Introduction:

Children from 9 months through 10 years old with life threatening food allergies may be eligible for a Disabled Child Benefit of 50%
The benefit amount is 1,249 NIS, as of 2018

Children age 9 months through 10 years old who have life threatening food allergies may be eligible for a Disabled Child Benefit of 50% to cover their supervision.

  • The amount of the disabled child benefit at a rate of 50% is 1,249 NIS as of 2018. The amount includes an additional 151 NIS (this addition is retroactive starting January 2018).
  • For details on the benefit amounts in previous years see the National Insurance Institute website.
  • The process for receiving the benefit and the details of each step of the process are found in the charts below.
Receiving notification about the decision of the committee
If the answer is positive, see, Benefit Rates
In any case, you may
reapply

Who is Eligible?

  • A child from age 9 months through age 10, who meets all 3 of the following conditions:
    1. The child has had allergy tests and has confirmed food allergies.
    2. An allergist has recommended that the child use an epi-pen.
    3. One of the following applies to the child:
    • There is actual real-time medical documentation of treatment that was give to the child because of breathing problems or epileptic shock.
    • The child suffers from active asthma.
    • The child has a disability that affects his/her judgement and ability to determine danger, relative to other children of his/her age.
  • 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]].

Period of Eligibility

  • The initial eligibility for a child is for a period of 2 years.
  • After the initial two years, the child's situation is evaluated and an additional 3 years can be granted based on medical documentation from the previous year.
  • After that, depending on the child's situation, eligibility can be extended to age 10 based on medical documentation from the previous year.
  • Children who have difficulty with being aware of the dangers around them (such as children with Intellectual Developmental Disabilities or severe behavioral issues) may be eligible for a benefit even after age 10 according to the opinion of their neurologist.
Tip
A child that suffers from allergies and asthma may be eligible for a benefit amount of 100% if he/she receives 4 out of 7 of the treatments listed in the chart below (in the "need for regular treatment" section).

Necessary Preparations

  • Before Submitting a Disabled Child Benefit Claim you should prepare all relevant tests and documentation.
  • As a general rule, eligibility can be determined based on medical documentation alone, with out requiring the child to appear before a medical committee.
  • 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.

Necessary Tests

  • Allergy tests:
    • Skin prick tests to determine specific allergies (SPT)
    • Blood tests or challenge tests

Necessary Documentation

  • Recommendation from an allergist for an epi-pen.
  • Documentation from a recognized medical institution that the child was treated at (close to the event) including details about:
    • diagnoses
    • a reaction including breathing issues or an epileptic reaction
    • type of treatment
  • If there isn't medical documentation of one of those things - then updated medical records from a pulmonologist or allergist stating that the child has active asthma.

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.


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


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Credits

English translation and maintenance by The Shira Pransky Project.