Right of the insured to receive health services

 

"National health insurance under this law shall be founded on principles of justice, equality and mutual assistance." - The Israeli Basic Law

 

Principles of the National Health Insurance Law

1.      Eligibility for every residentEvery resident of Israel is entitled to health services under the National Health Insurance Law.

2.   No connection between payment and service A resident pays for health insurance according to his/her means and is treated according to his/her needs. The state is responsible for providing funding, while the health plan in which the insured is registered is responsible for providing services.

3.      Choice of a plan and limitations – Every resident is entitled to be registered as a member of a health plan of his/her choosing, without conditions or limitations due to age or state of health.

4.      Provision of the service The plan is responsible for providing all of the services included in the basket of health services, based on medical discretion, with reasonable quality, within a reasonable amount of time, and within a reasonable distance of the patient's home.

5.      Maintaining dignity and privacy – Every insured individual is entitled to receive health services while maintaining his/her dignity, privacy and medical confidentiality.

6.      Switching between plans – Every resident is entitled to switch from one health plan to another.

7.      Selection of service providers – Every insured individual is entitled to choose service providers, such as doctors, caregivers, hospitals and institutes, from a list of service providers who are affiliated with the health plan to which he/she belongs and according to the arrangements for selecting service providers as periodically published by the plan.

8.      Complaints by the insured Every insured individual is entitled to submit a complaint to the individual in charge of public inquiries at the treating medical institution, to the individual responsible for investigating members' complaints at the health plan in which he is a member, or to the ombudsman in the Ministry of Health under the National Health Insurance Law.

9.      Court petition – Every insured individual is entitled to submit a claim to the Regional Labor Court.

 

  

 

 

 

Translated by The Shira Pransky Project