m (מחיקת תחום תוכן כאשר הוא בעצם סוג הערך רק באנגלית)
 
(10 intermediate revisions by 4 users not shown)
Line 1: Line 1:
{{עצם העניין}}{{סוג ערך|זכות}}
+
{{עצם העניין}}
{{תקציר}}
+
{{תקציר |תוכן=
 
{{דגשים  
 
{{דגשים  
| מידע = All Israeli residents are covered by health insurance which entitles them to the services established under the National Health Insurance Law
+
| מידע = Every Israeli resident is covered by health insurance which entitles him/her to the services established under the [[:he:חוק ביטוח בריאות ממלכתי|National Health Insurance Law]]
 
| איסור = <!-- דוגמה: אסור לעשות -->
 
| איסור = <!-- דוגמה: אסור לעשות -->
| חשוב = Lack of payment or delayed payment of health insurance fees does not affect the rights of a policyholder and does not exempt the health plan from providing the healthcare services included in the healthcare services basket
+
| חשוב = Lack of payment or delayed payment of health insurance fees does not affect the rights of a policyholder and does not exempt the health plan from providing the healthcare services included in [[The Healthcare Basket]]
 
| ממשל = For information on the rights of policyholders according to the National Health Insurance Law, see the [http://www.health.gov.il/English/Topics/RightsInsured/RightsUnderLaw/Pages/default.aspx Ministry of Health English website]
 
| ממשל = For information on the rights of policyholders according to the National Health Insurance Law, see the [http://www.health.gov.il/English/Topics/RightsInsured/RightsUnderLaw/Pages/default.aspx Ministry of Health English website]
 
| ממשל2 = Additional information on commercial health insurance can be found in the [http://www.mof.gov.il/hon/Consumer-Information/Consumer-Insurance/Pages/HealthInsuranceGuid.aspx Capital Market, Insurance and Savings Authority's Guide]
 
| ממשל2 = Additional information on commercial health insurance can be found in the [http://www.mof.gov.il/hon/Consumer-Information/Consumer-Insurance/Pages/HealthInsuranceGuid.aspx Capital Market, Insurance and Savings Authority's Guide]
Line 11: Line 11:
  
 
}}
 
}}
{{תקציר/סיום}}
+
}}
 
{{טפסים
 
{{טפסים
 
| 1 =  
 
| 1 =  
Line 19: Line 19:
 
{{ראו גם  
 
{{ראו גם  
 
| [[Paying Health Insurance Contributions]]
 
| [[Paying Health Insurance Contributions]]
 +
| [[Health and Illness]]}}
 
| [[Choosing a Health Plan]]
 
| [[Choosing a Health Plan]]
 
|[[General Healthcare Rights]]
 
|[[General Healthcare Rights]]
| [[Health and Illness]]}}
 
 
{{עצם העניין/סיום}}
 
{{עצם העניין/סיום}}
  
*According to the [[:he:חוק ביטוח בריאות ממלכתי|National Health Insurance Law]], all [[:he:תושב ישראל|Israeli residents]] are covered by health insurance which entitles them to the services included in the health services basket.
+
According to the [[:he:חוק ביטוח בריאות ממלכתי|National Health Insurance Law]], all [[:he:תושב ישראל|Israeli residents]] are covered by health insurance which entitles them to the services included in the health services basket.
 
*The medical services to which all residents are eligible ([[The Healthcare Basket]]) are established in the law and are updated periodically. The health services basket is the same for all those who are entitled to it, and eligibility is not dependent on which health plan someone belongs to.
 
*The medical services to which all residents are eligible ([[The Healthcare Basket]]) are established in the law and are updated periodically. The health services basket is the same for all those who are entitled to it, and eligibility is not dependent on which health plan someone belongs to.
 
*By law, the health plans are responsible for providing the health services found in the second addendum to the law. The law requires the health plans to accept anyone who wishes to be a member, regardless of the economic status, age, sex, health condition, etc.
 
*By law, the health plans are responsible for providing the health services found in the second addendum to the law. The law requires the health plans to accept anyone who wishes to be a member, regardless of the economic status, age, sex, health condition, etc.
Line 36: Line 36:
 
== How to Claim It? == <!--תהליך מימוש הזכות-->
 
== How to Claim It? == <!--תהליך מימוש הזכות-->
 
* The right is granted automatically through the [[:he:המוסד לביטוח לאומי|National Insurance Institute]] to all permanent residents of Israel.
 
* The right is granted automatically through the [[:he:המוסד לביטוח לאומי|National Insurance Institute]] to all permanent residents of Israel.
* [[Paying Health Insurance Contributions|Payment of health insurance contributions]] is collected by the National Insurance Institute.
+
*New Immigrants should sign up with a health plan in order to actualize this right.  See more information below.
* Medical services are provided to all policyholders by the health plans to which they chose to belong; some services are provided by the Ministry of Health.
+
*Returning citizens, or someone who ceased to be an Israeli citizen, will have to wait a designated waiting period until he/she is eligible again for health insurance.  See more information below.
 +
* [[Paying Health Insurance Contributions|Health insurance contributions]] are collected by the National Insurance Institute.
 +
* Medical services are provided to all policyholders by the health plans to which they chose to belong; (some services are provided by the Ministry of Health).
 +
 
 +
==Specific Populations==
 +
===[[:he:חיילים, צבא וביטחון|Soldiers]]===
 +
* [[:he:חיילים, צבא וביטחון|Soldiers]] performing compulsory or career service receive medical services through the IDF and not the health plans. For career soldiers, payment for health insurance is deducted from their salary.
 +
* Soldiers volunteering for compulsory service (i.e. due to special health reasons) are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong. In these cases, the health insurance is paid for by the IDF.
 +
* Soldiers on temporary leave from active service are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong, and they will be required to pay the relevant insurance fees.
 +
* Soldiers performing service without payment are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong. In these cases, the health insurance is paid for by the State Treasury, as of 2002.
 +
 
 +
===Children===
 +
*From birth, every child is automatically insured in the health plan to which the parent receiving his/her [[Child Allowance]] belongs.
 +
*If the child's parents belong to different health plans and they want the child to belong to the health plan to which the parent who does not receive the child allowance belongs, they must go to a branch of the post office, fill out a transfer form and both sign it.
 +
*The '''first''' transfer of a child younger than six months old from one health plan to another will be performed immediately without any waiting period.
 +
 
 +
===Children of Returning Residents===
 +
*Children (under the age of 18) of [[:he:תושבים חוזרים|returning residents]] are eligible to receive health services, provided that their parents were recognized as residents of Israel after returning to Israel, even if the parents are temporarily not entitled to receive medical services and are currently in the mandatory waiting period.
 +
*Parents will be reimbursed for all paid medical services for their children, provided that a request for residency was submitted to the National Insurance Institute before the paid medical services were received.
 +
*If the expenses were incurred before a request for residency was submitted to the National Insurance Institute, the parents will not receive any reimbursement for paid medical services.
 +
 
 +
===Israeli Residents Abroad===
 +
*As long as someone considered to be an Israeli resident by the National Insurance Institute pays health insurance contributions, he/she is entitled to health services in Israel, according to the [[:he:חוק ביטוח בריאות ממלכתי|National Health Insurance Law]]. For more information, see: [[:he:תושב ישראל#תושב ישראל השוהה בחו"ל|Israeli Residents Abroad]].
 +
* Returning residents who did not pay insurance contributions or ceased to be considered Israeli residents, will only be entitled to health services in Israel after a waiting period consisting of continuous residence in Israel (traveling abroad during the waiting period will extend the waiting period). The minimum waiting period is two months, and the maximum waiting period is six months. Payment may be submitted instead of undergoing the waiting period. For more information see: '''[[:he:הצטרפות תושב חוזר לביטוח בריאות|Health Insurance for Returning Residents]]'''.
  
===Exceptions===
+
===[[New Immigrants (Olim)]]===
*'''[[:he:חיילים, צבא וביטחון|Soldiers]]:'''
+
*New immigrants register for a health plan according to personal choice.  
:* Soldiers performing compulsory or career service receive medical services through the IDF and not the health plans. For career soldiers, payment for health insurance is deducted from their salary.
+
*New immigrants can register for a health plan already at their port of entry or at a later time through the post office bank.
:* Soldiers volunteering for compulsory service (i.e. due to special health reasons) are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong. In these cases, the health insurance is paid for by the IDF.
+
*After registering at the port of entry or the post office bank the person needs to go to the health plan he/she registered for with a copy of the registration forms. He/she will be given a temporary insurance card and the regular card will be sent shortly after in the mail.
:* Soldiers on temporary leave from active service are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong, and they will be required to pay the relevant insurance fees.
+
*As soon as the oleh receives the temporary insurance card he/she is considered a member of the health plan and is eligible for all health insurance services.
:* Soldiers performing service without payment are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong. In these cases, the health insurance is paid for by the State Treasury, as of 2002.
+
*'''Important: A new immigrant is not considered a member of the health plan until he/she has registered and received a temporary insurance card.'''
*'''Children:'''
+
*For more information see the [http://www.moia.gov.il/Publications/rishum_he.pdf New Immigrant Guide to Health Plan Registration] from the Ministry of Aliyah and Immigration Absorption.
:*From birth, every child is automatically insured in the health plan to which the parent receiving his/her child allowance belongs.
+
{{טיפ|New immigrants are exempt from paying national health insurance contributions for a period of 6 months from their aliyah date.  This right begins from the day the person receives his/her immigrant status and is contingent on registration for health insurance. New immigrants can also receive a health insurance payment exception for 6 additional months provided they are not working and they are receiving a living allowance from the Ministry of Aliyah and Immigration Absorption.  (In order to receive the exemption for the additional 6 months, contact the National Insurance Institute.)}}
::If the child's parents belong to different health plans and they want the child to belong to the health plan to which the parent who does not receive the child allowance belongs, they must go to a branch of the post office, fill out a transfer form and both sign it.
 
::The '''first''' transfer of a child younger than six months old from one health plan to another will be performed immediately without any waiting period.
 
:*Children (under the age of 18) of returning residents are eligible to receive health services, provided that their parents were recognized as residents of Israel after returning to Israel, even if the parents are temporarily not entitled to receive medical services and are currently in the mandatory waiting period.
 
::Parents will be reimbursed for all paid medical services for their children, provided that a request for residency was submitted to the National Insurance Institute before the paid medical services were received.
 
::If the expenses were incurred before a request for residency was submitted to the National Insurance Institute, the parents will not receive any reimbursement for paid medical services.
 
*'''Israeli Residents Abroad:'''
 
:*As long as someone considered to be an Israeli resident by the National Insurance Institute pays health insurance contributions, he/she is entitled to health services in Israel, according to the [[:he:חוק ביטוח בריאות ממלכתי|National Health Insurance Law]]. For more information, see: [[:he:תושב ישראל#תושב ישראל השוהה בחו"ל|Israeli Residents Abroad]].
 
:* Returning residents who did not pay insurance contributions or ceased to be considered Israeli residents, will only be entitled to health services in Israel after a waiting period consisting of continuous residence in Israel (traveling abroad during the waiting period will extend the waiting period). The minimum waiting period is two months, and the maximum waiting period is six months. Payment may be submitted instead of undergoing the waiting period. For more information see: '''[[:he:הצטרפות תושב חוזר לביטוח בריאות|Health Insurance for Returning Residents]]'''.
 
*'''[[:he:עולים|New Immigrants]]:'''
 
:*New immigrants register for a health plan according to personal choice. They immediately become members of that health plan and are entitled to health services without any waiting period.
 
:*For those who do not register for a health plan, the Ministry of Health will decide to which health plan they will belong.
 
  
== Please Note == <!--חשוב לדעת-->
 
*'''New immigrants are exempt from paying health insurance contributions for a period of 12 months from their aliyah date, yet are still be entitled to all medical services guaranteed by law during this period.'''
 
 
<!--== Court Rulings ==--> <!--פסקי דין-->
 
<!--== Court Rulings ==--> <!--פסקי דין-->
 
== Aid Organizations == <!--ארגוני סיוע-->
 
== Aid Organizations == <!--ארגוני סיוע-->
Line 67: Line 77:
 
== Government Agencies == <!--גורמי ממשל-->
 
== Government Agencies == <!--גורמי ממשל-->
 
{{הטמעת כותרת|Health and Illness#Government agencies}}
 
{{הטמעת כותרת|Health and Illness#Government agencies}}
* [[:he:משרד הבריאות|The Ministry of Health]]
 
* [[:he:נציבות קבילות הציבור לחוק ביטוח בריאות ממלכתי|The National Health Insurance Law Ombudsman]]
 
* [[:he:המוסד לביטוח לאומי|The National Insurance Institute]]
 
  
 
== Laws and Regulations == <!--חקיקה ונהלים-->
 
== Laws and Regulations == <!--חקיקה ונהלים-->
Line 79: Line 86:
  
  
== Sources == <!--מקורות-->
+
== Credits == <!--מקורות-->
 
* Original information provided by [[:HE:המרכז הקליני מזו"ר - המשפט למען זכויות החולה בישראל|The Mazor Clinical Center - Providing legal advice regarding patients rights in Israel]].
 
* Original information provided by [[:HE:המרכז הקליני מזו"ר - המשפט למען זכויות החולה בישראל|The Mazor Clinical Center - Providing legal advice regarding patients rights in Israel]].
* Original translation by [[AACI - Association of Americans and Canadians in Israel|AACI]]'s [[The Shira Pransky Project|Shira Pransky Project]].
+
* {{קרדיט/פרויקט שירה פרנסקי}}
<!--כותרת דמה עבור הטמעת כותרת. לא לגעת!
+
==Metadata==
==endarticle==
 
כותרת דמה עבור הטמעת כותרת. לא לגעת!-->
 
 
   
 
   
 
<!-- יש לכתוב תגיות כאן בתחתית -->
 
<!-- יש לכתוב תגיות כאן בתחתית -->
[[קטגוריה:זכויות]]
+
{{מטא
[[Category:Rights]]
+
|סוג ערך = זכויות
 +
|תחום תוכן =
 +
}}
  
[[ar:التأمين الصحي]]
 
 
[[he:ביטוח בריאות]]
 
[[he:ביטוח בריאות]]

Latest revision as of 00:48, 24 June 2021

Introduction:

Every Israeli resident is covered by health insurance which entitles him/her to the services established under the National Health Insurance Law
Lack of payment or delayed payment of health insurance fees does not affect the rights of a policyholder and does not exempt the health plan from providing the healthcare services included in The Healthcare Basket
For information on the rights of policyholders according to the National Health Insurance Law, see the Ministry of Health English website
Additional information on commercial health insurance can be found in the Capital Market, Insurance and Savings Authority's Guide


| Choosing a Health Plan |General Healthcare Rights

According to the National Health Insurance Law, all Israeli residents are covered by health insurance which entitles them to the services included in the health services basket.

  • The medical services to which all residents are eligible (The Healthcare Basket) are established in the law and are updated periodically. The health services basket is the same for all those who are entitled to it, and eligibility is not dependent on which health plan someone belongs to.
  • By law, the health plans are responsible for providing the health services found in the second addendum to the law. The law requires the health plans to accept anyone who wishes to be a member, regardless of the economic status, age, sex, health condition, etc.
  • By law, The Ministry of Health is responsible for providing the health services found in the third addendum to the law.
  • The medical services will be provided in Israel subject to a professional medical opinion, reasonable level of quality, reasonable wait time and reasonable distance from the patient's residence.
  • In general, the services included in the basket are provided free of charge, but the health plans may charge a co-payment for some of the medical services included in the healthcare basket, in accordance with the approval of the Knesset Finance Committee.
  • A list of the services for which a co-payment is required may be found in the second addendum to the National Health Insurance Law.

Who is Eligible?

  • All permanent residents of Israel who are entitled to health insurance.

How to Claim It?

  • The right is granted automatically through the National Insurance Institute to all permanent residents of Israel.
  • New Immigrants should sign up with a health plan in order to actualize this right. See more information below.
  • Returning citizens, or someone who ceased to be an Israeli citizen, will have to wait a designated waiting period until he/she is eligible again for health insurance. See more information below.
  • Health insurance contributions are collected by the National Insurance Institute.
  • Medical services are provided to all policyholders by the health plans to which they chose to belong; (some services are provided by the Ministry of Health).

Specific Populations

Soldiers

  • Soldiers performing compulsory or career service receive medical services through the IDF and not the health plans. For career soldiers, payment for health insurance is deducted from their salary.
  • Soldiers volunteering for compulsory service (i.e. due to special health reasons) are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong. In these cases, the health insurance is paid for by the IDF.
  • Soldiers on temporary leave from active service are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong, and they will be required to pay the relevant insurance fees.
  • Soldiers performing service without payment are entitled to receive the health services included in the basket detailed in the law from the health plan to which they belong. In these cases, the health insurance is paid for by the State Treasury, as of 2002.

Children

  • From birth, every child is automatically insured in the health plan to which the parent receiving his/her Child Allowance belongs.
  • If the child's parents belong to different health plans and they want the child to belong to the health plan to which the parent who does not receive the child allowance belongs, they must go to a branch of the post office, fill out a transfer form and both sign it.
  • The first transfer of a child younger than six months old from one health plan to another will be performed immediately without any waiting period.

Children of Returning Residents

  • Children (under the age of 18) of returning residents are eligible to receive health services, provided that their parents were recognized as residents of Israel after returning to Israel, even if the parents are temporarily not entitled to receive medical services and are currently in the mandatory waiting period.
  • Parents will be reimbursed for all paid medical services for their children, provided that a request for residency was submitted to the National Insurance Institute before the paid medical services were received.
  • If the expenses were incurred before a request for residency was submitted to the National Insurance Institute, the parents will not receive any reimbursement for paid medical services.

Israeli Residents Abroad

  • As long as someone considered to be an Israeli resident by the National Insurance Institute pays health insurance contributions, he/she is entitled to health services in Israel, according to the National Health Insurance Law. For more information, see: Israeli Residents Abroad.
  • Returning residents who did not pay insurance contributions or ceased to be considered Israeli residents, will only be entitled to health services in Israel after a waiting period consisting of continuous residence in Israel (traveling abroad during the waiting period will extend the waiting period). The minimum waiting period is two months, and the maximum waiting period is six months. Payment may be submitted instead of undergoing the waiting period. For more information see: Health Insurance for Returning Residents.

New Immigrants (Olim)

  • New immigrants register for a health plan according to personal choice.
  • New immigrants can register for a health plan already at their port of entry or at a later time through the post office bank.
  • After registering at the port of entry or the post office bank the person needs to go to the health plan he/she registered for with a copy of the registration forms. He/she will be given a temporary insurance card and the regular card will be sent shortly after in the mail.
  • As soon as the oleh receives the temporary insurance card he/she is considered a member of the health plan and is eligible for all health insurance services.
  • Important: A new immigrant is not considered a member of the health plan until he/she has registered and received a temporary insurance card.
  • For more information see the New Immigrant Guide to Health Plan Registration from the Ministry of Aliyah and Immigration Absorption.
Tip
New immigrants are exempt from paying national health insurance contributions for a period of 6 months from their aliyah date. This right begins from the day the person receives his/her immigrant status and is contingent on registration for health insurance. New immigrants can also receive a health insurance payment exception for 6 additional months provided they are not working and they are receiving a living allowance from the Ministry of Aliyah and Immigration Absorption. (In order to receive the exemption for the additional 6 months, contact the National Insurance Institute.)

Aid Organizations

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

Government Agencies

Laws and Regulations


Credits