Introduction:

Those insured who reach retirement age may be entitled to a Long-Term Care Benefit depending on the extent of their dependence on others and their income.
For clarification on eligibility, there is a simulator on the National Insurance Institution website that can help calculate eligibility for the long term benefit.
As of May 2017, one may Submit a Long-Term Benefit Claim if he/she has an upcoming surgery or is currently hospitalized, even while he/she is still in the hospital.
For additional information, see the National Insurance Institute's English website


Eligibility for a Long-Term Care Benefit is contingent on meeting the criteria detailed below.

  • The process for receiving the benefit is outlined in this chart:
Determining Dependence Level
by the claim clerk
Approval of a Temporary Benefit
or a permanent benefit at one of the Long-Term Care Benefit levels
or
Rejection of the claim
If the condition of someone who is receives a level 1-5 (or level A or B according to the old law) benefit worsens, it is possible to request reassessment
Tip
  • Private nursing companies offer temporary nursing services free of charge, even before a final decision is made regarding the patient's eligibility for a nursing benefit, and without any obligation on the patient's part.
  • You can find out more about companies that provide these services from hospital social workers, social services departments, HMO clinics and National Insurance Institute branches.
  • For additional information see "Pre-Nursing" Services in a Disability Claim.

Long-Term Care Benefit Conditions of Eligibility

  • In order to be eligible for a Long-Term Care Benefit, applicants must meet all five' of the following conditions of eligibility:
    1. Be an Israeli resident who has reached retirement age
      • Someone who becomes an Israeli citizen after retirement age is entitled to the benefit if he made aliyah according to the law of return or he received an Absorption Basket.
    2. Live in the community (at home or in the independent section of an assisted living facility).
      • Those who live in an institution are eligible only if they live in an independent section or a section for those who are frail. (Those who live in a nursing section, section for the mentally frail, geriatric hospital or an institution that has most of its expenses funded by a public entity -such as a government office or the local authority - are not eligible.)
      • Living in a nursing home licensed by the Ministry of Health or Ministry of Social Affairs and Social Services may be grounds for disqualification, but not necessarily (click here to see a legal ruling regarding this issue).
      • A Long-Term Care Benefit recipient who is hospitalized in a general hospital is is entitled to long-term care services in the hospital during the first 30 days of his/her hospitalization.
      • Long-Term Care Benefit recipients whose eligibility were suspended because of hospitalization or institutionalization become eligible again one they are released.
    3. May not also receive one of the following benefits (those receiving one of these benefits must choose between receiving it or the Long-Term Care Benefit):
    4. Require significant assistance or supervision (the extent to which assistance is necessary is determined after an ADL test of dependence has been performed):
      • Requires significant assistance performing daily activities - getting dressed, bathing, eating, going to the bathroom, mobility in the home, cooking
      • Supervision in order to prevent them from endangering themselves, or their surroundings
    5. Meets the monthly income requirements
Family status Monthly income as of 01.01.2020 Benefit rate
Individual Up to 10,551 NIS Full benefit
Individual Between 10,551 NIS and 15,826.5 NIS Reduced benefit (50%)
Individual Above 15,826.5 NIS Ineligible
Couple Up to 15,826.5 NIS Full benefit
Couple Between 15,826.5 and 23,739.75 NIS Reduced benefit (50%)
Couple Above 23,739.75 NIS Ineligible
  • Same-sex couples are considered to be a "couple" for purposes of calculating income (someone living as part of either a heterosexual or homosexual couple will not be considered an "individual" for purposes of calculating income).
  • When both members of the couple are considered nursing patients, the income is calculated individually for each person.
Example
  • A 78 year old widower receives a 12,000 NIS monthly pension, as well as a 1,558 NIS monthly Old Age Pension. His total income is 13,558 NIS.
  • He submitted a Long-Term Care Benefit claim and it was determined that he is entitled to a Level 2 Long-Term Care Benefit (10 hours/service units).
  • Due to the fact that his total monthly income is greater than 10,551 NIS, he will receive a reduced benefit of 50% (5 weekly hours).
  • For income test amounts from previous years see the National Insurance Institute website.


  • Please Note

    • In cases where the benefit eligibility has been established to be permanent, the National Insurance Institute has the right to reassess the recipient's ability to function.
    • A Long-Term Care Benefit claim may be submitted while the patient is in the hospital or an upcoming surgery or hospitalization,

    Court Rulings

    Aid Organizations

    Government Agencies

    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

    Shil - Citizens Advice Service hotline - 118

    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

    *5400 "Kol HaBriut" Ministry of Health Hotline

    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

    Additional Publications

    Credits