Have you ever wondered if/to what extent your medications are covered by national health insurance or your supplemental plan?
Use the links listed below to search listings of the medications covered by the basic Healthcare Basket or by the supplemental insurance plans from each kupat cholim.
A co-payment is often required for all medications, and coverage may be dependent on meeting diagnostic criteria and/or other clinical factors specified in the listings (in Hebrew).
Medications included in the Healthcare Basket are provided to anyone covered by national insurance (anyone entitled to national insurance/paying Bituach Leumi contributions).
Those who have a supplemental health plan are entitled to full or partial coverage of some medications which are not included in the Healthcare Basket.
Please note: Websites and listings may change or be updated over time so please leave a comment below if a link doesn’t work or is outdated.
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How do I know what’s covered by the Healthcare Basket and what isn’t?
Hi Blair, Check out “What is the Healthcare Basket?”, including all of the links on that page.
Does clatit platinum cover psychiatry Going to a private doctor for sessions or psychology
To check if there is an opportunity for reimbursement for visits to a private psychiatrist you will have to contact Clalit directly either at your local clinic, or by calling the general information number *2700. Be sure to ask: 1) if there is coverage, what is the limit or copay? 2) if you need a referral from a Clalit doctor first? 3) is there a listing of private psychiatrists/psychologists that they work with? 4) can you find your own specialist and submit their credentials for approval?
The only way to make sure you will get assistance from the kupah is to communicate directly with them.
2 yrs ago, I was diagnosed with a rare autoimmune disease called Pemphigus Vulgaris (PV). PV is a blistering disease. It is treated with steroids and immunosuppressants. I did respond to the meds but I suffered many side effects. There is another med call Rituximab that is also used to treat PV. It is a biologic.I believe that my insurance Maccabi Zehav does cover its expense. It has been proven to be very effective in treating PV. Also very costly. Has little side effects compared to long term use of steroids and immunosuppressants. My dermatologist at Hadassah Ein Kerem said that she would not write a letter authorizing Rituximab for me because of the cost.Now, I only have the PV on my gums but it could spread to the rest of my body very quickly. I don’t want that to happen. I would like to treat my disease with the most effective medicine. PV is fatal if it is not treated! Is there any other way for me to get my derm to write that letter authorizing the Rituximab?
Are punctal plugs covered, either in the basket or in Maccabi Sheli?