According to section 1 of the National Insurance regulations (disabled child), a child who is determined by a National Insurance Institute doctor to need exceptional supervision of others in order to prevent situations of risk to himself or others due to a disability, chronic illness, behavioral problem or lack of understanding, is eligible for a Disabled Child Benefit.
- According to this section, children with severe ADHD may be eligible for a disabled child benefit of 50%.
- The process for receiving the benefit and the details of each step of the process are found in the charts below.
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?
- A child up to age 18 and 3 months who meets all of the following conditions:
- The child suffers from ADHD
- The child has a severe behavior disorder.
- The child learns in a Special Education and Integration into Regular Education framework (an institution for special education, a special education class or a regular class with an aid).
- The child is being treated with a stimulant medication (such as ritalin).
- Additionally the child has to meet the general disabled child benefit conditions. (See the additional conditions of eligibility section on the disabled child benefit page]].
- Eligibility for children with ADHD will be determined for a set period of time.
- In cases where severe mental issues are also involved a higher benefit rate may be given.
- Before Submitting a Disabled Child Benefit Claim you should prepare all relevant tests and documentation.
- Before submitting a claim or appearing in front of a medical committee you can get free guidance at the Yad Mechavenet centers that are run on behalf of the National Insurance Institute.
- Up to date documentation from a pediatric neurologist, pediatric psychiatrist or a doctor that specializes in treating attention deficit disorders.
- An up to date educational report from the special education framework that the child learns in.
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.|
Benefit payment and receiving retroactive payment
- One who has been approved to receive the benefit will be paid from the month in which she submitted the claim.
- The benefit is transferred to the recipient's bank account on the 28th of each month.
- If, according to the medical documents that were submitted, the benefit conditions existed prior to when the person filed the claim, retroactive payment may be made up to one year before the claim was filed.
- Retroactive payment is not automatically granted and should be requested together with the main claim.
Families with two or more disabled children
- Families with two or more children entitled to the disabled child benefit are entitled to an increased benefit amount for each of the children.
- The addition for each child is an additional 50% of entitled amount established for the child.
- The child that is entitled to a benefit of 100% will receive an increased benefit of 150%.
- The child that is entitled to a benefit of 50% will receive an increased rate of 75%.
- Families with two children with disabilities who only receive a Disabled Child Benefit for one of them are entitled to an increased benefit amount if the child for which they are not receiving the benefit is not eligible for it due to one of the following reasons:
- S/he lives in an institution or other facility outside the home.
- S/he is over the age of 18 and received a Disabled Child Benefit before reaching the age of 18.
- Families where two children are eligible for a Disabled Child Benefit or where one child is eligible for a Disabled Child Benefit and the second is eligible for a Mobility Benefit may be entitled to both a Disabled Child Benefit and a Mobility Benefit for each of the children in accordance with each benefit's conditions of eligibility.
- 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.
- People with Disabilities/Aid Organizations
- For a list or organizations that help children and adults with learning disabilities and attention deficit disorders.
Laws and Regulations
- National Insurance Law
- National Insurance Regulations (Disabled Child)
- Benefit Director Circular no. 1918 from 25.11.2012 - new criteria for a disabled child benefit
- National Insurance Institute Circular from 07.12.2011 - guidelines for establishing disability in cases of learning disabilities and attention deficit disorders.
English translation and maintenance by The Shira Pransky Project.