Published for publicity
Customers have a health insurance in Israel part of insurance is the insurance of long-term care («bituah side»), the existence of which they do not always know.
For example, today, members of the health insurance Fund «Clalit» insured by the insurance company «Harel», the members of the health insurance «Maccabi» and «Leumit» insured company «Clal», and members of the health insurance «Meuhedet», the insured by insurance company «Phoenix».
Policy for long-term care provides real financial rights to those who need assistance to accomplish daily activities that every healthy man makes himself: dressing, bathing, getting up out of bed and chairs, walking, toileting, eating and drinking.
This financial assistance is complementary to the one that the patient receives from the National insurance Institute (bituah Leumi).
To obtain funds from the insurance company for insurance through the health insurance Fund, the insured should contact the insurance company and apply for a monthly allowance, which can amount to several thousand shekels a month for 5 years.
Give some examples:
• Betty (name changed), age 79. She was diagnosed with Parkinson’s disease three years ago. Betty gets 22 hours of weekly care from the National insurance Institute «bituah Leumi» and it has physical limitations. She needs help dressing, bathing and lifting from the bed.
Betty has insurance for long-term care through their health insurance Maccabi, which she recently learned, after reading the article of our lawyer’s office. On her behalf, we appealed to the insurance company for payments on long-term care, which she is entitled in accordance with the condition. The insurance company sent to Betty, the nurse that checked the state of her health, after which she was paid in the amount of 5 500 shekels a month, but only from November 2017.
Response insurance company was not satisfying because Betty for many years received assistance from the national insurance Institute, and therefore, our firm filed a lawsuit against the insurance company on payment of the Betty retroactive lump sum of 180,000 shekels for the previous three years. In addition, she put the payment from the insurance company for another 2 years that will make 5 years of payments at the national insurance side.
• David the name changed, 73 years, pays the insurance premium is about 200 shekels a month for the policy issued through the health insurance Fund, of which he was unaware.
David suffered a stroke about a year and a half ago, after which he had severe limitations in carrying out everyday activities, and cognitive disorders. The family of David was surprised to hear that he has the right to receive 4,500 shekels a month from the insurance policy, because he needs outside help, at least in three daily activities such as dressing, bathing, toileting, and in addition, he suffers from cognitive impairments, which require the presence of another person at home to care for him.
David through our office contacted the insurance company who at first tried to evade payment, but after we submitted the correct documents and medical certificates, has agreed to pay David a lump sum of $ 200,000 shekels as compensation for long-term care.
From the foregoing it is obvious that in case you suffer from health problems and functional disorders, should check with their financial rights and use these rights most efficiently and correctly.
If your life is such case we recommend you contact us for help. Our staff is ready to answer any question concerning «the national insurance side».
Office hours: Sunday-Thursday, from 8:30 to 18:30.
For the purpose of the first meeting for consultation call: 03-5622772
The website of our law firm .
Meir Zohar was born in tel Aviv in 1994 he graduated from the law faculty of tel Aviv University and since 1995, began to practice law.
Law firm «Lawyer of Meir Zohar and Partners» was founded in 1997 and is one of the oldest and most experienced in Israel. The main area of work is filing lawsuits against insurance companies in case of refusal of payments under policies of long-term care («Saudi»).
In 2001, in recognition of the magazine «a-Proclaim» («Lawyers»), the firm has won recognition and evaluation in the «List of the century» among the leading and reputable companies in the region demand compensation for damages.