Nursing allowance - National Insurance
It is given to those who have reached retirement age, live in their own home (and not in an institution), and need the help of another person in day-to-day activities (the activities include - dressing, bathing, self-mobility, supervision, etc.), as well as those who need supervision at home for their safety. The benefit is usually provided in services and not in money - those entitled to the benefit will be provided with nursing services, assistance with day-to-day activities, assistance with managing the household, assistance with supervision and more.
To be eligible for a long-term care benefit, you must meet these five eligibility conditions:
You can use a calculator to check eligibility for a long-term care benefit
First condition - age and residency You are a resident of Israel and have reached retirement age.
If you received the status of a resident of Israel only after you reached retirement age, you may be entitled to the nursing allowance if you immigrated according to the Law of Return or if you received an absorption basket from the absorption office.
Second condition - income
Entitlement to nursing allowance is determined according to your income. The amount of income varies depending on your marital status.
Income calculation when both spouses are nursing:
If both spouses are nursing, we will add the incomes of both spouses, divide by 2 and the result obtained will be considered as if it were an individual's income for the income test. For example: the income of both spouses is 18,600 NIS. The eligibility of each will be tested according to an income of 9,300 NIS. Both spouses pass the income test, as an individual can earn up to 10,551 NIS.
Third condition - you need the help of others to a great extent
You need the help of another person in carrying out daily activities inside the house (getting dressed, bathing, eating, treating secretions, walking around the house, etc.), or you need supervision in your home for your safety and the safety of those around you.
Fourth condition - residence
Those who live in their own home or in sheltered housing are entitled to a nursing benefit.
Lives in a nursing home
If you live in a nursing home, you can only be entitled to a benefit if you stay in a department for the independent or the frail under the supervision and license of the Ministry of Welfare according to the Dormitory Supervision Law. You will not be entitled to a benefit if you are in a nursing ward, a complex nursing ward, a ward for mental exhaustion, a ward for long-term ventilation and a rehabilitation setting under the supervision of the Ministry of Health, according to the People's Health Ordinance, or in another institution where most of your maintenance expenses are financed by a public body (government offices , local authorities, etc.).
If you started receiving a nursing benefit and you are interested in living inNursing Home, you must fill out a confirmation form for residence at the institution and send it to your branch, to check your continued entitlement to the benefit.
Hospitalization
A person entitled to a nursing benefit who is hospitalized in a general hospital may continue to receive the benefit in the hospital during the first 30 days of hospitalization only. If you do not receive a nursing benefit and you are hospitalized or should be hospitalized in the next month - you can apply for a nursing benefit immediately. The request must be accompanied by a medical certificate from the hospital called: "Interim Summary".
Fifth condition - you do not receive another nursing benefit from a government body. If you receive one of the following allowances, you will have to choose between the allowance you receive and the nursing allowance:
- Allowance for special services - Sharam.
- Allowance for personal care or supervision from the state treasury.
- Allowance from the Ministry of Defense: a benefit for helping others for medical reasons or an escort benefit.
Please note, if you receive a supplement to finance special needs from the Ministry of Defense, you can receive it together with the long-term care benefit from National Insurance.
Filing a claim for a nursing benefit
If you live in a nursing home or institution, the management of the place must fill in section 9 of the claim form. If you are hospitalized, you can file a claim under "First Class" through a social worker at the hospital where you are admitted.
Documents to be attached to the claim form:
- Current medical documents - a printout of medical information that includes the summary of the medical file, diagnoses, treatments and medications, or a summary of hospitalization that took place in the last 3 months.
- Income certificates - certificates of your and your partner's income (except for social security allowances and annuity certificates or any allowance for Holocaust survivors and those persecuted by the Nazis), for three months out of the last four months.
- Power of attorney - if the person submitting the claim and the signatory is a guardian and not the claimant himself, a copy of the guardian's order must also be attached to the claim.
