FAQ's
As part of the improvement of the service, the National Insurance, in cooperation with the hospitals, operates a first-class service for hospitalized patients: checking eligibility for benefits and general disability allowances, special services, through the hospital, in a friendly and convenient manner, while fully respecting your privacy.
A social worker of the hospital will come to you, have you sign the request for a claim and forward it directly to the National Insurance along with the medical documents for further treatment and to exercise your rights, without the need for any further action on your part.
As a general rule, eligibility for each allowance is checked according to its criteria. At the same time, there are various conditions in the law, which link the allowances as detailed below:
Mobility and special services:
You can receive the 2 allowances at the same time if one of the following conditions is met:
- 100% mobility disability was determined.
- 112% SRAM was determined.
- A medical committee of the health bureau/appeal committee determined that there is use and need for a wheelchair. In all other cases it is not possible to receive both allowances together.
The conditions between mobility allowance and disability allowance:
You can receive both pensions together except in the following two cases:
- It is not possible to receive "annuity without a rental car" in the case that you receive a general disability pension.
- It is not possible to receive a mobility allowance for a 2000 cc vehicle (according to the mobility agreement and not according to the decision of the vehicle size committee)
Conditions between disability allowance and special services allowance:
You can receive a general disability allowance and a special services allowance at the same time. A person who receives a general disability needs 60% medical disability so that his eligibility for a special services allowance can be checked. A person who does not receive a general disability needs at least 75% medical disability in order to be able to check his eligibility for a special services allowance. Note: It is not possible to receive disability allowances and SRM at the same time for only the first 60 days from the date of entitlement to a disability allowance. In this case, the higher allowance will be paid.
Vocational rehabilitation is intended for a person before retirement age, for whom a medical committee has determined a weighted permanent medical disability of at least 20%. A rehabilitation program may include occupational diagnosis, professional training and job placement (sometimes the program only includes placement). A person who is not suitable for vocational rehabilitation, the possibility of transferring his eligibility for rehabilitation to his spouse will be examined, on the condition that the spouse lives permanently with the disabled person, and is paid an addition to the disabled person's disability allowance, and has not yet reached retirement age.
- Disability fund (which is paid until retirement age only) Non-work income such as income from an insurance company or early pension payments can only affect the addition of dependents (spouse or child) if the applicant is found eligible according to criteria. It is important to note that non-work income does not negate eligibility for the disability allowance.
- Special services allowance Non-work income does not affect eligibility for a special services allowance or the amount of allowance to which you may be entitled.
- Mobility allowance Non-work income does not affect eligibility for a mobility allowance or the amount of allowance to which you may be entitled.
- Disability fund (Up to retirement age only) A resident of an institution or public body entitled to a disability allowance may continue to receive a disability allowance in the amount of NIS 954 (as of 2021).
- Special services allowance A disabled person staying in an institution where medical services, nursing services or rehabilitation services are provided, will not be entitled to a special services allowance.
- Mobility allowance Staying in an institution for more than 90 days is not entitled to a mobility allowance, except for someone with limited mobility who meets all of the following conditions:
- Over the age of 18 who have been determined to have 100% mobility disability or have been determined to need and use a wheelchair
- As a result of his hospitalization, he stopped receiving a Sharm allowance or would have been entitled to receive a Sharm had he not been hospitalized
- leaves the institution at least 6 times a month
Those who started receiving a pension before retirement age and on the day they reached retirement age were entitled to a pension, will continue to receive a pension as follows:
- Disability fund Upon reaching retirement age, an old-age pension will be paid in an amount not less than the amount of the disability pension.
- Mobility allowance When you reach retirement age, you will continue to receive the same benefits.
- Special services allowance Upon reaching retirement age, a special services allowance will continue to be paid. If the diagnosis and impairment of function began after retirement age, it will not be possible to receive disability benefits, special services or mobility. Therefore, it is suggested to examine your eligibility for a nursing benefit from the National Insurance which is given after retirement age and provides assistance in purchasing diapers and other equipment. You can also contact the commissions for determining disability percentages after retirement age through the income tax.
Note: Retirement age for men and women regarding mobility allowance is 67, regarding disability allowances and SRAM retirement age is: 62 for women and 67 for men.
If there is a worsening of your medical condition, you can submit a request for aggravation along with documents attesting to the aggravation. Below are the maximum allowance rates and amounts to which you can be entitled (as of January 2021):
Accordingly, those who do not receive the maximum and believe that their condition has changed (worsened), can contact the social insurance branch that handles them, with current documents that show the change in the situation, in order to examine whether there has indeed been a worsening in order to increase the eligibility percentage.
The documents for aggravation can be sent through the following link -> Click here…
For an examination at the branch, he will indicate this in a letter and then the possibility of a determination without presence or alternatively of sending a doctor to his home for the purpose of the examination will be considered. The mobility committee will be held in the presence of the disabled person. In regards to disability and medical malpractice, it is the doctor's authority to determine whether attendance is required or whether it is possible to determine without attendance according to the medical documents.
To be eligible for a long-term care benefit, you must meet these five eligibility conditions:
Click here to use the calculator to check eligibility for a nursing benefit...
- First condition - age and residency - you are a resident of Israel and have reached retirement age.
- Second condition - income - entitlement to nursing allowance is determined according to your income. The amount of income varies depending on your family situation. For detailed information, click here...
- Third condition - you need the help of another person in carrying out everyday activities inside the house (dressing, bathing, eating, handling 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 - a person who lives in his own home or in sheltered housing is entitled to a nursing benefit.
- Fifth condition - you do not receive any other nursing benefit from a government body
Let's say you got 40% for the right side + 30% for the left side + 10% for the orthopedic section.
The calculation will be like this:
- Subtract the disability percentage greater than 100%
- That is: 60% = 40%-100%
- The second largest disability percentage is multiplied by the remaining 18% = 30X60
- 58% = 40+18% disability percentage from the first two large sections
- 42% = 100-58% in reduction from one hundred percent, this is what remains
- 4.2% = 42%X10 the balance is multiplied by the third largest deficiency percentage
- 62.6% = 4.2%+58 percentage of disability from the three deficiencies.
Now suppose you got 50% for the right side + 40% for the left side + 10% for the orthopedic section.
The calculation will be like this:
- 50% = 100-50% remaining after subtracting the first defect in size.
- 20% = 50X40 the rest is multiplied by the second largest eclipse.
- 70% = 50%+20% sum of the first two defects.
- 30% = 100-70% the balance from one hundred percent.
- 3% = 30X10 times the percentage of the third largest defect.
- 73% = 50+20+3 Finally, adding the three deficiencies in the weighted form.
At what % of medical disability should you request an exemption from income tax?
with a disability percentage of 73% in the National Insurance.
The calculation of the income tax is carried out, according to the Arbel High Court, by a normal addition of the two sides of Parkinson's disability:
- 90% = 50+40%
- 10% = 100-90%
- 1% = 10%X10
- 91% = 90%+1%
- And here you can get an exemption from income tax.
If the attending physician refuses to write the necessary document referring to the detailed conditions of the law and/or the policy. That is, if despite your condition, the doctor refuses to explicitly write what is needed, then there is no choice and you have to pay for a professional opinion (between NIS 5,000-1,500)
For example, if despite the documents you have, the doctor is not ready to write when the disease began.
To clarify: what will happen in this case will be as follows: the doctor of the committee will determine himself, and not always correctly. Therefore, in this case, a professional opinion of a Parkinson's specialist is preferable.