- If the long-term care benefit recipient or someone in his household is in quarantine during the coronavirus outbreak, and there is no caregiver from the nursing agency that can care for him, he can convert his care hours to a monetary payment.
- For additional information see Long Term Care Benefit Recipients will Receive Money instead of Care Hours During Coronavirus Quarantine Periods.
The level of Long-Term Care Benefit is determined by the extent of dependency the recipient has on other people or the extent of supervision he needs (based on the results of the ADL Dependence Test).
- The Level 3 Long-Term Care Benefit provides 12 weekly care hours (service units) with a personal foreign caretaker at home or 6 weekly care hours (service units) for those entitled to a reduced benefit amount because of their income amount.
- A level 3 long-term care benefit recipient that employs an Israeli caregiver is entitled to an additional 3 hours of weekly care totaling 15 hours. Those entitled to a reduced benefit because of their income amount will receive an additional 1.5 weekly hours, totaling 7.5 hours.
- A senior is entitled to a level 3 benefit, determined by his level of functioning and he employs an Israeli caregiver.
- His monthly income is 10,000 NIS and therefore he entitled to a reduced benefit of 7.5 service units.
Receiving a monetary benefit
Converting service units to monetary payments
- If you convert service units to monetary payments, each unit is worth 204.7 NIS.
- Anyone entitled to a benefit of this level may receive:
- Up to 4 service units in money (819 NIS).
- Up to 1/3 of the service hours the person is entitled to - up to 5 service units (1,024 NIS), on condition that the National Insurance social worker approves it.
- The long-term care services calculator can be used to help build an appropriate treatment plan.
Monetary benefit to directly employ a personal caregiver
- In addition to the option to receive part of the benefit monetarily, someone that employs a personal caregiver (for at last 12 hours a day, 6 days a week) can receive the entire benefit monetarily:
- The employer of a personal caregiver is entitled to receive the entire benefit in money in order to pay the caregiver directly, or he can choose to combine receiving a monetary benefit with other benefit services.
- For additional information see: Monetary Long-Term Care Benefit to Hire a Caregiver.
Filling the remaining hours of a caregiver employed through a nursing care company so that he works full-time
- In cases where the caregiver is employed through a nursing care company:
- The scope of the job that is attributed to the nursing care company is determined based on the number of long-term care benefit hours that the patient is entitled to.
- The scope of the job that is attributed to the patient are the remaining hours that are necessary in order to reach a full time job (beginning on 01.04.2018 a full time job is defined as 42 weekly hours or 182 monthly hours).
- A recipient is eligible for a Level 3 Long-Term Care Benefit.
- As an employer of a foreign worker he is entitled to 12 hours per week of personal care from the National Insurance Institute. These hours which make up 29% of a full-time position (42) are funded by the nursing care company.
- The patient needs to fund the remaining hours necessary for the caregiver to have a full-time job - 71% of the full-time amount.
- The patient is responsible for paying 71% of the costs related to employee a caregiver and the nursing company is responsible to pay the remaining 29%
Who is Eligible?
- Those who accrue 5-6 points on the dependence test.
- Recipients age 90 and above-until relevant instructions are given for them, those age 90 and above that were determined to have 6 points are entitled to a Level 4 Long-Term Care Benefit (like someone who accrued 6.5-7.5 points).
How to Claim It?
- After the benefit is approved and the person knows how many dependency points were established for the recipient, contact the National Insurance Institute to determine the make-up of the services that are appropriate for the recipient.
- Choosing how to receive the services (monetary benefit, long-term care services or a combination of the two) can be done in one of the following ways:
- Contact the call center at *2637 on Sunday - Thursday between 8:00am - 5:00pm.
- Fill out the services that interest you on the choosing long-term care services simulator and print the choice form.
- Download, print and fill out the services choice form by hand.
- After the request is received a social worker from the National Insurance Institute will contact the applicant.
- The make-up of the services will be determined based on the recipient's needs and the opinion of the social worker.
- The services will be provided to the recipient by a nursing care company that is authorized to provide services on behalf of the National Insurance Institute.
- The recipient can choose (one or more) and contact service providers from the nursing care companies list that work in his area.
- Someone who is interested in adding or changing services, or switching to a different service provider should contact them in the same way.
- For those who chose a monetary benefit, the benefit amount will be paid to their bank account beginning the month after the choice was made. The benefit will be paid each month by the 28th of the month.
- The general process for receiving the benefit is described in the following chart.
by the claim clerk
or a permanent benefit at one of the Long-Term Care Benefit levels
Rejection of the claim
- Private nursing care agencies provide temporary care services before the final decision regarding a patient's long-term care eligibility is given. This service is given free of charge and without any commitments.
- You can check which agencies provide this service through the hospital social workers, in the HMO social services departments or in the National Insurance Institute branches.
- For additional information see "Pre-care" Services during a Long-Term Care Benefit Claim.
- A benefit recipient who is hospitalized in a general hospital is entitled to receive the benefit services for the first 30 days of hospitalization. For more information see Long-Term Care Benefit During Hospitalization.
- Someone who is released from the hospital after a long hospitalization (over 30 days) as well as someone who is released from being hospitalized in a nursing care facility, is entitled to the same long term care benefit he was entitled to before his hospitalization regardless of how long the hospitalization was. For additional information see Renewal of eligibility for a long-term care benefit from those released from a hospital or nursing care facility.
- National Insurance Institute's Senior Citizen Guidance Service
- Segula Unit - Center to Help Hospitalized Senior Citizens
- Free Aid by the National Insurance Institute for Hospitalized Patients Filing Disability Claims
- Click here for a comprehensive listing of health-related assistance organizations
- Click here for a comprehensive listing of organizations that help senior citizens and the elderly
- Click here for a comprehensive listing of organizations that help people with disabilities
|Government Agency||Website||Rights and Areas of Responsibility|
|*6050 hotlines - The National Insurance Institute||Senior Citizens' Rights on the National Insurance Institute's website.||Rights to various allowances given based on age and economic situation.|
|*9696 hotline - The National Insurance Institute's Call Center for Senior Citizen Counseling Services||Senior Citizens' Rights on the National Insurance Institute's website.||Free aid provided through counseling services for senior citizens and the call center for senior citizens and their families.|
|*8840 Ministry for Social Equality - Hotline for Public Inquiries||Ministry for Social Equality website||The *8840 hotline run by the Ministry for Social Equality gives the elderly a central address to direct all of their questions, provide information regarding rights, services and benefits entitled to the elderly. It also helps them actualize these rights.|
|Segula Unit - Hotline to help senior citizens in the hospital||The Ministry for Social Equality||A health hotline for senior citizens, to assist them and their families know their rights during the period of hospitalization.|
| The Ministry of Labor, Social Affairs and Social Services
||Senior Citizens on the Ministry of Labor, Social Affairs and Social Services website||Funding of Nursing Homes for independent and frail seniors. Various services are also provided within the community.|
|The Ministry of Health||Senior Health on the Ministry of Health website.||Health Insurance and assistance for those suffering from age related health problems.|
|*5442 The Ministry of Housing and Construction Call Center||The Ministry of Construction and Housing website||Housing Assistance and Problem Solving for Senior Citizens|
Laws and Regulations
- The National Insurance Law - Section J: Long-Term Care Insurance
- National Insurance Regulations (Long-Term Care Insurance) (Income Test to Establish Eligibility and Amount of Long-Term Care Benefit - 1988]
- Circular no. 1496 from 06.11.2018 - Long-Term Care Reform
- The National Insurance Institute: A video clip explaining how to fill out a Long-Term Care Benefit claim
- Long Term Care Information on the Reuth website.
- Original information on this page was written as part of the Welfare Division, City of Jerusalem's Senior Citizens' Rights Accessibility Project, funded by The Mashov Organization.
- English translation and maintenance by The Shira Pransky Project.