In accordance with regulation 5 of the Second Addendum to the National Insurance Institute Regulations (Child Disability), 5770-2010, children with decreased vision in both eyes are entitled to a [[Disabled Child Benefit] ]in accordance with the details stated below.
- A child eligible to a benefit because of visual impairment is entitled to one at the rate of 100%.
- Eligibility for other benefit rates may be given to children above age 3 who are found by the dependency test to be completely dependent on another in their daily activities.
- 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
Disabled Child Benefit Committee Hearing in the Absence 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 the ages of 91 days and 18 years old with visual impairment meeting one of the following criteria (with a test done while wearing glasses):
- Visual acuity of 6/60 or less in both eyes
- Field of vision of less than 20° in both eyes
- For an eye missing two quarters of upper vision or more from the field of vision, visual acuity will be considered to be 2 levels lower from the measured visual acuity in that eye.
- For an eye missing a lower quarter or more from the field of vision, visual acuity will be considered to be 3 levels lower from the measured visual acuity in that eye.
- For an eye missing 2 lower quarters or more from the field of vision, visual acuity will be considered to be 6 levels lower from the measured visual acuity in that eye.
- Additionally, there are general conditions of eligibility that must be met. (For more information see the Additional Conditions of Eligibility section on the Disabled Child Benefit page.)
- In preparation for submitting the 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 operated on behalf of the National Insurance Institute.
- Up-to-date vision test from an attending ophthalmologist indicating visual acuity in both eyes with assistive devices.
- Up-to-date vision test from an attending ophthalmologist indicating field of vision in both eyes with assistive devices.
- Certificate of Blindness/Visual Impairment (if available).
- Additionally, if the child is planning to enter a therapeutic daycare it should be noted on the claim form.
How to Claim It?
- According to the National Insurance Institute's Circular as of 02.16.2015, there is no longer a need to undergo an eye examination through the National Insurance Institute and through the Service for the Blind, rather, one of the following tests will suffice:
- Anyone who first contacts the National Insurance Institute will be reviewed by the Institution; if it will be determined that there is a 90% or higher vision defect, the examination can be subsequently passed over to the Service for the Blind.
- Within the appeal for review through the Service for the Blind, the opinion of the doctor can be transferred to the Social Security Institute. The doctor will submit his opinion on the degree of incapacity to function (general disability). The National Insurance Institute will make a decision regarding how to proceed, without the need for an additional summons of the claimant.
- To allow the transfer of medical information between the agencies, the patient has to sign that he agrees to such transference of information.
|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.||Disabled Child Benefit Committee Hearing in the Absence 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.
- Listing of Aid Organizations for People with Blindness or Visual Impairment
- Listing of Aid Organizations for Children with Special Needs
Laws and Regulations
- The National Insurance Law
- National Insurance Regulations (Disabled Child) -2010 - amendment 5 to the second addendum.
- National Insurance Regulations (Disability Insurance) (Appeals Committees for Special Services and Disabled Children)
- Original information based on the National Insurance Institute website, for information in English on the Disabled Child Benefit, see the National Insurance Institute's English website.
- English translation and maintenance by The Shira Pransky Project.