According to the National Insurance Institute Regulations (Childhood Disability), children on the autism spectrum are entitled to a Disabled Child Benefit.
- Section 1.(3) of the regulations establishes that a child with a disability is a "child with a special impairment", in accordance with the list of impairments in the second addendum.
- Section (6) of the second addendum to the regulations defines a child with autism as a child with a special impairment.
- A child who has been diagnosed with autism is eligible to a benefit at the rate of 100%.
- An autistic child who is above age 3 and how been found to have complete dependency on the help of others is eligible to a benefit at the rate of 188%.
- The process for receiving the benefit is described in the following flowchart, and further on in this article.
for a child up to the age of 3
for a child above age 3
In some cases a
committee meeting without the presence of the child may be possible
If you are not satisfied with the answer you may appeal the a decision of the medical committee
as well as
appeal the a decision of the appeals committee
Who is Eligible?
- Children between 91 days old and 18 years and 90 days old who has been diagnosed with a disorder on the autism spectrum, such as:
- PDD or ASD, including PDD-NOS (pervasive developmental disorder not otherwise specified).
- Asperger's Syndrome
- A behavioral psychiatric condition similar to the disorders detailed above.
- Additionally there are general conditions that must also be met. (See the additional conditions of eligibility on the Disabled Child Benefit page).
Temporary Eligibility and Permanent Eligibility
- A child under age 7 can be checked up to 3 times (except in special circumstances) in order to establish benefit eligibility.
- A child over age 7 has permanent eligibility until age 18.
- A diagnosis must first be performed. For more information see Autism Diagnosis.
- A child that is still in the process of being diagnoses may be eligible for a benefit for other reasons, such as for supervision. It is therefore recommended to submit a claim even at this stage.
- In preparation for Submitting a Disabled Child Benefit Claim, prepare the relevant exams and documents.
- Before submitting the claim or as appearance before the medical committee approaches, free guidance is available at "Guiding Hand" centers.
- A diagnosis conforming to the old definitions from the DSM-4 may be submitted, as long as the assessment was before June 1, 2014 (regardless of when the claim is submitted).
- A diagnosis that was completed after June 1, 2014 may be submitted only if it conforms with the Ministry of Health General Director Circular 13/15 from 10.11.2013, which is based on the definitions established in the DSM-V. For more details, see Autism Diagnosis.
- In addition to the diagnosis, it is advisable to include the following documents:
- An educational report from the institution attended by the child.
- A paramedical treatment report (speech therapy and occupational therapy).
How to claim it?
|What Now?||For Further Details||Notes|
|Submit a claim||Submitting a Disabled Child Benefit Claim||It is important to remember to send all required documents|
|After filing the claim, it will be decided if a decision on the amount of disability can be made without the presence of the child.||Medical Committee Hearing Without the Presence of the Child.||If the committee decides on eligibility based on documentation only, you can request that the child be checked by the committee within 45 days.|
|If it is decided after filing the claim that there is a need to check the child then an invitation to a medical committee hearing will be sent according to the age of the child.||*Medical Committee for a Disabled Child up to Age 3|| *It is important to arrive at the prescribed time, or to report the inability to attend in advance.
|The committee's decision||Within 45 days of receiving the claim with all relevant documents, you will be sent the decision, together with the minutes of the medical committee meeting.|| In certain situations, temporary eligibility may be established (relevant cases are detailed in the Specific Information for Eligible Populations section.
|If eligibility is granted, the benefit will be paid from the month in which the claim was submitted||The benefit will be transferred to the eligible recipient's bank account on the 28th of each month.|
|Retroactive Payment|| Retroactive payment for up to a year before the claim was submitted may granted if the conditions for eligibility existed before submission. The time is determined based on the earlier of these two dates:
|| *A child receiving the benefit because of a developmental delay (until age 3) may receive a retroactive benefit for up to half a year before the claim was filed.
|If you are not satisfied with the decision (if eligibility was rejected or only partially/temporarily established), you can appeal within 90 days from the day it was received.||Appealing the Decision of the Medical Committee for a Disabled Child|
|If you are not satisfied with the decision of the Appeals Committee, you can appeal within 60 days to the Regional Labor Court.||Appealing the Decision of the Medical Appeals Committee of the National Insurance Institute||You may requestfree legal assistance from the legal assistance division of the Ministry of Justice.|
|A repeat claim may be filed after 6 months, or if there has been a deterioration in health status - with no waiting period.||Submitting a Disabled Child Benefit Repeat Claim|
|If your child (above age 3) is totally dependent on the assistance of others for daily activities (in a way that is significantly more than his/her peers) and the child receives a disabled child benefit without relating to this dependence, a dependence evaluation can be requested.||Dependence Evaluation for a Disabled Child Benefit Recipient||A request for a dependence evaluation can be submitted from age 2 years and 10 months.|
- The Disabled Child Benefit at the rate of 100% is 2,600 NIS (this amount includes the supplement amount of 378 NIS), correct as of 2019.
- The Disabled Child Benefit at the rate of 188% is 4,757 NIS (this amount includes the supplement amount of 580 NIS), correct as of 2019. (The supplement was raised retroactively from January 2018).
Families with more than one child with disabilities
- A calculator on the National Insurance Institute website can be used to check eligibility to receive two benefits simultaneously.
- A child up to age 3 who is eligible for a Disabled Child Benefit may be admitted to a Rehabilitative Daycare Centers.
- According to the law, it is illegal to seize a Disabled Child Benefit. If there is a hold on a bank account, you must contact the executing offices and obtain confirmation of specific removal of the hold for Disabled Child Benefit funds and then submit it to the appropriate parties (bank, etc.).
- The National Insurance Institute sends a Certificate of Disability to anyone eligible for a Disabled Child Benefit.
- For a comprehensive categorized listing of healthcare organizations offering assistance and support, click here.
- For a list of organiztions offering assistance and support to people with autism click here.
Laws and Regulations
- The National Insurance Law
- The National Insurance Regulations (Disabled Child)
- National Insurance Regulations (Disability Insurance) (Appeals Committees for Special Services and Disabled Children)
- National Insurance Institute Disability Circular (Disabled Child) No. 1952 from 08.04.2014 - Medical diagnoses to establish Disabled Child Benefit eligibility for children on the autism spectrum corresponding to the DSM-5 procedures/
- National Insurance Institute Disability Circular (Disabled Child) No. 1916 from 20.02.2014 - Highlights and updates on when disability can be determined in absentia. Refreshed guidance and updates on medical issues.
- Rights Booklet for Children on the Autism Spectrum from Diagnosis Until Adolescence, March 2014 on the ALUT website
- English translation and maintenance by The Shira Pransky Project.