Introduction:
As part of the General Disability Pension claim process for people suffering from venous disease, their level of medical disability is determined
A person who is determined to have a medical disability, but is not eligible for the pension, may be entitled to benefits that are not contingent on the disability pension
For a list of disorders and the percent of disability determined for each one, see the Additions to the National Insurance Regulations (establishing the degree of disability for work accident victims), 1956
People suffering from venous disease, that also suffer from other disabilities or disorders will have a weighted disability that is comprised of all the disabilities established for them
As part of the General Disability Pension claim process, people suffering from venous disease have their rate of medical disability determined.
- The applicant's level of medical disability is determined by a General Disability Medical Committee in accordance to the disabilities detailed in the Additions to the National Insurance Regulations (establishing the degree of disability for work accident victims), 1956.
- A person must have a medical disability of at least 60% or at least 40% (in a case where one of the disabilities is at least 25%) or at least 50% (for a homemaker), in order to establish the degree of incapacity (a condition necessary to be eligible for a disability pension.
- The doctor also determines the start date of the medical disability and whether is is temporary or permanent.
- There are various benefits given to people with medical disability that are not contingent on eligibility for the disability pension or level of incapacity.
Someone who is determined to have a permanent medical disability of at least 20%, is eligible for vocational rehabilitation and educational assistance. Someone who is determined to have a medical disability of 100% (or above 89% according to a special calculation), may be eligible for an income tax exemption.
- The diagram below shows the different stages of the disability benefit claim process. Detailed steps are provided in the chart below.
Submitting a General Disability Pension Claim through the Regular Track
or
Fast Track for Special Circumstances
or
Fast Track for Special Circumstances
Establishing the Degree of Incapacity
and receiving a response in the mail
and receiving a response in the mail
If the response is positive, see: Pension Rates
If you are not satisfied with your response, you can appeal the medical decision
or
appeal the decision regarding incapacity to function
or
appeal the decision regarding incapacity to function
In any case, one can
resubmit a claim
resubmit a claim
Before eligibility for the disability benefit is established and until it is received a person can check if he/she is eligible for income support
There are several ways to receive professional assistance during the process of making a disability claim.
The National Insurance Institute runs Yad Mechuvenet that provides free guidance and assistance for those who are preparing to appear in front of the medical committee.
For more information on other ways to receive assistance see Free Aid for Filing Disability Claims with the National Insurance Institute.Target Audience and Prerequisites
- Insured Israeli residents from age 18 through retirement age that submit a general disability pension claim.
A person who wants to have (general) medical disability determined by the National Insurance Institute that is not through a general disability claim can submit a request to the Tax Authority to be evaluated by a Income Tax Exemption Medical Committee.
For example, a man who suffers from an illness that caused disability after he reached retirement age and therefore he can't submit a disability pension claim because of his age but he is interested in receiving benefits given to those with medical disability (that are not contingent on receiving a disability pension).
Necessary Preparations
Medical Tests
- Venous doppler
Medical Documentation
- Records from a vascular doctor regarding current medical problems, and previous hospitalizations and surgeries.
- Documentation from a gynecologist regarding Infertility / urinary incontinence / frequent urination / bleeding.
Additional Documentation
- Before submitting a claim, all relevant documentation should be prepared.
- Those suffering from multiple ailments and disabilities are advised to prepare relevant documentation and tests for each of the disabilities in order to increase the percentage of disability that will be established by the claim.
- Required documents for specific illnesses can be found here.
- If a person submits the application for a specific disease, such as heart disease, it is recommended to examine thoroughly whether he/she is suffering from another illness /disability that will give him/her additional medical disability percentages.
- In the above example, let's say that in addition to heart disease, the person also suffers from diabetes and subsequently submitted to the committee the documents required regarding the diabetes.
- Suppose the Medical Board determines :
- 40% disability with respect to the heart disease
- 20% disability with respect to the diabetes
- According to these figures, a weighted medical disability of 52% will be determined.
- For an explanation of the calculation method and additional information, see weighted medical disability as determined by the National Insurance Institute for multiple diseases
Continuing the Process
What Now? | For Further Details | Notes |
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Medical Board's Decision |
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There are rights given based on percentage of medical disability, independent of the determination of the degree of disability and eligibility for disability. |
The Decision of the Claims Official and Establishing the Degree of Incapacity |
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In cases in which a rehabilitation clerk recommendation is necessary, you will be invited to an interview. |
Receiving the Decision | * Upon finishing all of the examinations, you will be sent in the mail notification of the decision on your claim with the attached report of the medical committee.
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Payment of the Allowance for those Eligible |
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*Someone who has an establish disability of 100% for a period of at least 6 months is eligible to receive a disability payment from the 31st day from when the disability was established.
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If you are not satisfied with the decision of the medical committee, you can appeal the decision within 60 days. | Appealing a General Disability Medical Committee Decision |
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If you are not satisfied with the decision of the appeals committee, you may submit an appeal (for legal questions only) within 60 days. | One may request free legal assistance from the Justice Department's branch for free legal assistance. | |
If you are not satisfied with the level of incapacity determined, in certain cases you can appeal the decision of the claims assessor within 90 days. | Appealing the decision determining incapacity to function |
|
If you are not satisfied with the decision of the appeals committee, you may submit an appeal (for legal questions only) within 60 days. | One may request free legal assistance from the Justice Department's branch for free legal assistance. | |
If you would like to appeal the decision of the claims assessor, independent of the level of incapacity determined, for matters such as periods of employment, your age, your level of education, income, etc.). |
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One may submit another claim after 6 months have passed, or if the applicant's medical condition has worsened another claim may be submitted without a waiting period. | Reexamination of Disability Pension Eligibility |
Aid Organizations
- For a General List of Organizations that Assist with Health Issues
- For a General List of Organizations that Assist People with Disabilities
Government Agencies
Laws and Regulations
- The National Insurance Law
- The National Insurance Regulations (establishing disability level for work accident victims)
Credits
- Original translation performed by The Shira Pransky Project as part of a grant from The Fellowship Fund.