Institutional Arrangements for Seniors Requiring Complex Long-Term Care (Right)

From All Rights (Kol-Zchut) (www.kolzchut.org.il)

Introduction:

Seniors requiring complex long-term care are placed in appropriate institutional arrangements through the health plans
When a senior who is defined as a Complex Long-Term Care Patient is hospitalized and wishes to move to a nursing home facility, it is upon the senior to speak with the Social Worker of the Hospital ward.
Residential nursing care institutions require personal contributions by the senior.
For more information see the Ministry of Health's English website

Complex long-term care patients requesting to live in a nursing home will be placed by the health plan to which they belong, in accordance with The National Health Insurance Law.

Institutional Arrangements for Hospitalized Patients

  • An elderly person in a hospital, defined as a Complex Long-Term Care Patient wishing to live in a nursing home should contact his/her hospital ward's social worker.
  • The social worker will then contact the nurse representing the patient's health plan who will request approval from geriatric doctor for the arrangement.
  • The response from the medical specialist in geriatrics will be provided to the hospital.
  • Upon receiving approval, the social worker will inform the patient to which nursing home he/she may move, according to the health plan's instructions.
  • After payment arrangements are determined, the health plan will issue a payment voucher (hitkhayvut) and the patient may move to the nursing home.

Institutional Arrangements for Patients Living at Home

  • An elderly person living at home who wishes to move to a nursing home should contact his/her family doctor.
  • If the doctor establishes that the elderly person is a Complex Long-Term Care Patient, the doctor will send the request to a medical specialist in geriatrics responsible for arrangements in complex long-term care departments.
  • Upon receiving approval from the doctor or someone on his/her behalf, the patient will be informed regarding to which nursing home he/she may move, according to the health plan's instructions.
  • After payment arrangements are determined, the health plan will issue a payment voucher (hitkhayvut) and the patient may move to the nursing home.

Nursing Home Payments

  • The co-payment in a complex long-term care unit is approximately 116 NIS/day (the co-payment rates change from time to time and depend on the health plan and type of coverage).
  • Those without children who live solely off of an Old Age Pension with income supplement, must pay 80% of their income for the nursing home arrangements.

Submitting an Appeal

  • Residents who do not feel capable of paying the co-payment should fill out an appeals form.
  • Documentation indicating income, spouse's income and children's income should be attached to the form.
  • The forms and documents should be submitted to the applicant's primary care health plan clinic.
  • Those who are not satisfied with an appeals committee decision may submit an appeal to their health plan's members' rights department.

Aid Organizations

  • For a comprehensive listing of organizations that help senior citizens and the elderly, click here.
  • For a comprehensive categorized listing of healthcare organizations offering assistance and support, click here.
  • For a comprehensive categorized listing of aid organizations offering assistance and support for people with disabilities, click here.

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