Introduction:

Policyholders with an illness or medical condition that requires medical care at a facility specializing in a specific medical service are entitled to receive that service at that facility regardless of their health plan's choice of service provider arrangements with the facility
For more information and for a list of medical centers, see the Ministry of Health's English website


A specialized medical service is a medical service provided in a medical facility that offers a special level of medical knowledge and professional experience in treating a specific illness or medical condition.

  • Policyholders with an illness or medical condition that requires medical care at a facility specializing in a specific medical service are entitled to receive that service at that facility regardless of their health plan's choice of service provider arrangements with the facility.
  • If more than one such facility exists, the health plan may establish service provider choice arrangements, subject to reasonable availability and distance requirements.
  • The Ministry of Health periodically updates the listing of illnesses/medical conditions requiring specialized medical services, as well as the listing of recognized facilities that provide specialized medical services. Click here to view the listings on the Ministry of Health website.


Who is Eligible?

Illnesses and Medical Conditions that have a Medical Center Specializing in them

How to Claim It?

  • In order that the policyholder's request be granted he/she must clarify in advance that the facility is recognized by the Ministry of Health as a specialized medical service provider - (see here for a list of specialized medical centers on the Ministry of Health website).
  • Policyholders must request a payment voucher (Form 17) to the specialized medical service facility from their primary care clinic.
  • If the health plan refuses to issue a payment voucher (Form 17) for a service provider offering a specific specialization, the policyholder may claim that s/he is entitled to receive the specialized medical service from the specific facility due to the fact that it is a specialized medical service.

Appealing a Health Plan Decision

  • The policy may appeal the Health Fund's decision to withhold payment voucher (Form 17) for a specialized medical service provider, in one of the following ways:

Please Note

Aid Organizations

  • For a comprehensive categorized listing of healthcare organizations offering assistance and support, click here.

Government Agencies

Laws and Regulations

Additional Publications

Credits