marked by spontaneous loss of consciousness, confusion Read More…
Sunday, 12 February 2012 13:30
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Maximum stay period – 30 days per year. Contribution for each day in a hotel – Up to 207 NIS per day, or as updated from time to time and in any event, no more than 70% of the actual expense. Apartmentrental – Someone who is insured and is not interested in staying in Read More…
Monday, 26 December 2011 14:18
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A quick reference guide to benefits and services, including many items of concern for individuals with ongoing medical issues, and where to turn for comprehensive information. The checklist is intended to be used as a tool to facilitate productive communication between patients and social workers or other assistance professionals. Read More…
Monday, 26 December 2011 14:15
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Update: This post is specifically about Hadassah Hospital’s Sharap service. Other Jerusalem area hospitals have similar services as well. If you are dealing with specialists or procedures in the Jerusalem area, you should know about Sharap. Sharap is the private health services associated with Hadassah Hospitals that enables patients to select the senior physician Read More…
Monday, 26 December 2011 14:09
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Getting familiar with your kupat cholim’s services and how to use them can save you time and money, or possibly make a difference in more important ways. Here are the links to the English sites for each Kupat Cholim, and the English brochures and regulations that they have produced. Read More…
Monday, 26 December 2011 13:49
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Further Reference: MeuhedetMaccabiClalitLeumit The supplemental plans of the Kupot Cholim offer second opinion or private consultation benefits that include a refund of a significant percentage of a private doctor’s fees. Details differ between the Kupot Cholim and are available in each one’s guide to supplemental services. This benefit may also be useful for a member Read More…
Monday, 26 December 2011 13:19
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Recently, Kupat Cholim Clalit initiated a very exciting program called “Clalit, For Your Information” (כללית לידיעתך) that we really hope to see catching on with all of the other Kupot. The new Clalit program is a dedicated information channel for getting comprehensive information about rights, benefits and services into the hands of patients instead of Read More…
Monday, 26 December 2011 12:46
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In principle, the obligation imposed by the law for the Kupat Cholim to provide health services to Israeli residents is limited exclusively to the territory of Israel. However, there is a defined set of cases where the insured is entitled to participation in the costs of medical treatment abroad, subject to the fulfillment of all Read More…
Monday, 26 December 2011 12:42
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Reasonable distance The law requires that basket of health services be provided to the insured at a reasonable distance from his place of residence, but does not define the term "reasonable distance”. There have been conditions for which the Ministry of Health has ruled that the Kupat Cholim must reach an arrangement with an institute Read More…
Monday, 26 December 2011 12:38
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Indications for treatments For some medications, the basket of health services explicitly determines "indications" – that is, provisions that limit the insured’s right to receive the medication or the medical service to specific medical conditions. A health fund is not obligated to fund the cost of a medication for indications other than those Read More…
Monday, 26 December 2011 12:34
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The Law In 1994 the Knesset passed the National Health Insurance Law, establishing the means and measures for upholding the following principles. Application to all residents: Every resident of Israel is entitled to health services under the National Health Insurance Law. Provision of service is not connected to the ability to pay: A resident pays for health Read More…
Monday, 26 December 2011 12:25
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A friend called the other day to ask if I had any useful information about switching to a different Kupat Cholim. Here’s a short summary of what I had to offer: First, general instructions for how to make the switch are available in English on the Meuhedet website, and the process is the same for Read More…
