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(Discounts and Exemptions From MDA)
 
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{{דגשים  
 
{{דגשים  
 
| איסור = <!-- דוגמה: אסור לעשות -->
 
| איסור = <!-- דוגמה: אסור לעשות -->
| מידע = Anyone covered by national health insurance who is evacuated to a hospital by Magen David Adom (MDA) and is subsequently hospitalized is automatically entitled to full funding of ambulance evacuation costs
+
| מידע =HMO policyholders who are evacuated to a hospital by Magen David Adom (MDA) and are subsequently hospitalized are entitled to full funding of ambulance evacuation costs
|מידע2 = Anyone covered by national health insurance who is evacuated by MDA in a mobile intensive care unit ("NATAN") and is not subsequently hospitalized is entitled to partial funding of the evacuation costs
+
|מידע2 = Policyholders evacuated by MDA in a mobile intensive care ambulance or unit but are not subsequently hospitalized are entitled to partial funding of the evacuation costs
|חשוב = One who is evacuated by a regular ambulance (not an intensive care unit) and not hospitalized must pay for the evacuation except in the cases detailed below
+
|חשוב = Someone who is evacuated by a regular ambulance (not an intensive care unit) and is not hospitalized must pay for the evacuation except in the cases detailed below
 
| שאלה  = <!-- דוגמה: שאלה -->
 
| שאלה  = <!-- דוגמה: שאלה -->
| ממשל = For more information, see the [http://call.health.gov.il/infocenter/index?page=content&id=EL7164&actp=search&viewlocale=he_IL&searchid=1524372484224 "Kol HaBriut website] and the [http://www.health.gov.il/English/Services/Citizen_Services/Pages/ambulance.aspx Ministry of Health's English website]
+
| ממשל = For more information, see the [http://call.health.gov.il/infocenter/index?page=content&id=EL7164&actp=search&viewlocale=he_IL&searchid=1524372484224 "Kol HaBriut website] and the [https://www.health.gov.il/Services/Citizen_Services/Pages/ambulance.aspx Ministry of Health's website]
 
}}
 
}}
 
}}
 
}}
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}}
 
}}
 
{{עצם העניין/סיום}}
 
{{עצם העניין/סיום}}
Those evacuated to a hospital by ambulance are entitled to partial or full funding of the evacuation costs, depending on the specific circumstances.
+
Those evacuated to a hospital by ambulance are entitled to partial or full funding of the evacuation costs, depending on the circumstances.
*'''One who is evacuated by a regular ambulance (not an intensive care unit) and not hospitalized must pay for the evacuation themselves''' except in the cases detailed below.
+
*'''Someone who is evacuated by a regular ambulance (not an intensive care unit) and is not hospitalized must pay for the evacuation themselves''' except in the cases detailed below.
 +
*There may be increased funding for those who have supplemental health insurance from their HMO (see details on the [http://call.health.gov.il/infocenter/index?page=content&id=EL7164&actp=search&viewlocale=he_IL&searchid=1524372484224 Kol HaBriut website]).
 +
*Contact details for MDA's billing department can be found on the [https://www.mdais.org/contact MDA website].
 +
*For funding details according to the various HMOs see:
 +
**[https://www.clalit.co.il/he/info/ServiceBag/Pages/default.aspx?q=%D7%90%D7%9E%D7%91%D7%95%D7%9C%D7%A0%D7%A1 Clalit's] website and [https://www.clalit.co.il/he/info/ServiceBag/Pages/default.aspx?q=%D7%94%D7%95%D7%A1%D7%A2%D7%95 reimbursement in special cases].
 +
**[https://www.maccabi4u.co.il/5618-he/Maccabi.aspx?TabId=5619_5621#showData_12784 Maacabi's] website.
 +
**[https://www.meuhedet.co.il/%D7%96%D7%9B%D7%95%D7%99%D7%95%D7%AA-%D7%A9%D7%99%D7%A8%D7%95%D7%AA%D7%99%D7%9D-%D7%95%D7%91%D7%99%D7%98%D7%95%D7%97%D7%99%D7%9D/%D7%96%D7%9B%D7%95%D7%99%D7%95%D7%AA-%D7%A9%D7%99%D7%A8%D7%95%D7%AA%D7%99%D7%9D-%D7%95%D7%91%D7%99%D7%98%D7%95%D7%97%D7%99%D7%9D/%D7%98%D7%99%D7%A4%D7%95%D7%9C%D7%99%D7%9D/%D7%A4%D7%99%D7%A0%D7%95%D7%99-%D7%91%D7%90%D7%9E%D7%91%D7%95%D7%9C%D7%A0%D7%A1/ Meuchedet's] website.
 +
**[https://www.leumit.co.il/heb/Rights/Search/deductible/ Leumit's] website.
 
== Who is Eligible? == <!--מי זכאי-->
 
== Who is Eligible? == <!--מי זכאי-->
 
*[[Health Insurance|Health insurance]] policyholders evacuated to a hospital by ambulance or urgent care mobile unit, according to the following circumstances:
 
*[[Health Insurance|Health insurance]] policyholders evacuated to a hospital by ambulance or urgent care mobile unit, according to the following circumstances:
 
===Full funding of ambulance costs===
 
===Full funding of ambulance costs===
* '''Those who were evacuated and hospitalized''' - Entitled to full funding of ambulance costs from their health plan.
+
* '''Those who were evacuated and hospitalized''' are entitled to full funding of ambulance costs from their HMO.
* '''Those who were transferred from a hospital emergency room and taken for continuation of treatment at another hospital''' - Entitled to full funding of ambulance costs from their health plan.
+
* '''Those who were transferred from a hospital emergency room for continuation of treatment at another hospital''' are entitled to full funding of ambulance costs from their HMO.
* '''Those who were transferred from one hospital to another''' - Entitled to full funding of ambulance costs from the referring hospital (unless the patient was transferred to a nursing facility).
+
* '''Those who were transferred from one hospital to another''' are entitled to full funding of ambulance costs from the referring hospital (unless the patient was transferred to a nursing facility).
* '''Those who were transferred from a hospital to a rehabilitation or complex long-term care framework''' - Entitled to full funding of ambulance costs from their health plan.
+
* '''Those who were transferred from a hospital to a rehabilitation or complex long-term care framework''' are entitled to full funding of ambulance costs from their health plan.
 
+
*See below for additional specific cases that funding may be provided.
 
===Partial funding of ambulance costs===
 
===Partial funding of ambulance costs===
*'''Those who have been evacuated by an intensive care ambulance (ETAN) or a mobile intensive care unit (NATAN), and were not hospitalized''' - Entitled to funding of 50% of ambulance costs from their health plan.
+
*'''Those who have been evacuated by an intensive care ambulance (ETAN) or a mobile intensive care unit (NATAN), and were not hospitalized''' are entitled to funding of 50% of ambulance costs from their health plan.
 
*Some health plans offer benefits in addition to the basic entitlement (see details on [http://call.gov.il/infocenter/index?page=content&id=EL7164&actp=RSS the Health Ministry Information website]), It is recommended to contact the health plan in order to clarify conditions of eligibility and available benefits.
 
*Some health plans offer benefits in addition to the basic entitlement (see details on [http://call.gov.il/infocenter/index?page=content&id=EL7164&actp=RSS the Health Ministry Information website]), It is recommended to contact the health plan in order to clarify conditions of eligibility and available benefits.
 
{{טיפ| Senior citizens who are members of the [[:he:קהילה תומכת לקשישים|Supportive Community Program]] can call in an emergency with an alert button, without a doctor's authorization, with nominal cost participation.}}
 
{{טיפ| Senior citizens who are members of the [[:he:קהילה תומכת לקשישים|Supportive Community Program]] can call in an emergency with an alert button, without a doctor's authorization, with nominal cost participation.}}
 
 
=== Who is Not Entitled ===
 
=== Who is Not Entitled ===
*'''Those who have been evacuated by regular ambulance (not a mobile intensive care unit ("NATAN" or "ETAN"), and were not hospitalized''' - Are required to fund the evacuation costs themselves.
+
*'''Those who have been evacuated by regular ambulance (not a mobile intensive care unit ("NATAN" or "ETAN"), and were not hospitalized''' are required to fund the evacuation costs themselves.
 
+
=== Specific Cases of Eligibility ===
=== Specific Circumstances ===
+
*Someone who looses consciousness (faints) in a public space and an ambulance is called by a bystander is eligible to a full evacuation funding by his HMO.
*Someone who looses consciousness (faints) in a public space is eligible to a full evacuation reimbursement from all of the health plans.
+
*'''Road accident victims''' evacuated by a regular ambulance are responsible for funding the evacuation (the insurance company that is liable for the accident will pay compensation to the injured person based on a police certificate of the accident).
*'''Road accident victims''' - Entitled to full funding of evacuation costs from their health plan if the evacuation is performed by a mobile intensive care unit (NATAN)/mobile intensive care ambulance (ETAN), but must fund all evacuation costs themselves if by means of a regular ambulance. For more information, see: '''[[:he:מימון עלויות פינוי באמבולנס לנפגעי תאונות דרכים|Funding of Ambulance Evacuation Costs for Road Accident Victims]]'''.
+
**If the evacuation is performed by a mobile intensive care unit (NATAN)/mobile intensive care ambulance (ETAN) then it is funded by the HMO.
*'''Work accident victims''' - Reimbursements are given by the health plans for ambulance evacuations '''on the day of the accident.''' For more information, see: '''[[:he:טיפול רפואי לנפגע עבודה|Medical Treatment for Work Injury Victims]]'''.
+
**For additional information, see: '''[[:he:מימון עלויות פינוי באמבולנס לנפגעי תאונות דרכים|Funding of Ambulance Evacuation Costs for Road Accident Victims]]'''.
*'''Pregnant women evacuated to a hospital who give birth''' - Entitled to full funding of evacuation costs by the [[:he:המוסד לביטוח לאומי|National Insurance Institute]] if she gives birth within 72 hours of the evacuation.  
+
*'''Work accident victims''':
If she gives birth more than 72 hours later, her health plan provides the reimbursement. For more information, see: '''[[Ambulance Services During Labor]]'''.
+
**Reimbursements are given by the HMOs for ambulance evacuations '''on the day of the accident.'''  
*'''IDF soldiers''' - The IDF covers all evacuation costs. For more information, see: '''[[:he:פינוי חייל באמבולנס|Evacuation by Ambulance for a Soldier]]'''.
+
**For additional information, see: '''[[:he:טיפול רפואי לנפגע עבודה|Medical Treatment for Work Injury Victims]]'''.
*'''Epilepsy''' - Those with epilepsy are entitled to full funding of evacuation costs under specific circumstances. For more information, see: [[Epilepsy]].
+
*'''A pregnant woman evacuated to a hospital and give birth''' is entitled to full funding of evacuation costs if she gives birth within 72 hours of the evacuation.
* '''[[Cancer Patients|Oncology]] and [[Dialysis|dialysis]] patients''' - Oncology and dialysis patients who must travel for treatment and there is medical justification for transportation by ambulance are entitled to have their health plan cover 50% of the ambulance costs. The health plans are permitted to have arrangements with a specific ambulance company whereby policyholders must use that company's ambulance services in order to receive funding from the health plan. It is recommended to clarify specifics with the health plan in advance.
+
**The funding is by the [[:he:המוסד לביטוח לאומי|National Insurance Institute]] and not her HMO.
*'''Victims of a hostile act''' - The National Insurance Institute covers all evacuation costs. For more information, see: '''[[:he:מימון הוצאות פינוי באמבולנס לנפגעי פעולות איבה|Funding of Ambulance Evacuation Costs for Hostile Acts Victims]]'''.
+
**If she gives birth more than 72 hours later, her HMO provides the funding.  
* '''Policyholders transferred from a nursing/long-term care facility to a hospital''' - Policyholders hospitalized in a nursing/long-term care facility, funding for which comes from the Ministry of Health ("code hospitalization"), are entitled to funding of the ambulance costs from the institution in which they are hospitalized, in accordance with arrangements between the Ministry of Health and the "code hospitalization" facility.
+
**For additional information, see: '''[[Ambulance Services During Labor]]'''.
 +
*'''IDF soldiers''' are entitled to full funding of  evacuation costs by the IDF. For additional information, see: '''[[:he:פינוי חייל באמבולנס|Evacuation by Ambulance for a Soldier]]'''.
 +
*'''Epilepsy patients''' are entitled to full funding of evacuation costs under specific circumstances. For more information, see: [[Epilepsy]].
 +
* '''[[Cancer Patients|Oncology]] and [[Dialysis|dialysis]] patients''' who must travel to the hospital for treatment and have medical justification for transportation by ambulance are entitled to have their HMO cover 50% of the ambulance costs.  
 +
**The HMOs are permitted to have arrangements with a specific ambulance company whereby policyholders must use that company's ambulance services in order to receive funding from the HMO.  
 +
**It is recommended to clarify specifics with the HMO in advance.
 +
*'''Hostile act victims''' are entitled to full evacuation funding from the National Insurance Institute. For additional information, see: '''[[:he:מימון הוצאות פינוי באמבולנס לנפגעי פעולות איבה|Funding of Ambulance Evacuation Costs for Hostile Acts Victims]]'''.
 +
* '''Hospitalized long-term care patients''' that receive hospitalization funding from the Ministry of Health ("code hospitalization"), are entitled to funding of the ambulance costs from the institution in which they are hospitalized, in accordance with arrangements between the Ministry of Health and the "code hospitalization" facility.
 +
*'''Policyholders evacuated for [[Mental Health|psychiatric]] reasons''' may be entitled to full or partial funding of evacuation costs from their HMO when they are transferred from the psychiatric hospital they are in or are transferred upon instruction from the district psychiatrist, according to the circumstance.
 +
**A person may have the right to funding or reimbursement even if he is not actually hospitalized.
 +
**Conditions of eligibility vary by HMO and it is recommended to check in advance with your HMO.
 
* '''Policyholders that died at home''' - according to [https://www.leumit.co.il/UploadedFiles/12_2014/elderlyrights.pdf#page=16 Rights booklet for the elderly population] for "Leumit" members, the health fund covers the payment in the event that an ambulance or an Intensive Care Unit has been called, but the person dies at home.
 
* '''Policyholders that died at home''' - according to [https://www.leumit.co.il/UploadedFiles/12_2014/elderlyrights.pdf#page=16 Rights booklet for the elderly population] for "Leumit" members, the health fund covers the payment in the event that an ambulance or an Intensive Care Unit has been called, but the person dies at home.
  
==Funded by the Health Fund==
+
==HMO Funding==
 
===When evacuation to a hospital is performed by a (Magen David Adom) MDA ambulance===
 
===When evacuation to a hospital is performed by a (Magen David Adom) MDA ambulance===
 
*If the patient is insured by the '''[https://www.clalit.co.il/he/Pages/default.aspx Clalit]''' or '''[https://www.maccabi4u.co.il/14-he/Maccabi.aspx Maccabi]''' health funds:
 
*If the patient is insured by the '''[https://www.clalit.co.il/he/Pages/default.aspx Clalit]''' or '''[https://www.maccabi4u.co.il/14-he/Maccabi.aspx Maccabi]''' health funds:
**The commitment form (hitchayvut) is sent directly by MDA to the patient's health fund where the eligibility for covering costs is assessed.
+
**The commitment form (hitchayvut) is sent directly by MDA to the patient's HMO where eligibility for covering costs is assessed.
**If the entire cost of the evacuation is covered, the patient's health fund will transfer the payment directly to MDA and the patient does not have to worry about transferring the information between the parties.
+
**If the entire cost of the evacuation is covered, the patient's HMO will transfer the payment directly to MDA and the patient does not have to worry about transferring the information between the parties.
**If it is determined that the patient is not eligible for any coverage of costs from his/her health fun, he/she will receive a letter from MDA detailing the health fund's decision with the instruction to arrange payment directly with MDA.  
+
**If it is determined that the patient is not eligible for any coverage of costs from his/her HMO, he/she will receive a letter from MDA detailing the HMO's decision with the instruction to arrange payment directly with MDA.  
**If it is determined that the patient is entitled to partial coverage from his/her health fund, he/she will receive a letter from MDA regarding the remaining amount that must be paid and the deadline to pay it.  The patient needs to arrange to pay that directly with MDA.
+
**If it is determined that the patient is entitled to partial coverage from his/her HMO, he/she will receive a letter from MDA regarding the remaining amount that must be paid and the deadline to pay it.  The patient needs to arrange to pay that directly with MDA.
 
*If the patient is insured by the '''[https://www.leumit.co.il/heb/home/ Leumit]''' or '''[https://www.meuhedet.co.il/meuhedet/views/index.jsp Meuchedet]''' health funds:
 
*If the patient is insured by the '''[https://www.leumit.co.il/heb/home/ Leumit]''' or '''[https://www.meuhedet.co.il/meuhedet/views/index.jsp Meuchedet]''' health funds:
** The patient should contact the health fund within 60 days of the evacuation with the MDA request for payment. The health fund will transfer payment directly to MDA (depending on the case, the fund will collect a partial payment).
+
** The patient should contact his HMO within 60 days of the evacuation with the MDA request for payment. The HMO will transfer payment directly to MDA (depending on the case, the fund will collect a partial payment).
** If 60 days have elapsed from the date of the evacuation, contact MDA for payment of the evacuation. At the same time, contact the health fund with the request for payment and receipt in order to receive a refund (full or partial, as the case may be).
+
** If 60 days have elapsed from the date of the evacuation, contact MDA for payment of the evacuation. At the same time, contact the HMO with the request for payment and receipt in order to receive a refund (full or partial, as the case may be).
 
*'''For contact details of the MDA collection department, see the [https://www.mdais.org/contact-he MDA website].'''
 
*'''For contact details of the MDA collection department, see the [https://www.mdais.org/contact-he MDA website].'''
 
 
===When evacuation to a hospital is performed by an ambulance operated by an organization other than MDA===
 
===When evacuation to a hospital is performed by an ambulance operated by an organization other than MDA===
*The patient should contact the ambulance organization and his/her health plan to clarify payment arrangements.
+
*The patient should contact the ambulance organization and his HMO to clarify payment arrangements.
  
==Funded by the National Insurance Institute==
+
==National Insurance Institute Funding==
* In all of the following cases, the National Insurance Institute, and not the health plans, is required to pay, :
+
* In all of the following cases, the National Insurance Institute, and not the HMOs, is required to pay for the evacuation costs:
:* '''Work accident victims''' - For more information including claim process details, see: '''[[:he:טיפול רפואי לנפגע עבודה|Medical Treatment for Work Injury Victims]]'''.
+
** '''Work accident victims''' - For more information including claim process details, see: '''[[:he:טיפול רפואי לנפגע עבודה|Medical Treatment for Work Injury Victims]]'''.
:* '''Pregnant women evacuated to a hospital who give birth''' - For more information including claim process details, see: '''[[Ambulance Services During Labor]]'''.
+
** '''Pregnant women evacuated to a hospital who give birth''' - For more information including claim process details, see: '''[[Ambulance Services During Labor]]'''.
:* '''Victims of a hostile act''' - For more information including claim process details, see: '''[[:he:מימון הוצאות פינוי באמבולנס לנפגעי פעולות איבה|Funding of Ambulance Evacuation Costs for Hostile Acts Victims]]'''.
+
** '''Hostile Act Victims''' - For more information including claim process details, see: '''[[:he:מימון הוצאות פינוי באמבולנס לנפגעי פעולות איבה|Funding of Ambulance Evacuation Costs for Hostile Acts Victims]]'''.
  
==Funded by the [[:he:צה"ל|IDF]] ==
+
==[[:he:צה"ל|IDF]] Funding ==
 
*Ambulance evacuations of IDF soldiers are paid for entirely by the IDF.
 
*Ambulance evacuations of IDF soldiers are paid for entirely by the IDF.
 
*For more information including claim process details, see: '''[[:he:פינוי חייל באמבולנס|Evacuation by Ambulance for a Soldier]].'''
 
*For more information including claim process details, see: '''[[:he:פינוי חייל באמבולנס|Evacuation by Ambulance for a Soldier]].'''
  
 
== Discounts and Exemptions From MDA ==
 
== Discounts and Exemptions From MDA ==
* In some cases, those who have not received assistance in funding for transportation in an MDA ambulance can apply to the discounts committee.
+
* In some cases, those who do not received funding assistance for evacuation by a MDA ambulance can apply to the MDA discounts committee.
* The eligibility criteria for applying - financial status, medical condition, holocaust survivors, "insolvent", [[:he:דר רחוב (חסר בית, הומלס)|homeless]], terminally ill patients, orphans of both parents up to age 18.
+
<!--* The eligibility criteria for applying - financial status, medical condition, holocaust survivors, "insolvent", [[:he:דר רחוב (חסר בית, הומלס)|homeless]], terminally ill patients, orphans of both parents up to age 18.
 
* The request is submitted via the [https://www.mdais.org/images/pdf/General/שימוע%20ציבורי.pdf#page=2 application form for determining a discount/exemption from payment of an emergency transportation fee], with the relevant documents specified in the form attached.
 
* The request is submitted via the [https://www.mdais.org/images/pdf/General/שימוע%20ציבורי.pdf#page=2 application form for determining a discount/exemption from payment of an emergency transportation fee], with the relevant documents specified in the form attached.
 
* Applications should be submitted within 60 days of receipt of the transportation service. If the application is filed after this date, the reason for the delay should be explained.
 
* Applications should be submitted within 60 days of receipt of the transportation service. If the application is filed after this date, the reason for the delay should be explained.
* For more information on the eligibility criteria, see the [https://www.mdais.org/images/pdf/General/שימוע%20ציבורי.pdf uniform criteria for granting discounts/exemptions for MDA charges] at the Magen David Adom site.
+
* For more information on the eligibility criteria, see the [https://www.mdais.org/images/pdf/General/שימוע%20ציבורי.pdf uniform criteria for granting discounts/exemptions for MDA charges] at the Magen David Adom site.-->
*The request will be directed to the MDA collection department.  For the collection department's contact information see the [https://www.mdais.org/contact-he MDA website].
+
*The request is submitted via MDA's billing department.  For the billing department's contact information see the [https://www.mdais.org/contact-he MDA website].
  
 
== Please Note == <!--חשוב לדעת-->
 
== Please Note == <!--חשוב לדעת-->

Latest revision as of 21:38, 9 February 2020

Introduction:

HMO policyholders who are evacuated to a hospital by Magen David Adom (MDA) and are subsequently hospitalized are entitled to full funding of ambulance evacuation costs
Policyholders evacuated by MDA in a mobile intensive care ambulance or unit but are not subsequently hospitalized are entitled to partial funding of the evacuation costs
Someone who is evacuated by a regular ambulance (not an intensive care unit) and is not hospitalized must pay for the evacuation except in the cases detailed below
For more information, see the "Kol HaBriut website and the Ministry of Health's website


Those evacuated to a hospital by ambulance are entitled to partial or full funding of the evacuation costs, depending on the circumstances.

  • Someone who is evacuated by a regular ambulance (not an intensive care unit) and is not hospitalized must pay for the evacuation themselves except in the cases detailed below.
  • There may be increased funding for those who have supplemental health insurance from their HMO (see details on the Kol HaBriut website).
  • Contact details for MDA's billing department can be found on the MDA website.
  • For funding details according to the various HMOs see:

Who is Eligible?

  • Health insurance policyholders evacuated to a hospital by ambulance or urgent care mobile unit, according to the following circumstances:

Full funding of ambulance costs

  • Those who were evacuated and hospitalized are entitled to full funding of ambulance costs from their HMO.
  • Those who were transferred from a hospital emergency room for continuation of treatment at another hospital are entitled to full funding of ambulance costs from their HMO.
  • Those who were transferred from one hospital to another are entitled to full funding of ambulance costs from the referring hospital (unless the patient was transferred to a nursing facility).
  • Those who were transferred from a hospital to a rehabilitation or complex long-term care framework are entitled to full funding of ambulance costs from their health plan.
  • See below for additional specific cases that funding may be provided.

Partial funding of ambulance costs

  • Those who have been evacuated by an intensive care ambulance (ETAN) or a mobile intensive care unit (NATAN), and were not hospitalized are entitled to funding of 50% of ambulance costs from their health plan.
  • Some health plans offer benefits in addition to the basic entitlement (see details on the Health Ministry Information website), It is recommended to contact the health plan in order to clarify conditions of eligibility and available benefits.
Tip
Senior citizens who are members of the Supportive Community Program can call in an emergency with an alert button, without a doctor's authorization, with nominal cost participation.

Who is Not Entitled

  • Those who have been evacuated by regular ambulance (not a mobile intensive care unit ("NATAN" or "ETAN"), and were not hospitalized are required to fund the evacuation costs themselves.

Specific Cases of Eligibility

  • Someone who looses consciousness (faints) in a public space and an ambulance is called by a bystander is eligible to a full evacuation funding by his HMO.
  • Road accident victims evacuated by a regular ambulance are responsible for funding the evacuation (the insurance company that is liable for the accident will pay compensation to the injured person based on a police certificate of the accident).
  • Work accident victims:
  • A pregnant woman evacuated to a hospital and give birth is entitled to full funding of evacuation costs if she gives birth within 72 hours of the evacuation.
  • IDF soldiers are entitled to full funding of evacuation costs by the IDF. For additional information, see: Evacuation by Ambulance for a Soldier.
  • Epilepsy patients are entitled to full funding of evacuation costs under specific circumstances. For more information, see: Epilepsy.
  • Oncology and dialysis patients who must travel to the hospital for treatment and have medical justification for transportation by ambulance are entitled to have their HMO cover 50% of the ambulance costs.
    • The HMOs are permitted to have arrangements with a specific ambulance company whereby policyholders must use that company's ambulance services in order to receive funding from the HMO.
    • It is recommended to clarify specifics with the HMO in advance.
  • Hostile act victims are entitled to full evacuation funding from the National Insurance Institute. For additional information, see: Funding of Ambulance Evacuation Costs for Hostile Acts Victims.
  • Hospitalized long-term care patients that receive hospitalization funding from the Ministry of Health ("code hospitalization"), are entitled to funding of the ambulance costs from the institution in which they are hospitalized, in accordance with arrangements between the Ministry of Health and the "code hospitalization" facility.
  • Policyholders evacuated for psychiatric reasons may be entitled to full or partial funding of evacuation costs from their HMO when they are transferred from the psychiatric hospital they are in or are transferred upon instruction from the district psychiatrist, according to the circumstance.
    • A person may have the right to funding or reimbursement even if he is not actually hospitalized.
    • Conditions of eligibility vary by HMO and it is recommended to check in advance with your HMO.
  • Policyholders that died at home - according to Rights booklet for the elderly population for "Leumit" members, the health fund covers the payment in the event that an ambulance or an Intensive Care Unit has been called, but the person dies at home.

HMO Funding

When evacuation to a hospital is performed by a (Magen David Adom) MDA ambulance

  • If the patient is insured by the Clalit or Maccabi health funds:
    • The commitment form (hitchayvut) is sent directly by MDA to the patient's HMO where eligibility for covering costs is assessed.
    • If the entire cost of the evacuation is covered, the patient's HMO will transfer the payment directly to MDA and the patient does not have to worry about transferring the information between the parties.
    • If it is determined that the patient is not eligible for any coverage of costs from his/her HMO, he/she will receive a letter from MDA detailing the HMO's decision with the instruction to arrange payment directly with MDA.
    • If it is determined that the patient is entitled to partial coverage from his/her HMO, he/she will receive a letter from MDA regarding the remaining amount that must be paid and the deadline to pay it. The patient needs to arrange to pay that directly with MDA.
  • If the patient is insured by the Leumit or Meuchedet health funds:
    • The patient should contact his HMO within 60 days of the evacuation with the MDA request for payment. The HMO will transfer payment directly to MDA (depending on the case, the fund will collect a partial payment).
    • If 60 days have elapsed from the date of the evacuation, contact MDA for payment of the evacuation. At the same time, contact the HMO with the request for payment and receipt in order to receive a refund (full or partial, as the case may be).
  • For contact details of the MDA collection department, see the MDA website.

When evacuation to a hospital is performed by an ambulance operated by an organization other than MDA

  • The patient should contact the ambulance organization and his HMO to clarify payment arrangements.

National Insurance Institute Funding

IDF Funding

Discounts and Exemptions From MDA

  • In some cases, those who do not received funding assistance for evacuation by a MDA ambulance can apply to the MDA discounts committee.
  • The request is submitted via MDA's billing department. For the billing department's contact information see the MDA website.

Please Note

  • It is important to confirm that payment is transferred to MDA within 90 days of the evacuation, otherwise interest and indexing will be added to the cost.
  • Those who have been charged additional charges for interest and indexing due to delay in payment may submit a request to the director of MDA to remove all or some of these additional charges. The request must provide an explanation of the reasons for the delay and show that these reasons were out of their control. The director of MDA has the authority to cancel any charges, added interest and/or indexing in whole or in part.

Aid Organizations

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

Government Agencies

Laws and Regulations

Additional Publications

Credits