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.

Forms

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:
ADL Dependence Test
for the applicability of the
Conditions of Eligibility
Determining Dependence Level
by the claim clerk
Approval of a Temporary Benefit
or permanent benefit at level
A / B / C
or
Rejection of the claim
If the condition has deteriorated of a benefit recipient at level A or B
it is possible to request reassessment

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
    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. Meet eligible monthly income requirements. See Income Test to Determine Long-Term Care Benefit Eligibility and the following table:
Family status Monthly income as of 01.01.2017 Benefit rate
Individual Up to 9,673 NIS Full benefit
Individual Between 9,673 NIS and 14,509.5 NIS Reduced benefit (50%)
Individual Above 14,509.5 NIS Ineligible
Couple Up to 14,509.5 NIS Full benefit
Couple Between 14,509.5 NIS and 21,764.25 NIS Reduced benefit (50%)
Couple Above 21,764.25 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).
Example
  • A 78 year old widower receives a 12,000 NIS monthly pension, as well as a 1,531 NIS monthly Old Age Pension. His total income is 13,531 NIS.
  • He submitted a Long-Term Care Benefit claim and it was determined that he is entitled to a Level B Long-Term Care Benefit (16 hours).
  • Due to the fact that his total monthly income is greater than 9,673 NIS, he will receive a reduced benefit of 50% (8 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.
    • Beginning in May 2017, 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