Those who have submitted a Long-Term Care Benefit claim and are not satisfied with the National Insurance Institute's decision (whether the claim has been completely rejected or if only a partial benefit was approved) are entitled to appeal the decision.
- Appeals about the decision of level of dependence, after the ADL Dependence Test, should be directed to the appeals committee. for more information.
- Appeals not concerning the level of dependence (such as the claimant's income level), or appeals of the decision of the Appeals Committee, are appealed to the Regional Labor Court.
Target Audience and Prerequisites
- Those who have submitted a Long-Term Care Benefit claim which was rejected by the National Insurance Institute and wish to appeal the decision.
Stages of the Process
- Appeals regarding the decision about the level of dependence from the dependency test, should be directed to the appeals committee.
- Appeals concerning the decision of the appeal committee regarding the level of independence, should be submitted to the regional labor courts, within 6 months of the date on which the notification of the decision was sent to the claimant.
- Appeals that do not concern the ADL level of dependence, must be submitted to the Regional Labor Court withing 12 months of the date on which the notification was sent to the claimant.
- For additional details about appealing to the Regional Labor courts see Appealing a National Insurance Institute Decision.
- The Ministry of Justice's Legal Aid Division provide free legal aid for those interested in appealing a National Insurance Institute decision to the labor court.
- This free legal aid is not dependent on meeting any type of economic criteria.
Contacting the Claims Committee
- An individual whose claim has been rejected by the claims clerk may also contact (regarding matters not connected to functioning level) the claims committee, which will discuss the decision to reject.
- The claims committee may serve as a substitute, or preliminary stage (depending on the results) to an appeal before the regional labor courts. for more details, see: Claims Committee for a Further Ruling on a Claim to the National Insurance Institute.
Appealing the Benefit Service Package
- If an appeal is submitted on the decision of a local committee about the service package the claimant will receive Appeals to the appeals committee.
- Appeals committees must be established for denied Long-Term Care Benefit claims
- Living in a nursing home is not grounds for losing Long-Term Care Benefit eligibility
- National Insurance Institute's Senior Citizen Guidance Service
- Segula Unit - Center to Help Hospitalized Senior Citizens
- Free Aid by the National Insurance Institute for Hospitalized Patients Filing Disability Claims
- Click here for a comprehensive listing of health-related assistance organizations
- Click here for a comprehensive listing of organizations that help senior citizens and the elderly
- Click here for a comprehensive listing of organizations that help people with disabilities
|Government Agency||Website||Rights and Areas of Responsibility|
|The National Insurance Institutehotlines -||Senior Citizens' Rights on the National Insurance Institute's website.||Rights to various allowances given based on age and economic situation.|
|The National Insurance Institute's Call Center for Senior Citizen Counseling Serviceshotline -||Senior Citizens' Rights on the National Insurance Institute's website.||Free aid provided through counseling services for senior citizens and the call center for senior citizens and their families.|
|*8840 Ministry for Social Equality - Hotline for Public Inquiries||Ministry for Social Equality website||The hotline run by the Ministry for Social Equality gives the elderly a central address to direct all of their questions, provide information regarding rights, services and benefits entitled to the elderly. It also helps them actualize these rights.|
|Segula Unit - Hotline to help senior citizens in the hospital||The Ministry for Social Equality||A health hotline for senior citizens, to assist them and their families know their rights during the period of hospitalization.|
| The Ministry of Labor, Social Affairs and Social Services
||Senior Citizens on the Ministry of Labor, Social Affairs and Social Services website||Funding of Nursing Homes for independent and frail seniors. Various services are also provided within the community.|
|The Ministry of Health||Senior Health on the Ministry of Health website.||Health Insurance and assistance for those suffering from age related health problems.|
|*5442 The Ministry of Housing and Construction Call Center||The Ministry of Construction and Housing website||Housing Assistance and Problem Solving for Senior Citizens|
Laws and Regulations
- The National Insurance Law - Section J: Long-Term Care Insurance
- National Insurance Regulations (Long-Term Care Insurance) (Income Test to Establish Eligibility and Amount of Long-Term Care Benefit - 1988]
- Circular no. 1496 from 06.11.2018 - Long-Term Care Reform
- National Insurance Regulations (Long-Term Care Insurance) (Appeals Committee) 2009 (on the Nevo website)
- Original information on this page was written as part of the Welfare Division, City of Jerusalem's Senior Citizens' Rights Accessibility Project, funded by The Mashov Organization.
- "Appealing a decision of the National Insurance Institute" on the National Insurance Institute's English website.
- English translation and maintenance by The Shira Pransky Project.