Someone who previously submitted a disability pension claim may request a reexamination of eligibility according to the rules explained below.
- The National Insurance Institute is supposed to initiate reexamination of the insured, in cases in which a medical improvement has occurred due to medical treatment.
- The process to receive a benefit is not simple but is not overly complicated. It is outlined in the following chart:
Fast Track for Special Circumstances
and receiving a response in the mail
appeal the decision regarding incapacity to function
resubmit a claim
Target Audience and Prerequisites
- The age requirements for a reexamination request are the same as for an initial pension request; age 18 through 12 months after retirement age.
- If 6 months have passed since the National Insurance Institute last determined eligibility, a request to reexamine eligibility may be submitted:
- Someone for whom a disability pension claim was rejected because medical disability below 60% was established, or less than 40% medical disability when at least one medical impairment was established at at least 25%, or, in the case of a homemaker, less than 50% medical disability was established.
- Someone for whom a degree of incapacity less than 50% was established.
- Someone for whom partial incapacity was established.
- Someone who has undergone a significant medical or occupational change which could impact the capacity to earn a living, may submit a reexamination request even if 6 months have not elapsed since eligibility was last examined by the National Insurance Institute. In this case, the applicant must attach medical documentation from the treating physician indicating the worsened medical condition, as well as documentation indicating income from work.
- Someone whose claim was rejected due to other reasons, such as high income, may submit a reexamination request without waiting if his/her income has decreased.
- Someone for whom incapacity of 75% or more was established may request a reexamination of the medical disability percentage only, if he/she meets the following criteria:
- 12 months have passed since the medical disability percentage was last established.
- A physician who is specially certified by the National Insurance Institute has determined that the applicant's medical condition has worsened.
- The applicant is not hospitalized.
Stages of the Process
- Submitting a claim for reexamination follows the same steps as the initial process. For more information see: Submitting a General Disability Pension Claim.
The National Insurance Institute runs Yad Mechuvenet - Free guidance in preparation for appearing before the medical committeeFor information on other ways to receive assistance see the Free assistance for disability claims page.
- Medical disability is also reexamined and reestablished during a reexamination of the degree of incapacity.
- The National Insurance Institute may lower the medical disability percentage and the degree of incapacity as the result of a reexamination.