Payment Procedures for Visits to the Emergency Roo

  • Payment Procedures for Visits to the Emergency Room

         A visit to the emergency room entails payment of the full cost of the visit according  to the Ministry of Health schedule of rates (NIS 552 as of the date of preparation of this document), except in the cases detailed in sections 2 and 3 below, which define conditions for full or partial exemption from the payment.

     

    Translated by The Shira Pransky Project

  • Exemption from emergency room payment

    1.         An exemption from emergency room payment is granted to:

    2.1         An insured individual who comes to the emergency room with a medical referral letter and/or with a financial commitment from a health fund (Form 17).

    2.2         An insured individual who is hospitalized, even if he does not present a medical referral letter and/or Form 17.

    2.3         A work accident victim who presents a certificate from his employer (Form BL/50) confirming that he suffered an injury at work.

    2.4         A road accident victim who presents a police certificate concerning the accident.

    2.5         A schoolchild who was injured at school or on a school trip ("school accident") and who presents a certificate from the school.

    2.6         An insured individual who comes to the emergency room in the following cases:

    2.6.1         Any new fracture.

    2.6.2         Severe shoulder or elbow dislocation.

    2.6.3         A wound requiring suturing or an equivalent joining procedure.

    2.6.4         Aspiration of a foreign body into the respiratory tract.

    2.6.5         Penetration of a foreign body into the eye.

    2.6.6         Treatment for cancer.

    2.6.7         Treatment for hemophilia.

    2.6.8         Treatment for cystic fibrosis (CF).

    2.6.9         A woman who has started labor pains, where a monitor test shows evidence of labor pains.

    2.6.10     A person who was evacuated to the hospital by a MDA ambulance, from the street or another public area, following a sudden medical event.

    2.6.11     Infants up to the age of two months with a sudden rise in temperature above 38.5 degrees Celsius.

    2.6.12     An insured individual who suffers from chronic renal insufficiency and is under dialysis treatment.

    An insured individual who is a victim of family violence or a sexual assault, in cases where the visit to the emergency room is shown after the fact to have been medically justified.

    Translated by The Shira Pransky Project

  • Obligation to pay the emergency room fee

    1.1        Anyone coming to the emergency room at night, between 1:00 a.m. and 6:00 a.m., except for persons who are entitled to a full exemption as detailed in section 2.

    1.2        In cases where the visit to the emergency room is shown after the fact to have been medically justified.

     

    Translated by The Shira Pransky Project