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Choosing a Kupat Cholim

Among the questions we are frequently asked here at SPP are: I am making Aliyah, which Kupat Cholim (health fund) do I choose? How do I know which Kupah is the best for me and my family?

We thought we’d give you the tips and tricks in how to choose your Kupat Cholim:

Israel has four health funds: ClalitLeumitMaccabi, and Meuchedet. It is important to remember that, in terms of coverage, all health funds are obligated to provide the same basic basket of health care services, and even their supplemental plans are highly comparable.  The decision criteria described here are more about convenience and experience. 

When you make Aliyah you can register for health coverage and choose your Kupat Cholim at the airport. You are not obligated to register at this time. If you are unsure for what plan to register, you can do so later at your local post office.

As far as choosing a Kupah, in every conversation about how to choose your Kupah (including one that took place a while back on our facebook page) it always comes down to the following criteria: Geography/Accessibility, Recommendations, Particular services/doctors.

Geography and Accessibility:

It is important that your local Clinic is close to, and accessible, from your home. For example, there are some towns that only have one health fund clinic within, or very close by. Even in dense cities, sometimes small details can make a difference in how easily you can show up at your clinic. You may want to find out which kupah has the absolute closest branch to your residence, or in a commercial center that you will be frequenting. 

Recommendations:

Those with personal experience in the local kupot are truly your best resource. If you have English speaking friends or family already living in a particular area, it is good to ask for recommendations on a health fund. Most Anglos living in the Jerusalem area register with Meuhedet or Maccabi, while many in Ramat Beit Shemesh sing the praises of their Leumit clinic. Clalit has the most extensive services in locales around the country. As long as there is adequate local infrastructure, some communities find that different kupot make an extra effort to cater to English speakers at times, or members find that they have many Anglo friendly doctors.

Are you involved in any community groups, even virtual? Facebook community groups are an amazing crowdsourcing resource, as well as the dedicated groups Israel Medical Inquiries and Navigate the Israeli Healthcare System. People with positive experiences in their kupah, or with particular doctors, or clinics are really the best resource for a recommendation.

Particular Services/Doctors: 

If you have been referred to a particular specialist, or have a condition that needs attention, then it’s worth exploring if they work with a specific Kupah.  It is also important to ascertain if your prospective Kupah has special arrangements with a hospital that you know will be a regular resource for you. Generally, all of the kupot offer adequate support for any condition you might need to deal with, but if you come in with specific preferences, then you can narrow down which kupah you want.

You’re Not Stuck

Remember you can always  change your Kupat Cholim if you are unhappy with your first choice. See Switching Health Plans for general instructions for how to make the switch.

More Choices

There is also the option to upgrade to supplementary insurance.  Please note that you do not need to elect to upgrade upon making aliyah. You can opt for supplementary insurance at a later date, however a wait period for some additional services may apply.

As always, The Shira Pransky Project is here to assist with your navigational questions. Depending on your prospective community, they may be able to share the reputations and personal experiences with the different kupot that they have heard from other members, or connect you directly with others.

Whether you are a new Oleh, or have been here for years, we wish you a Mazel Tov, and Labriut, to your health!

Further Reading:

To find out more about what your Kupah is offering you please read here.

For all of the most up-to-date Kupah brochures in English, check out: Forms and Files.

For other related information we have translated as part of our collaboration with Kol-Zchut: Choosing a Health Plan

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Therapy Through the Kupat Cholim

As of July 2015, the responsibility for providing mental health services to the public was transferred from the Ministry of Health to the Kupot Cholim. For the average Kupah member (in non-acute and non-critical situations) this means figuring out how to receive therapy, possibly preceded by a psychological assessment or diagnosis.

For all mental health services you should start with your primary care doctor for referral. Once you find out where you need to go, check with the Kupah secretary or information service to see if you will need a Hitchayvut

Outpatient Clinics

There are therapists available in outpatient clinics of general and psychiatric hospitals, or community clinics run by, (or by agreement with), the Kupat Cholim. These options are the cheapest (ranging from free to around 32 shekels, once per quarter), and you may be able to find one close to home. On the other hand, it may take a lot of time to get started, and your flexibility in choosing the right therapist for you may be limited.

Independent Therapist

The way that many people consider ideal, is choosing an independent therapist. This option is more expensive (around 55 shekels for the first visit and 132 for each subsequent session), and still does not mean unlimited choice. The Kupah has a listing of independent therapists from which to choose (links below). The listing will include location and may also include the languages in which the therapist will work. You can contact these therapists directly until you find the right one and make an appointment.  At the Kupah, you will have to pay the co-payment and get a Hitchayvut to bring to the therapists’ office.

Useful Links:

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Payment and Choice in the Kupah [Basics Review]

As I read through Leumit’s Passport to Healthcare in Israel brochure from 2010 (available for download here) I thought it was a good opportunity to highlight some points that they felt were essential information about what a Kupat Cholim has to offer its clientele. I will not be referring to anything unique to Leumit, so members of Meuhedet, Maccabi and Clalit can also follow along to learn or recall just what you are entitled to receive, and what options you have in the Israeli public health system.

You Do Not Pay The Kupah for the Basic Basket

We’ve summarized the Basket of Health Services here, but these points bear repeating:

  • The Kupot Cholim provide the government’s package of basic healthcare services, which include: doctor visits, laboratory services, imaging, hospitalization, rehabilitation, paramedical (speech, occupational and other therapies), prescriptions and medical equipment.
  • You do not pay your Kupat Cholim for this insurance coverage (except for co-pays). The basic coverage is automatic when you sign up as a member to any kupat cholim. The funding comes out of your payments to Bituach Leumi (National Insurance Institute), not the kupot.

You Do Pay for Supplementary Health Insurance (Shaban)

Kupat Cholim Level 1 Level 2
Clalit Mushlam Zahav Mushlam Platinum
Maccabi Gold Sheli
Meuhedet Adif See
Leumit Kessef Zahav

 

Your monthly fees to the kupah are for additional policies that add benefits on top of the basic basket entitlements. Since you are paying extra for additional coverage, you should be familiar with the added benefits and how to use them. Some supplemental benefits:

  • Private doctors, or private medical procedures at hospitals or other facilities. These options can be limited in the expense covered, the number of times used in a year, or to whom or where you can go. Explore the arrangements directly with your kupah to find out how to exercise these private options, or get reimbursements. 
  • Additional or expanded categories of services, like genetic testing, dental treatment discounts, orthopedic products and travel vaccinations.
  • Extending coverage on treatments included in the basic basket, like additional paramedical treatments in child development services.
  • Some surgery, transplant or treatment abroad options.
  • Additional pre- and post-natal services and tests, like fertility treatments, genetic testing, scans, private obstetrician, preparation classes and convalescence.
  • Additional pediatric services, like testing for learning disabilities and bedwetting treatments.
  • Discounts on drugs not included in the basic basket.
  • More preventative care.
  • Expansion of mental health coverage.
  • Discounted alternative medicine options.

Your Kupah Has Doctor and Facility Choices Without Going Private

  • Your Kupah has a directory of physicians that are considered “within the kupah”. This directory is on the kupah website (in Hebrew) and is accessible through the 24-hour hotline representative, or your local branch secretary. Occasionally you may even be able to get a print version that looks like a small phone book.

  • You can use this directory to find a primary care physician, the center of your galaxy in the Kupah system, and to find specialists. 

  • Many primary care physicians can see you on the same day you call, or the next. 

  • Specialists can have longer wait times, but if you find multiple options from the kupah directory, you can “shop” for the best appointment.

  • Finding a facility or clinic that is not “within the Kupah” is still an option even without using your private appointment supplemental benefits, especially if the Kupah does not have a good alternative (within a reasonable time and distance). Request a hitchayvut from the kupah, and see what happens.

Further Reading

Videos: Using Your Kupat Cholim Online

This page contains videos from two out of the four national health funds about how to use their online resources, such as scheduling appointments and finding services. Even if you are a member of one of the other kupot cholim similar tools are usually available for all.

The original videos are in Hebrew and we have added English subtitles, so please make sure that you have the captions enabled. The online tools from each kupat cholim are only available via their Hebrew websites or apps, but we hope that with familiarity and courage you will consider taking advantage of these useful tools!

(We have also added another useful English produced independently by a Maccabi Clinic.)

Booking a Doctor’s Appointment Online – Without a Password (Maccabi)

Booking an Appointment from your Cellphone – Without a Password (Maccabi)

Ordering Prescriptions Online (Maccabi)

How To Request Prescriptions From Your Doctor Online (Maccabi)

Update Personal Details Online (Clalit)

Send Requests to Your Clinic (Clalit)

Finding Your Lab Results Online (Clalit)

Check your Kupah Entitlements Online (Clalit)

Accident Insurance and What to Do When a Child Gets Hurt

By Aviva Yoselis
Our strict contributed content guidelines ensure useful, informative and non-solicitous submitted content. Opinions expressed in this article are the author’s own.


Active Children Get Hurt

kid scraped kneeThe other day, I realized that there are actually people living in Israel who’ve never been to the Emergency Room, who’ve never had to take a bleeding child to the extended hours clinic to be stitched up, who’ve never looked at the chip in their child’s tooth after a fall from a slide and said, ‘yep, that tooth is gonna have to be fixed’. Now, before you stop reading in horror and say, my goodness what a negligent mother, let me just inform you that I have active boys. Three of them. Really active. And active girls who play with the active boys. We’ve been stitched, glued, x-rayed, bandaged…

So here are some important facts to know if your child, grandchild, niece, nephew or little neighbor gets hurt:

Accident Insurance for School Aged Children

Teeth

If a school age child (pre-K through 12th grade) has any type of tooth injury, chipped, knocked out, cracked,…treatment is covered by the school insurance, even if it didn’t happen on school property or during school hours. This means, that yes, the eight year old girl who was chasing her brother around the house, tripped, and cracked her two newly grown front teeth in half, can get full reconstruction of those teeth for free.

To go about this, you need to call the national insurance company (not connected to your kupah): 1-800-44-33-44 [in Hebrew only], give them your child’s information and they will call you back with a number and a list of eligible dental clinics. With that number and a letter from the school secretary saying your child is a student, you can make an appointment and go to one of the approved clinics.

Accident Injury

The insurance that you purchase at the beginning of each school year (mandatory~75 NIS), covers your school age child for all kinds of accidents (except for car and terrorist events-that’s through Bituach Leumi). If your child is hurt falling out of a tree, falling off a bike, injured on the playground, even if it didn’t happen on school property or during school hours, your child is eligible for insurance coverage. If they have a temporary disability, they may also receive coverage for that. Contact the secretary of the school for relevant phone numbers of the insurance.

Things to Remember

Head/facial wounds bleed, a lot

If the child comes in from the outside with blood running down their cheek, take a deep breath and wash the wound off first. Sometimes even small cuts look massive in the beginning.

If the injury looks deep, take the child to the nearest extended hours clinic of your kupah (not the ER unless it’s after midnight). Make sure you know where this clinic is before there’s an accident, so you don’t have to call around in the moment of panic. Put the number and address up on your fridge so it’s accessible. If there is an injury around the eye, or the cut is especially deep, know that the extended hours clinic or Terem may end up sending you to the ER to be stitched; you still need to go to the kupah clinic first, and then go to the ER with a referral, in order for the ER fee to be covered by the kupah.

[Editor’s note: If the situation is truly urgent, and wasted time contributes to the danger, do not pause for preliminary concerns. Click here to read more about Medical Attention Any Time and in Emergencies.]

Possible concussions

If the child is unconscious or loses consciousness, feels dizzy or vomits after a falling injury, take the child to the ER immediately.


Aviva Yoselis, MPH, founder and director of Health Advize and Viva Research Institute, is an expert in the field of health research, health behavior modification and shared medical decision making. She has over 20 years of experience facilitating seminars and teaching classes on health behavior and health system navigation. Aviva is skilled in identifying key points in complex situations, and looking at a range of possible solutions. Feel free to download her free guide on navigating the Israel Health Care system at http://healthadvize.com/contact-us/.

Medical Attention Any Time and in Emergencies

Your Kupat Cholim is required to have options and procedures in place for you to receive medical attention within a reasonable time 24 hours a day. Your local clinic is  available daytime hours, and there are other options available during “off hours” that are subsidized by the kupat cholim. These other options include: urgent care centers, contracted private clinics and house-call companies. 

Click here for a description of alternative medical services during “off hours”.

What about the emergency room?

Even if you walk into the emergency room during off-hours you will still have to pay unless you have a referral or one of the conditions listed for exemption (see below). You should only go to the emergency room in a true emergency, not just because you need to see a doctor on short notice. 

Click here for a description and listing of exemptions from Emergency Room costs.

In contrast to the emergency room, other options are covered by the Kupat Cholim (with a co-pay) provided you use them at the correct time. If you have the time and presence of mind in your condition, you should call your kupat cholim’s 24-hour number for directions (listed below). The operator can tell you where there are urgent care centers or other clinics you can go to in the area, and you can find out the hours and cost for the house call option. If the best option is to go to an emergency room, the operator’s referral is enough to guarantee coverage by the kupat cholim.

Kupat Cholim’s 24-hour telephone information centers:

  • Clalit:          *2700
  • Maccabi:     *3555
  • Meuhedet:   *3833
  • Leumit:         1-700-507-507

 

But… Emergencies?!

Of course, if the situation is truly urgent, and wasted time contributes to the danger, then you should not pause for these preliminaries. If you need an emergency room, that is where you should go without delay. If you are hospitalized from there, or if your condition matches any of those listed for automatic exemption, all fees will be covered by the Kupat Cholim, and if not, you can establish that the visit was “medically justified” after the fact and receive at least partial coverage.

What if you need an ambulance?

It is also possible to face the expense of using an ambulance to get to the hospital, unless you are exempt. In this case too the gold standard for establishing that the ambulance evacuation was an emergency is if the patient was then hospitalized. Once again, one should not hesitate to call an ambulance when it is necessary, as an emergency situation should not be delayed. 

Click here for a description and listing of exemptions from ambulance evacuation costs.

So remember…

  • Your kupat cholim is responsible for providing medical attention at any time of day.
  • The emergency room can cost you plenty if you use it when it is not a true emergency.
  • An ambulance should not be considered a convenient form of transportation to the hospital if it is not necessary.
  • Do not hesitate to use emergency services in urgent situations!

 

Kupat Cholim Discounts on Glasses

woman-glasses

You may be eligible to receive discounts on purchasing glasses from your kupat cholim if you are a member of their additional health service plans. All of the kupot cholim have agreements with specific stores, or their own stores, where the discounts they offer are available. Be sure to ask the secretary at your local clinic, or the information hotline to locate a participating store. You will also have to fulfill the eligibility requirements to get your discount. We have summarized the discounts and conditions below, but be sure to check your eligibility directly with the kupat cholim.

Maccabi

Gold Members

Adults with the following diagnosed vision problems are entitled to partial coverage for the cost of plastic glasses lenses or contact lenses. Children are eligible for these same benefits, or a blanket discount of up to 600 NIS for one pair of frames and lenses per year without specific diagnosis requirements.

  • Shortsightedness or farsightedness of 7 or higher (5 up to age 10): 83% discount up to a ceiling of 510 NIS on one pair of glasses lenses or one pair of contact lenses per year, or a discount of 83% up to a ceiling 225 NIS on the purchase of a single contact lens 
  • Astigmatism or a cylinder of number 7 or higher: 83% discount up to a ceiling of 1,995 NIS on one pair of glasses lenses per year
  • Keratoconus: 83% discount up to a ceiling of 1,995 NIS on one pair of glasses lenses per year, or 998 NIS off the purchase of a single lens or 1,995 NIS off the purchase of one pair of contact lenses per year
  • After a corneal transplant or corneal therapy: 83% discount up to a ceiling of 1,995 NIS on the purchase of one pair of contact lenses or an 83% discount up to a ceiling of 998 NIS on the purchase of a single lens per year

Sheli Members

Members are eligible for any discounts available to gold members. In addition, Sheli members who need glasses are entitled to a 50% discount on the purchase of eyeglasses, sunglasses and contact lenses at participating stores. This discount can be used on multiple purchases over 3 years until reaching a ceiling of 1,002 NIS discounted (total purchase cost of  2,004 NIS). The full discount credit is renewed every 3 years. This discount cannot be combined with the discount on plastic glasses lenses available for the specific conditions listed above, but the member may choose which benefit to receive. 

Click here for full details in Hebrew on the Maccabi website.

Meuhedet

Si Members

Children up to age 18 are entitled to purchase prescription glasses once a year costing up to NIS 700 with a co-payment of 10%. When the glasses cost more than NIS 700, members pay the difference plus 70 shekels.

Adults 70 years and older are eligible for the same discount as children for regular glasses or a discount on multifocal or bifocal glasses up to a ceiling of 1,200 NIS with a co-payment of 10% once every two years. When the multifocals or bifocals cost more than 1,200 NIS, members pay the difference plus 120 NIS. 

Click here for full details in Hebrew on the Meuhedet website.

Leumit

Gold and Silver Members

Adults are are eligible for up to 70% total discounts on frames and lenses on purchases made at participating stores. Prices are determined based on the specific frame and lens choice. Children are eligible for free glasses ((frame, optical lenses and anti-reflex coating) up to 650 NIS ceiling with a 21 NIS co-payment. 

Click here for full details in Hebrew on the Meuhedet website.

Clalit

Mushlam Platinum members

Children up to age 18 are entitled to a discount on glasses up to 600 NIS once per calendar year. If the cost exceeds 600 NIS the member pays the difference. The benefit includes checking eyesight and glasses (frame, optical lenses and anti-reflex coating). Alternatively, you can use this benefit for the purchase of contact lenses.

Click here for full details in Hebrew on the Clalit website.

See Also:

 

Choosing Your Kupah’s “Higher Level” Plans

Is it worth it to pay my kupat cholim for their additional “levels”? What am I getting? Which level should I choose? Is there a straightforward comparison of each kupah’s offering?

These are very common questions for anyone who makes Aliyah, and unfortunately, they often remain questions years and decades after their Aliyah. The answers are too subjective, and too many personal researchers have tried and failed to compile an objective comparison.

However, let’s review some important decision criteria and examples of benefits offered by these plans (known as Supplemental Plans, Additional Health Services or Shaban) to assist anyone taking the time to think about these choices. The following information cannot be comprehensive or account for all the variation between plans!

 First, Some Important Caveats

  • Most benefits offered still have associated costs, like requiring partial payment by the member, partial reimbursement for private services after the member pays in full, and/or enumerated limits to how much the kupah will pay.
  • Private services offered may depend on specific agreement with specific providers, not any provider that you choose.
  • There are rules and regulations that you will have to fulfill for entitlement to many benefits, so claiming them may take further effort.
  • Besides variation in benefits offered by each kupah, within the kupah there are multiple “levels” with distinct offerings.
  • When a person first joins a supplemental plan, the specified benefits can have various waiting periods before they are available to them. Qualification periods can range up to 2 years from sign-up. (When switching kupat cholim, you retain the time you have waited with your previous kupah  if you sign up for an equivalent plan within three months.)

Examples of offerings (remember, not comprehensive or universal!):

More personal choice of advanced medical care:

  • Additional private diagnostic consultations (second opinions) with medical specialists in Israel and abroad
  • Choice of specific surgeons and/or private healthcare facilities
  • Treatment, transplants and surgery abroad (Expanding the reimbursements and instances already established by the Health Insurance Law)

Services in fields not covered by the basic Health Basket:

  • Genetic testing
  • Kupah dental clinics
  • Kupah complementary medicine clinics
  • Orthopedic devices
  • Vaccinations for traveling abroad
  • Cosmetic treatments

Fields covered by the basic Health Basket, but expanded with additional treatments/benefits

  • Additional child development treatments in physical therapy, occupational therapy, speech therapy, psychotherapy
  • Educational or psycho-educational assessments
  • More fertility treatment benefits
  • Additional testing during pregnancy
  • Discounts on hundreds of medications not included in the “Drug Basket” or medication in the basket for indications not included in the list (Note: this benefit is commonly used by people particular about their medications and/or options in treatment, and it has the potential to cover the cost of a premium plan in savings to the consumer)

Miscelaneous bonus benefits

  • Laboratory services at home (like blood tests)
  • Private nurse during hospital stay
  • Discounted prescription glasses for children
  • Fittness and nutrition benefits
  • Subscription to Private Emergency Cardiac Services
  • All kinds of other hard-to-categorize boons.

Conclusion

Your choice about which plan is good for you will come down to a new set of personal questions. How much do you value increased, though still limited, choices? Do you consider the “Basic Health Basket” inadequate coverage of your needs? Do you feel confident that you will make sure to know and claim your benefits? Answer those questions and the choice about your kupah plans may not be obvious, but it will be more informed.

Also See:

Switching Health Plans

People switch their kupat cholim for various reasons.

Why would I switch?

You may want to consider switching if:

  • You have moved and one kupah offers better treatment options in your new community.
  • You got married and want your new family to all have the same kupat cholim to make it more convenient.
  • You’ve done your research and found that a supplemental insurance option offered by another kupah covers services or treatments that are more relevant to your needs.

 

For some things to consider when choosing a kupat cholim or considering a switch, check out “Question: Changing Your Kupat Cholim?”.

What should I know about switching?

  • Anyone who is a member of a kupat cholim has the right to switch in accordance with the relevant procedures and regulations (see below).
  • When switching health plans, the coverage provided by an additional health services plan (supplemental insurance) is generally retained in the new health plan and at the same level without requiring a waiting period, though this should always be verified before actually making the switch.
  • Switching may be done simply by going to the post office, paying a nominal fee, filling out the required form and handing it in there. There is also an online option through the National Insurance Institute (Bituach Leumi) website.

 

As part of our on-going collaboration with Kol-Zchut, we provide you with the following essential information on switching kupot cholim. See below or click here to go to the Kol-Zchut site.

Related information:

What is the Kupat Cholim Selling Me?

We’re often asked what are the differences between the various types of insurance offered by the kupot cholim. We decided to put together the following to help make it a bit clearer what your kupat cholim is actually selling (or trying to sell you):

What_is_the_kupat_cholim_selling_me

Feel free to print it out and pass it along!

 

If this information is helpful to you, please enable us to help others: 

In Vitro Fertilization (IVF) – Informational Videos

Women are entitled to have up to four IVF treatment cycles included in the healthcare basket for their first and second children and up to eight treatment cycles over the course of two years with district committee approval. For more information on rights related to IVF and fertility treatment in general, check out our All Rights Index (which is searchable and browseable), especially the Fertility Treatments Portal and the In Vitro Fertilization (IVF) page.

Not sure what to expect in terms of the IVF treatment process? The Ministry of Health has produced the following informational videos with English subtitles to explain how the process works and what steps are involved in terms of preparation, treatment and follow-up: 

The first step: receiving the couple for treatment

A detailed review given by a doctor and a nurse regarding the entire in-vitro fertilization process, including chances for success and possible risks.

 

Hormone treatment procedure

A detailed explanation given by a doctor and a nurse regarding the hormone treatment procedure, the treatment protocol, and the method of hormone injection.

 

Ovum retrieval procedure

A detailed description of the ovum (egg) retrieval procedure, performed under general anesthesia, and the procedure of obtaining sperm until the egg and sperm are transferred to the lab.

 

The fertilization process in the lab

Fertilization of the egg and the sperm in the lab using the appropriate method, while ensuring correct identification, sterilization, and strict work procedures.

 

Embryo transfer procedure

A description of the embryo transfer procedure. This movie includes a discussion regarding the number of the transferred embryos and details of the continued hormonal treatment.

 

Summary of treatment results

The pregnancy test performed after embryo transfer, description of the continued hormonal support in cases with a resulting pregnancy, and possible courses of action in unsuccessful cases.

 

If this information was helpful to you, please enable us to help others by supporting the project:
 www.shirapranskyproject.org/donate/ 

Medication Look-Up: Basic Basket and Supplemental Plans

pillbottle

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.

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 in the Healthcare Basket

Medications included in the Healthcare Basket are provided to anyone covered by national insurance (anyone entitled to national insurance/paying Bituach Leumi contributions).

 

Medications Covered by Supplemental Health Plans

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.

  • Clalit (Mushlam Platinum, Mushlam Zahav) – PDF document – as of January 2016
  • Leumit (Silver, Gold) – Database search – click the letter or enter the English first letters into the search box
  • Meuhedet (Adif, C) – Database search – enter the English first letters into the search box
  • Maccabi (Sheli, Magen Kesef, Magen Zahav) – Database search – click the letter or enter the English first letters into the search box

 

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.

 

If this information was helpful to you, please enable us to help others by supporting the project:
 www.shirapranskyproject.org/donate/ 

Long-Term Care Benefit

https://www.flickr.com/photos/papalars/1425443134/

Information about the Long-Term Care Benefit in English! 

A Long-Term Care Benefit is given to people who have reached retirement age, live at home in the community, and need help with daily activities (such as getting dressed, getting bathed, eating, mobility in the home, etc.), as well as elderly people who need supervision in order to prevent them from endangering themselves, or their surroundings (such as people with decreased mental faculties like Alzheimer’s disease patients who are liable to endanger themselves or their surroundings if left home alone).

The benefit is generally provided in the form of services, and is usually not monetary in nature!

As part of our on-going collaboration with Kol-Zchut, we are proud to have translated and published a Rights Guide for the Mentally Ill and Their Families. While a number of the links in the guide still lead to Hebrew content, it is an easy-to-read, critical and unique resource of information that was not previously available in English. You can either view the guide below or click here to follow an external link. 

Related information:

 

Not familiar with AACI’s Shira Pransky Project?

AACI’s Shira Pransky Project was founded to help English speakers in Israel better navigate the Israeli healthcare system and make use of the rights and services that are out there.

 

If this information was helpful to you, please enable us to help others by supporting the project:
Donate Now!

 

 

To your health ! לבריאות

Kupat Cholim Co-payments, Limits and Exceptions

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. As always, you should double check any specifics you see published directly with a Kupat Cholim representative.

For more details about Co-payments, discounts and exemptions  see the following pages on the Ministry of Health English website:

Maccabi’s Co-payment listing is the only one we have found in English to add to our collection of English Kupat Cholim publications and embed below. Even if you are not a Maccabi member, you may want to refer to their listing for a general idea and then follow up with your kupah directly.

Maccabi Members Co-payments, limits and exceptions

Home Care from the Kupat Cholim

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About this Benefit

All of the kupot cholim (health plans) offer home care services to patients who can’t get all of the medical services they need due to difficulty leaving the home. 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 Entitled

Home care services are intended for patients who are confined to their homes temporarily or permanently due to their medical/physical condition and are not able to receive services in the kupat cholim branches.  For Example: 

  • Patients with chronic illness
  • Patients returning home after hospitalization
  • Oncology patients
  • The elderly

How to Get it

Individuals may be referred to the Home Care Unit (יחידה לטיפול בית or יחידה להמשך טיפול)  by hospital staff, a family doctor, local social services or by contacting the unit directly. Contact information can be obtained from your local branch secretary or your kupat cholim’s information hotline.

Cancer patients may be entitled to additional home care through the Israel Cancer Association. Click here for more information.

Resources

 

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