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 supplemental plans, is to ask the Kupat Cholim.

Voice disorders as the result of surgery

Up to 20 treatments in one treatment sequence, one-time diagnosis according to a speech therapist’s opinion up to two years from the day of the incident.

Language and speech disorders as the result of CVA or MS

Up to 20 treatments in one treatment sequence, one-time diagnosis according to a speech therapist’s opinion up to two years from the day of the incident.

Listening and lip reading exercises for the hard of hearing after hearing device adjustment

Up to 4 treatments only.

Cleft palate and lip

The extent of the treatment is determined by a professional certified by the health plan and is approved by a health plan speech therapist.

Teacher and kindergarten teacher hoarseness in the public education system

With occupational physician approval- Up to 15 treatments only. Treatment may be discontinued before exhausting all eligibility in the absence of a response or if treatments are no longer required.

Hoarseness lasting at least 6 months

Eligibility

Hoarseness lasting at least 6 months since the initial E.N.T. doctor examination and caused by a problem in the vocal chords after all other treatments and after changing the required habits (smoking), when it is not possible to treat using surgery to correct the problem according to the detailed findings.

Extent of treatments

Only up to 20 treatments may be approved according to the medical guidelines and with approval of a professional certified by Clalit (the health plan).

Eligible Conditions
  • Warts (papillomas) on the vocal chords (subject to changing of habits)
  • Swelling of the vocal cords (subject to changing of habits)
  • Sound chord paralysis
  • Lack of chord closure due to weakness
  • Swelling of the vocal cords due to reflux (after exhausting previous treatment)
  • Thickening of the vocal cords – according to etiology
  • Chronic laryngitis – according to etiology

 

This information was translated and adapted from content provided by The Society for Patients’ Rights in Israel.