Introduction:

Children with severe ADHD that require regular stimulant treatment (such as ritalin) may be eligible for a Disabled Child Benefit
For more information see the National Insurance Institute website
For general information on the disabled child benefit see the National Insurance Institute website

Forms

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.
Preparation for Submitting the Claim
Submitting a Disabled Child Benefit Claim
Medical committee
for a child up to the age of 3
or
for a child above age 3
In some cases a
committee meeting without the presence of the child may be possible
Receiving notification about the decision of the committee
If the answer is positive, see, Benefit Rates

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
In any case, you may
reapply

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.

Necessary Preparations

Necessary Documentation

  • 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.
  • If the child does not need assistance in performing daily activities, you can request that these activities are not checked during the committee's examination.
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.
  • In cases where temporary disability is established, towards the end of the established period of disability, the National Insurance Institute will request updated medical information and the person will be invited to appear before an additional medical committee.
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:
  • The date in which the symptoms connected to the child's disability were first recorded in the child's medical records.
  • The date in which that child's disability began to cause a significant and heavy treatment load (according to a pediatrician who works on behalf of the National Insurance Institute).
 *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.
  • A retroactive benefit is not automatic and should be requested along with the main claim submission.
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.
Example
A family in which one child is entitled to a benefit of 100% and the brother is entitled to a benefit of 50%:
  • 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.


Please Note


Aid Organizations

Government Agencies

Laws and Regulations


Credits

English translation and maintenance by The Shira Pransky Project.