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{{עצם העניין}}{{סוג ערך|זכות}}
 
{{עצם העניין}}{{סוג ערך|זכות}}
{{תקציר}}
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{{תקציר |תוכן=
 
{{דגשים  
 
{{דגשים  
 
| מידע  = In certain cases, heart patients who have had a cardiac event are entitled to rehabilitation services free of charge, as part of the [[The Healthcare Basket| healthcare basket]]
 
| מידע  = In certain cases, heart patients who have had a cardiac event are entitled to rehabilitation services free of charge, as part of the [[The Healthcare Basket| healthcare basket]]
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| שאלה  = <!-- דוגמה: שאלה -->
 
| שאלה  = <!-- דוגמה: שאלה -->
 
| ממשל =  For more information on cardiac rehabilitation covered by the healthcare basket, see [http://www.health.gov.il/English/Topics/RightsInsured/RightsUnderLaw/Rehab/Pages/default.aspx Eligibility for Cardiac Rehabilitation] on the [[:he:משרד הבריאות|Ministry of Health's]] English website
 
| ממשל =  For more information on cardiac rehabilitation covered by the healthcare basket, see [http://www.health.gov.il/English/Topics/RightsInsured/RightsUnderLaw/Rehab/Pages/default.aspx Eligibility for Cardiac Rehabilitation] on the [[:he:משרד הבריאות|Ministry of Health's]] English website
|ממשל2 = For information on the various cardiac rehabilitation services covered by supplementary insurance, see [http://call.gov.il/infocenter/index?page=content&id=EL2427&actp=LIST_RECENT the Ministry of Health's information website]
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|ממשל2 = For information on the various cardiac rehabilitation services covered by supplementary insurance, see [http://call.gov.il/infocenter/index?page=content&id=EL2427&actp=LIST_RECENT the Ministry of Health's information website]}}
}}
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}}
{{תקציר/סיום}}
 
 
{{טפסים
 
{{טפסים
 
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}}
 
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{{עצם העניין/סיום}}
 
{{עצם העניין/סיום}}
 
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In certain cases, heart patients who have had a cardiac event are entitled to free rehabilitation services as part of the [[The Healthcare Basket| healthcare basket]].
 
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*The primary goal of the rehabilitation services is to enable heart patients to return to an active lifestyle with quality of life, within the limitations dictated by their condition.
המטרה העיקרית של שירותי השיקום היא לאפשר לחולי הלב לחזור לאורח חיים פעיל, יצרני ואיכותי במגבלות המוכתבות על-ידי תהליך המחלה.
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*Rehabilitation services are provided by the health plans at cardiac rehabilitation facilities, or as part of other rehabilitation frameworks, by a professional multi-disciplinary staff including a cardiologist, nurse, social worker, dietician, physiologist, physical trainer and when necessary, a psychologist.
השיקום ניתן מטעם קופות החולים במכוני שיקום לב או במסגרות שיקום אחרות ע"י צוות רב מקצועי הכולל: קרדיולוג, אחות, עובד סוציאלי, דיאטנית, פיזולוג, מאמן גופני ובמידת הצורך, פסיכולוג.
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*In certain cases, rehabilitation services such as nursing and physical therapy can be provided at the patient's home. For additional information, see the links in the section on [[#Additional Publications|Additional Publications]].
במקרים מסויימים ניתן לקבל שירותי שיקום (כגון שירותי אחות ופיזיותרפיה) גם בביתו של המטופל. ראו קישורים למידע נוסף בסעיף הרחבות ופרסומים.
 
 
 
*In certain cases, heart patients who have had a cardiac event are entitled to free rehabilitation services as part of the [[The Healthcare Basket| healthcare basket]].
 
*The primary goal of the rehabilitation services is to enable heart patients to return to an active, productive life and quality of life within the limitations dictated by their condition.
 
*The services are provided by the health plans at special cardiac rehabilitation facilities, or as part of other rehabilitation frameworks, by a professional multi-disciplinary staff including a cardiologist, nurse, social worker, dietician, physiologist, physical trainer, as well as a psychologist when necessary.
 
 
== Who is Eligible? == <!--מי זכאי-->
 
== Who is Eligible? == <!--מי זכאי-->
 
===Patients Entitled to Free Rehabilitation Services as Part of the Healthcare Basket===
 
===Patients Entitled to Free Rehabilitation Services as Part of the Healthcare Basket===
* Patients who have undergone a heart attack.
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* Patients who have had a heart attack.
* Patients who have undergone coronary bypass surgery.
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* Patients who have had coronary bypass surgery.
* Patients with type 2 or type 3 heart failure or an LVEF lower than 35%.
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* Patients with stage 2 or 3 heart failure or an LVEF lower than 35% (moderate or greater lower left ventricular dysfunction).
 
* Patients who have undergone a cardioverter defibrillator implant.
 
* Patients who have undergone a cardioverter defibrillator implant.
 +
* Patients who have had an interventional catheterization.
  
===Patients whose Medical Condition Does Not Entitle Them to the Healthcare Basket Benefits===
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===Patients Whose Medical Condition Does Not Entitle Them to the Healthcare Basket Benefits===
* The Ministry of Health recommends that even those patients whose medical condition does not entitle them to cardiac rehabilitation services as part of the healthcare basket (such as those who were hospitalized due to unstable angina or patients after therapeutic coronary catheterization) receive cardiac rehabilitation services.
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* The Ministry of Health recommends that even those patients whose medical condition does not entitle them to cardiac rehabilitation services through the healthcare basket (for example, patients hospitalized due to unstable angina) receive cardiac rehabilitation services.
* Patients who are not entitled to rehabilitation services included in the healthcare basket, but for whom an attending physician has recommended rehabilitation, may may receive services they pay for themselves, or which they receive as part of their health plan’s supplementary health insurance.
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* Patients who are not entitled to rehabilitation services through the healthcare basket but whose physician has recommended rehabilitation may receive services by paying for the services themselves, or through coverage by their health plan’s supplementary insurance.
 +
* The health plan websites provide information on other medical conditions that entitle a patient to cardiac rehabilitation services according to the health plan's rules.
 +
** Clalit: [https://mushlam.clalit.co.il/he/HEALING/Pages/myocardial_infarction_recovery.aspx#ServiceGetter Recovery], [https://mushlam.clalit.co.il/he/HEALING/Pages/rehabilitation.aspx#ServiceGetter Exercise for Rehabilitation].
 +
** Maccabi: [http://www.maccabi4u.co.il/13169-he/Maccabi.aspx?TabId=13171_13173 Conditions for Entitlement].
 +
** Leumit: [http://www.leumit.co.il/heb/Rights/Search/EligibilityDetails/?sId=168 Recovery], [http://www.leumit.co.il/heb/Rights/Search/EligibilityDetails/?sId=210 Exercise for Rehabilitation].
 +
** Meuhedet: [https://www.meuhedet.co.il/meuhedet/downloads/adifBr.pdf Meuhedet Adif].
 +
** For information on coverage through the various types of supplementary insurance, see the [http://call.gov.il/infocenter/index?page=content&id=EL2427&actp=LIST_RECENT Ministry of Health's information website].
  
 
==What is Included in Eligibility for Cardiac Rehabilitation?==  
 
==What is Included in Eligibility for Cardiac Rehabilitation?==  
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===Third Stage of Rehabilitation===
 
===Third Stage of Rehabilitation===
 
* '''This stage is not included as part of the healthcare basket''', but there are Ministry of Health guidelines to refer patients to continue with these types of rehabilitation frameworks.
 
* '''This stage is not included as part of the healthcare basket''', but there are Ministry of Health guidelines to refer patients to continue with these types of rehabilitation frameworks.
* The stage begins after achieving the previous stage’s objectives, and it includes continuation of physical activity, as well as maintaining proper nutrition as part of a specialized program.
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* The stage begins after achieving the previous stage’s (stage two) objectives, and it includes continuation of physical activity, as well as maintaining proper nutrition as part of a specialized program.
 
*Every physician treating a patient requiring heart rehabilitation must recommend these medical services.
 
*Every physician treating a patient requiring heart rehabilitation must recommend these medical services.
  
 
==Recovery and Rehabilitation in a Convalescent Home==
 
==Recovery and Rehabilitation in a Convalescent Home==
* Following a myocardial infarction or coronary bypass surgery, patients are entitled to a five day stay at a [[Recovery and Rehabilitation in a Convalescent Home for Heart Patients|convalescent home]] with whom their health plan has an arrangement, at no cost to the patient.
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* Following a myocardial infarction or coronary bypass surgery, patients are entitled to a five day stay at a convalescent home with whom their health plan has an arrangement, at no cost to the patient.
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*For more information see[[Recovery and Rehabilitation in a Convalescent Home for Heart Patients]].
  
 
==Heart Rate Monitoring and Follow-Up==
 
==Heart Rate Monitoring and Follow-Up==
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== How to Claim It? == <!--תהליך מימוש הזכות-->
 
== How to Claim It? == <!--תהליך מימוש הזכות-->
* Eligible heart patients will be referred by their attending physician.
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* Eligible heart patients will be referred by their attending physician to a heart rehabilitation program.  
 
* If a patient is referred by a hospital's cardiology, internal medicine or cardiac surgery unit, it is recommended that the referral be written in the form of a detailed recommendation as part of the hospital release paperwork.
 
* If a patient is referred by a hospital's cardiology, internal medicine or cardiac surgery unit, it is recommended that the referral be written in the form of a detailed recommendation as part of the hospital release paperwork.
 
* Rehabilitation is provided by the patient’s health plan through a heart rehabilitation facility or another rehabilitation program. Convalescence services are provided in a convalescent home that has an arrangement with the patient’s health plan.
 
* Rehabilitation is provided by the patient’s health plan through a heart rehabilitation facility or another rehabilitation program. Convalescence services are provided in a convalescent home that has an arrangement with the patient’s health plan.
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== Please Note == <!--חשוב לדעת-->
 
== Please Note == <!--חשוב לדעת-->
*  Patients who claim that they are not receiving the rehabilitation services to which they are entitled according to the National Health Insurance Law are entitled to [[Submitting a Complaint to the National Health Insurance Law Ombudsman|submit a complaint to the Ministry of Health's National Health Insurance Law ombudsman]].  
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*  Patients who claim that they are not receiving the rehabilitation services to which they are entitled according to the National Health Insurance Law are entitled to [[Submitting a Complaint to the National Health Insurance Law Ombudsman|submit a complaint to the Ministry of Health's National Health Insurance Law Ombudsman]].   Patients may also [[Submitting a Complaint to the Health Fund|submit a complaint to their health plan ombudsman]].
* Patients may also [[Submitting a Complaint to the Health Fund|submit a complaint to the health plan ombudsman]].
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<!--== Court Rulings ==--> <!--פסקי דין-->
<!--== Court Rulings ==--> <!--פסקי דין--><!--== Aid Organizations ==--> <!--ארגוני סיוע-->
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== Aid Organizations == <!--ארגוני סיוע-->
 +
* Click here for the listing of [[Health and Illness/Aid Organizations]].
  
 
== Government Agencies == <!--גורמי ממשל-->
 
== Government Agencies == <!--גורמי ממשל-->
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== Laws and Regulations == <!--חקיקה ונהלים-->
 
== Laws and Regulations == <!--חקיקה ונהלים-->
* [[:he:חוק ביטוח בריאות ממלכתי|The National Health Insurance Law]]
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* [[:he:חוק ביטוח בריאות ממלכתי|National Health Insurance Law]] - section 27 of the second appendix.
 
 
== Additional Publications == <!--הרחבות ופרסומים-->
 
 
* [http://www.health.gov.il/hozer/mr54_2006.pdf Medical Administration Circular 54/2006 from 26.12.06] regarding rehabilitation of heart patients
 
* [http://www.health.gov.il/hozer/mr54_2006.pdf Medical Administration Circular 54/2006 from 26.12.06] regarding rehabilitation of heart patients
 
* [http://www.health.gov.il/hozer/mr47_2002.pdf Medical Administration Circular 47/2002 from 10.10.02] regarding rehabilitation services for heart patients
 
* [http://www.health.gov.il/hozer/mr47_2002.pdf Medical Administration Circular 47/2002 from 10.10.02] regarding rehabilitation services for heart patients
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* [http://www.health.gov.il/hozer/mr27_2011.pdf Medical Administration Circular 27/2011 from  11.7.2011] regarding heart rehabilitation facilities (update)
 
* [http://www.health.gov.il/hozer/mr27_2011.pdf Medical Administration Circular 27/2011 from  11.7.2011] regarding heart rehabilitation facilities (update)
  
== Sources == <!--מקורות-->
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== Additional Publications == <!--הרחבות ופרסומים-->
* Original information written by the [[:he: ההסתדרות הרפואית בישראל|IMA]].
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* [http://www.clalit.co.il/he/info/entitlements/Pages/community_rehabilitation_service.aspx Rehabilitation at home] on the Clalit website.
*Original translation by [[AACI - Association of Americans and Canadians in Israel|AACI]]'s [[The Shira Pransky Project|Shira Pransky Project]].
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* [http://www.maccabi4u.co.il/10844-he/Maccabi.aspx#showData_24097 Rehabilitation] on the Maccabi website.
 +
 
 +
== Credits == <!--מקורות-->
 +
* Original information written by the [[:he:ההסתדרות הרפואית בישראל|IMA]].
 +
* {{קרדיט/פרויקט שירה פרנסקי}}
  
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==Metadata==
==endarticle==
 
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Latest revision as of 14:17, 27 December 2018

Introduction:

In certain cases, heart patients who have had a cardiac event are entitled to rehabilitation services free of charge, as part of the healthcare basket
Heart patients who are not entitled to free rehabilitation services may be entitled to rehabilitation they pay for themselves or which is covered by supplementary health insurance
For more information on cardiac rehabilitation covered by the healthcare basket, see Eligibility for Cardiac Rehabilitation on the Ministry of Health's English website
For information on the various cardiac rehabilitation services covered by supplementary insurance, see the Ministry of Health's information website


In certain cases, heart patients who have had a cardiac event are entitled to free rehabilitation services as part of the healthcare basket.

  • The primary goal of the rehabilitation services is to enable heart patients to return to an active lifestyle with quality of life, within the limitations dictated by their condition.
  • Rehabilitation services are provided by the health plans at cardiac rehabilitation facilities, or as part of other rehabilitation frameworks, by a professional multi-disciplinary staff including a cardiologist, nurse, social worker, dietician, physiologist, physical trainer and when necessary, a psychologist.
  • In certain cases, rehabilitation services such as nursing and physical therapy can be provided at the patient's home. For additional information, see the links in the section on Additional Publications.

Who is Eligible?

Patients Entitled to Free Rehabilitation Services as Part of the Healthcare Basket

  • Patients who have had a heart attack.
  • Patients who have had coronary bypass surgery.
  • Patients with stage 2 or 3 heart failure or an LVEF lower than 35% (moderate or greater lower left ventricular dysfunction).
  • Patients who have undergone a cardioverter defibrillator implant.
  • Patients who have had an interventional catheterization.

Patients Whose Medical Condition Does Not Entitle Them to the Healthcare Basket Benefits

  • The Ministry of Health recommends that even those patients whose medical condition does not entitle them to cardiac rehabilitation services through the healthcare basket (for example, patients hospitalized due to unstable angina) receive cardiac rehabilitation services.
  • Patients who are not entitled to rehabilitation services through the healthcare basket but whose physician has recommended rehabilitation may receive services by paying for the services themselves, or through coverage by their health plan’s supplementary insurance.
  • The health plan websites provide information on other medical conditions that entitle a patient to cardiac rehabilitation services according to the health plan's rules.

What is Included in Eligibility for Cardiac Rehabilitation?

  1. Rehabilitation program – The program includes instruction from a doctor, nurse, nutritionist, health counselors, as well as time-limited supervised exercise following the cardiac event.
  2. Recovery in a special facility under medical supervision – After a myocardial infarction or coronary bypass surgery, patients are entitled to stay in a convalescent facility.
  3. Heart rate monitoring using a personal monitoring device after heart surgery or an acute myocardial infarction.

Rehabilitation Program

  • A rehabilitation program is comprised of three stages. The first two stages are included in the healthcare basket and are provided free of charge (to those who are eligible). The third stage is not included in the healthcare basket, but the Ministry of Health recommends that patients contact facilities where it is provided.

First Stage of Rehabilitation

  • This stage is offered in hospitals or convalescent homes and lasts for seven days from the hospital release date.

Second Stage of Rehabilitation

  • This stage takes place after release from the hospital or convalescent facility and it lasts approximately 9 months.
  • Heart patients who are referred to a heart rehabilitation facility within the first year after a cardiac event or relevant diagnosis must start a program in the second stage of rehabilitation.
  • Completion of the rehabilitation program is in accordance with the patient’s medical condition, as determined by the program’s medical director.
  • For high-risk patients, the second stage of rehabilitation is of unlimited duration.
  • This stage is aimed at improving risk factors and the patient’s functioning capacity and physical and mental state to the greatest extent possible, and it includes physical training in addition to advising and behavioral and pharmaceutical intervention.
  • The rehabilitation services that are part of this stage are provided at heart rehabilitation facilities. The treatment staff includes a cardiologist, registered nurse and specialist in rehabilitative physical training.

Third Stage of Rehabilitation

  • This stage is not included as part of the healthcare basket, but there are Ministry of Health guidelines to refer patients to continue with these types of rehabilitation frameworks.
  • The stage begins after achieving the previous stage’s (stage two) objectives, and it includes continuation of physical activity, as well as maintaining proper nutrition as part of a specialized program.
  • Every physician treating a patient requiring heart rehabilitation must recommend these medical services.

Recovery and Rehabilitation in a Convalescent Home

Heart Rate Monitoring and Follow-Up

  • Following a myocardial infarction or coronary bypass surgery, patients are entitled to heart rate monitoring and tracking using a personal monitoring device (for up to six weeks) that can transmit the EKG reading directly to a medical service center that operates 24 hours a day.

Rehabilitative Exercise

  • Health insurance policyholders are entitled to rehabilitative exercise, which is limited physical activity under the close supervision of a cardiologist; it is provided as part of the second stage of rehabilitation detailed above.

How to Claim It?

  • Eligible heart patients will be referred by their attending physician to a heart rehabilitation program.
  • If a patient is referred by a hospital's cardiology, internal medicine or cardiac surgery unit, it is recommended that the referral be written in the form of a detailed recommendation as part of the hospital release paperwork.
  • Rehabilitation is provided by the patient’s health plan through a heart rehabilitation facility or another rehabilitation program. Convalescence services are provided in a convalescent home that has an arrangement with the patient’s health plan.
  • Patients should contact their health plan for more details regarding the rehabilitation and convalescence services offered and how to claim them:
  • Patients are accepted to a rehabilitation program after their condition is assessed by a cardiologist from the rehabilitation facility who will determine the patient’s level of risk, the rehabilitation objectives, the rehabilitation plan and the medical limitations to physical activity.

Please Note

Aid Organizations

Government Agencies

Laws and Regulations

Additional Publications

Credits