The healthcare basket includes all medical services, medications, equipment and devices that policyholders are entitled to receive.
- The health plans are responsible for providing some of the services in the healthcare basket, and the Ministry of Health is responsible for providing others.
- As a general rule, the services in the healthcare basket are provided free of charge to policyholders, except those services for which a co-payment is required.
- The health plans are required to provide policyholders with the services included in the healthcare basket, in accordance with that which is detailed in the National Health Insurance Law and regulations.
- The basket offers the minimum amount of services, and does not claim to offer all medical services that may be required by health plan policyholders. The health plans are authorized and permitted to provide medical services and medications beyond those that are included in the basket.
- Changes are made to the healthcare basket once a year based on recommendations from the medications basket committee. Patients, patient organizations, companies and any other public or private entity may submit requests to the committee for specific medications and new technologies to be included in the basket.
Who is Eligible?
- All Health Insurance policyholders.
Healthcare Services Basket for which the Ministry of Health is Responsible
- The healthcare basket for which the Ministry of Health is responsible includes the following services:
- Personal preventative medicine - Vaccinations and examinations of development for babies and children, healthcare services for schoolchildren, as well as routine dental checkups. These services are usually offered at family health centers (Tipat Halav) or at school.
- Long-term hospitalization (regular) - Hospitalization for long-term care for the chronically ill or due to a permanent disorder. The health plans are responsible for hospitalization of complex long-term care patients and long-term rehabilitation patients, and a co-payment is required.
- Mental health services - Emergency care, psychiatric hospitalization, ambulatory services, etc. Following a reform in mental healthcare, the responsibility for mental health services is meant to be transferred to the health plans.
- Funding assistance for rehabilitation, walking, and mobility devices.
- For a full listing of the medical services in the healthcare basket for which the Ministry of Health is responsible, and the payment conditions for these services, contact the nearest Ministry of Health office. Click here for a listing of the offices by district.
For more information about the healthcare services for which the Ministry of Health is responsible, see the Ministry of Health's English website.
Healthcare Services Basket for which the Health Plans are Responsible
- The healthcare basket for which the health plans are responsible includes the following basic services:
- Clinic visits
- General hospitalization for medical advice, diagnosis and treatment
- Laboratory tests
- Nuclear medicine
- Diagnostic and treatment radiology
- Other diagnostic and treatment procedures including those for allergies, infertility, and more
- Pregnancy and birth - Doctor's examination and determining pregnancy, abortions, tests during pregnancy, fetal ultrasounds, etc.
- Diagnosis, treatment and surgery for problems involving the skin, breast, musculoskeletal system, respiratory system, digestive systems, kidneys and urogenital system, endocrine system, nervous system, eyes and ears, as well as complex long-term care services
- Genetic counseling
- Hearing tests
- Paramedical professions - Physical therapy, occupational therapy, psychological services, nutrition and diet, etc.
- Geriatrics and rehabilitation
- Testing for early detection of cancer
- Cardiac rehabilitation
- Emergency medical services
- For a complete list of services for which the health plans are responsible, see the Ministry of Health's English website.
- Due to the fact that the list of services included in the basket is long and updated from time to time, it is recommended to contact the health plan or National Health Insurance Law Ombudsman.
How to Claim It?
- Depending on the service, it is necessary to contact a health plan clinic, family health center (Tipat Halav) or Ministry of Health office.
- The fact that a medication is not included in the medication basket cannot be a consideration for refusing provision of a medication to a cancer patient
- For a comprehensive categorized listing of healthcare organizations offering assistance and support, click here.
Laws and Regulations
- The National Health Insurance Law
- The Patient's Rights Law
- National Health Insurance Order (Medications in the Healthcare Services Basket)
- Medical Administration Circular 1/2017 from 12.01.2017 - Expansion of the healthcare services basket for 2017
- Medical Administration Circular 2/2014 from 12.01.2014 - Expansion of the healthcare services basket for 2014
- Medical Administration Circular 1/2013 from 09.01.2013 - Expansion of the healthcare services basket for 2013
- Director Circular 2/2013 from 09.01.2013 - Expansion of the healthcare services basket for 2013
- Director Circular 1/2012 from 10.01.2012 - Expansion of the healthcare services basket for 2012
- National Health Insurance Guide on the government portal for services and information
- Original information written by the IMA.
- English translation and maintenance by The Shira Pransky Project.