Introduction:
After Submitting a General Disability Pension Claim, applicants are invited to appear before a medical committee to determine their medical disability
Applicants may appear before the committee accompanied by anyone of their choosing, an interpreter, or a lawyer, who will be permitted to represent them in front of the committee and speak on their behalf
Applicants may submit a request to receive a reimbursement for expenses related to appearing before the committee.
In cases of severe disability, medical disability may be determined without appearance before the committee.
For more information see, National Insurance Institute's English website
After Submitting a General Disability Pension Claim, applicants are invited to appear before a medical committee to determine their medical disability.
- The process required for receiving the allowance is not simple, but not very complicated. See the following diagram and the details of the necessary steps which will be expected to take.
Submitting a General Disability Pension Claim through the Regular Track
or
Fast Track for Special Circumstances
or
Fast Track for Special Circumstances
Establishing the Degree of Incapacity
and receiving a response in the mail
and receiving a response in the mail
If the response is positive, see: Pension Rates
If you are not satisfied with your response, you can appeal the medical decision
or
appeal the decision regarding incapacity to function
or
appeal the decision regarding incapacity to function
In any case, one can
resubmit a claim
resubmit a claim
Before eligibility for the disability benefit is established and until it is received a person can check if he/she is eligible for income support
There are several ways to receive professional assistance during the process of making a disability claim.
The National Insurance Institute runs Yad Mechuvenet that provides free guidance and assistance for those who are preparing to appear in front of the medical committee.
For more information on other ways to receive assistance see Free Aid for Filing Disability Claims with the National Insurance Institute.- The medical committee is composed of a doctor who specializes in a certain field of medicine or a number of doctors specializing in different fields, and a secretary whose job is to inform the applicant regarding his/her rights and to record the minutes of the hearing.
- Applicants suffering from a variety of illnesses or medical disorders may be examined by a number of doctors at the same committee hearing and, if necessary, be invited to different medical committee hearings focusing on different illnesses and disabilities.
- It is possible that applicants with a serious disability/illness will not be required to appear before the committee. For more information, see: Expedited Process ("Fast Track") for Submitting a General Disability Pension Claim.
- Likewise, those who have undergone an eye examination test to determine eligibility for Certificate of Blindness/Visual Impairment through the Service for the Blind and have agreed that the information will be transferred to the National Insurance Institute, will not be required to undergo further examination of eligibility for disability.
- If a high enough degree of medical disability has been established, a degree of incapacity will be established and eligibility for a General Disability Pension will be examined.
Target Audience and Prerequisites
- National Insurance policyholders who are Israeli residents between 18 years old and until 12 months after retirement age, who have submitted a General Disability Pension claim.
The National Insurance Circular lists cases when it is recommended to determine disability based on the documents submitted and without summoning the applicant to the medical committee Intellectual Disabilities, Oncology Patients, the Blind, Severe Renal Failure, Organ Transplants recipients (kidney, heart, liver, lung ect), Advanced Cardiac Patients, Paralysis, degenerative illness in advanced stages (e.g Parkinson's, Multiple Sclerosis, ALS) Autism, Schizophrenia, extended hospitalization, requires a respirator.
Necessary Preparations
- In preparation for submitting the claim, prepare the relevant exams and documents.
- The documentation required for various disabilities can be found in this listing of entries.
Prior to the Committee Hearing
- It is recommended that a list be prepared in advance with all disorders, disabilities, serious illnesses and functioning difficulties which the applicant wishes to present to the committee, in order to help make sure that none of these issues are forgotten during the proceedings (including those impairments forgotten at the time of Submitting a General Disability Pension Claim).
- Preparation of medical documentation -
- All of the relevant medical documentation which was not attached to the original claim should be neatly organized and photocopies of all of the documentation should be made so that they can be left with the committee if necessary.
- Relevant documentation may include professional medical opinions, illness summaries, x-rays and analysis.
- There is no need to bring documentation that was already attached to the claim and submitted.
- It is necessary to arrive at the hearing with one's Teudat Zehut or other picture identification.
- It is recommended for applicants to bring someone to accompany them to the hearing. For more information, see: Accompaniment in a National Insurance Institute Medical Committee Hearing.
- If necessary, applicants may come to the committee hearing with an interpreter, or lawyer who will be permitted to represent them in front of the committee and speak on their behalf.
- It is important to arrive on time, though delays are always possible and sometimes the committee sees applicants out of order.
- Applicants who cannot appear at the appointed time must notify the National Insurance Institute in advance and in writing; those who fail to do so may be fined. For more information, see: Failure to Appear Before a National Insurance Institute Medical Committee.
During the Committee Hearing
- At the beginning of the hearing, the committee members will be introduced according to name and title by the committee secretary (the committee members also wear name tags).
- Description of Disorders, Illnesses, and Difficulties -
- Applicants must briefly describe all of the ailments from which they suffer.
- Applicants must provide details of any difficulties functioning at work or if someone else's assistance is required in performing daily activities (bathing, getting dressed, mobility in the home, eating, etc.).
- There is no need to point out the pains that the applicant suffers (pain and suffering do not affect the disability percentage). However, if the pain has an effect on the applicants functioning, one should describe this effect.
- Applicants may use the list of disorders/difficulties they prepared in advance.
- The list can be submitted for the committee doctor to review and so it can be attached to the committee report.
- All of the relevant medical documentation which was not attached to the original application should be submitted for the committee doctor to review and so it can be attached to the committee report.
- After detailing all of the disorders and difficulties and submitting the medical documentation, the committee report must be approved and signed and consent to be examined by the doctor must also be signed.
Examination by the Committee Doctor
- Depending on the type of illness or medical disorder, the doctor will decide whether a physical examination is necessary (sometimes a physical examination is not required and the doctor will base his/her decision on the submitted medical documentation). Applicants suffering from a number of issues may be examined by a number of different doctors at different times.
- The examination will be performed with consideration given to the difficulties presented to the committee and the type of disorder(s) and illness(es).
An applicant may be asked to demonstrate how s/he performs daily activities, such as:
- Putting on a shirt or pants and taking them off;
- Sitting in a chair and standing up after sitting in a chair;
- Going from a reclining position to sitting up and vice versa;
- Falling down and getting up following a fall in order to demonstrate the ability to do so on ones own.
Completing the Committee Hearing and Establishing the Level of Disability
- After the applicant leaves the hearing room, the doctor determines the percentage of medical disability according to the medical documentation in the file and the physical examination.
- If the committee decides that further medical examinations/testing or more documentation is required before determining medical disability, a letter indicating this will be sent to the applicant.
- If more documentation is required, the applicant will be responsible for providing it to the committee.
- If further medical examinations/tests are required, the applicant must undergo them through his/her health plan.
- Upon receiving the requested materials, the committee will determine medical disability without requiring the applicant to appear before the committee again.
- For more information on determining the degree of disability
Continuing the Process
What Now? | For Further Details | Notes |
---|---|---|
Medical Board's Decision |
|
There are rights given based on percentage of medical disability, independent of the determination of the degree of disability and eligibility for disability. |
The Decision of the Claims Official and Establishing the Degree of Incapacity |
|
In cases in which a rehabilitation clerk recommendation is necessary, you will be invited to an interview. |
Receiving the Decision | * Upon finishing all of the examinations, you will be sent in the mail notification of the decision on your claim with the attached report of the medical committee.
|
|
Payment of the Allowance for those Eligible |
|
*Someone who has an establish disability of 100% for a period of at least 6 months is eligible to receive a disability payment from the 31st day from when the disability was established.
|
If you are not satisfied with the decision of the medical committee, you can appeal the decision within 60 days. | Appealing a General Disability Medical Committee Decision |
|
If you are not satisfied with the decision of the appeals committee, you may submit an appeal (for legal questions only) within 60 days. | One may request free legal assistance from the Justice Department's branch for free legal assistance. | |
If you are not satisfied with the level of incapacity determined, in certain cases you can appeal the decision of the claims assessor within 90 days. | Appealing the decision determining incapacity to function |
|
If you are not satisfied with the decision of the appeals committee, you may submit an appeal (for legal questions only) within 60 days. | One may request free legal assistance from the Justice Department's branch for free legal assistance. | |
If you would like to appeal the decision of the claims assessor, independent of the level of incapacity determined, for matters such as periods of employment, your age, your level of education, income, etc.). |
|
|
One may submit another claim after 6 months have passed, or if the applicant's medical condition has worsened another claim may be submitted without a waiting period. | Reexamination of Disability Pension Eligibility |
Reimbursement for Expenses
- Applicants may submit a request to receive reimbursement for costs related to appearing before the committee (e.g. transportation, accommodations, missed work time, etc.).
- For more information see reimbursement for expenses incurred when appearing in front of a National Insurance Institute medical committee
Please Note
- If the applicant is personally connected with one of the doctors on the committee, that doctor may not participate in the committee hearing. The committee secretary should be notified of this in order to schedule a hearing with a different committee.
- Those who are interested may fill out a satisfaction survey after their committee hearing (surveys may be filled out anonymously).
Aid organizations
- For a comprehensive categorized listing of healthcare organizations offering assistance and support for people with disabilities, click here.
Court Rulings
Rules and Regulations
- The National Insurance Law - Chapter 9, section 4.
- Social Security Regulations (Disability Insurance) (Determination of Medical Disability, Appointment of Committees 1 Appeals and Miscellaneous Provisions), 1984
- National Insurance Institute's Circular from 16.02.2015 - Working procedures with the Service for the Blind in the Ministry of Welfare, mutual recognition of eye examinations in order to determine eligibility.
- General Director's Circular from 27.06.27 - Evaluation and dependency assessment for establishing general disability, special services and a disabled child's benefit based on documentation alone without the need to appear before a medical committee].
Credits
- Original information on this page was written with the help of the Medical Committee branch of the National Insurance Institute.
- Original translation performed by The Shira Pransky Project as part of a grant from The Fellowship Fund.